Market Access & Reimbursement Manager – Orthopedics

Arthrex; Illinois; On-site; USD 136,000 - 170,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Matching

Annual Bonus

Tuition Reimbursement

Job summary

Arthrex, Inc. in the United States is seeking a Manager, Market Access and Reimbursement to lead US reimbursement strategy across our North Central territory.

You will serve as the primary reimbursement expert, educating the sales organization and collaborating with Marketing, Product Management, and Regulatory teams to optimize patient access to Arthrex technologies. Travel up to 40% is required as you partner with physicians, payers, and other stakeholders to develop value-based approaches,

Qualifications

• 5+ years of experience in delivery/administration of healthcare, healthcare insurance plan or medical device industry
• Bachelor’s degree required
• Master’s Degree or other advanced degree is a plus
• Experience in Orthopedic medical devices preferred
• Prior field reimbursement experience in medical device preferred
• Certified Professional Coder is a plus
• Detailed knowledge of medical device billing, coding (CPT, HCPCS, ICD-10)
• Detailed knowledge of payer coverage requirements, Prior Authorization, claim submission, adjudication and appeals processes
• Knowledge of US health care policy, payment systems and contracting methodologies, including Medicare and commercial payers, in inpatient and outpatient, physician office and ASC/HOPD sites of service
• Ability to train sales team members on coding, coverage, reimbursement and contracting concepts clearly
• Demonstrated responsiveness and ability to manage priorities across multiple projects
• Ability to work with ambiguity and adapt in a rapidly changing atmosphere
• Experience working as part of cross-functional teams
• High customer service orientation with strong interpersonal skills
• Ability to prioritize and manage multiple workstreams in a dynamic environment
• Ability to work independently with minimal supervision
• CRM usage experience (e.g., Salesforce)
• Computer literacy (Microsoft Office Suite)
• Must have valid driver’s license and be able to travel US-wide

Responsibilities

• Educate and train Arthrex Sales team and agencies on US reimbursement (coding, coverage, payment, and contracting) for the product portfolio
• Collaborate with Marketing, Sales, Product Management and Regulatory to inform customer-facing tools and economic models to maximize patient access
• Plan and prioritize key customer visits to educate and deliver value-based messages
• Develop and implement reimbursement, market access, and value-based strategies to promote broader patient access
• Develop and support relationships with local physician champions to support payer interactions
• Travel up to 40%
• Ensure compliance within the department and support overall company compliance objectives

Skills

CPT/HCPCS/ICD-10 coding

Payer coverage requirements

Salesforce

US reimbursement knowledge

Education

Bachelor’s degree

Master’s degree or advanced degree

Tools

Microsoft Office Suite

Analytics/BI software

Job description

Arthrex, Inc. in the United States is seeking a Manager, Market Access and Reimbursement to lead US reimbursement strategy across our North Central territory.

You will serve as the primary reimbursement expert, educating the sales organization and collaborating with Marketing, Product Management, and Regulatory teams to optimize patient access to Arthrex technologies. Travel up to 40% is required as you partner with physicians, payers, and other stakeholders to develop value-based approaches,