Senior Field Reimbursement Manager, uRDN Systems

Recor Medical, Inc.; California; On-site; USD 168,676 - 189,498; Full time

Job summary

A leading medical technology company is seeking a Senior Field Reimbursement Manager based in California. This position involves working directly with hospitals to facilitate the reimbursement process for its innovative ultrasound renal denervation system. Candidates should possess strong communication skills, a Bachelor’s degree, and at least 8 years of relevant experience in medical device reimbursement. The role requires an understanding of health economics to optimize reimbursement outcomes and educate sales teams. This position requires travel of up to 70%.

Qualifications

• 8+ years of experience in field reimbursement roles for medical device companies.
• Strong understanding of US health care policy and payment systems.
• Experience with complex concept sales involving changes in customer behavior.

Responsibilities

• Evaluate reimbursement activities with hospitals for uRDN.
• Understand the payer landscape and implement solutions for barriers.
• Create and deliver education programs to stakeholders.

Skills

Healthcare administration knowledge

Reimbursement strategies

Communication skills

Analytical skills

Interpersonal skills

Education

Bachelor’s degree

Job description

At Recor Medical, we are pioneering Ultrasound Renal Denervation (uRDN) therapy to treat hypertension, the leading cardiovascular risk factor in the world. With our Paradise™ uRDN System, we’re on a mission to provide the millions of people who suffer from hypertension with a non-drug and minimally invasive option to lower their blood pressure. Join us on our journey and make a meaningful impact on the lives of people around the globe.

Position Summary

Senior Field Reimbursement Manager, West within Market Access team is responsible for working directly with hospitals and physicians to ensure they recognize the economic and clinical value of the Paradise Ultrasound Renal Denervation System. Successful candidates will have excellent technical expertise in the areas of healthcare administration and delivery, facility and physician reimbursement, sales education and health economic value messaging. The right individual will exhibit outstanding communication skills, the ability to present complex information to a broad and diverse group of stakeholders, and the ability to convey the unique attributes of uRDN in the treatment of hypertension. This role is ideal for candidates who enjoy both strategy development and execution.

Responsibilities And Duties

• In conjunction with sales colleagues, work directly with hospitals to evaluate reimbursement activities and broader financial environment relating to ultrasound renal denervation by analyzing key customer needs including coding (CPT, ICD-10, DRG), claims denials, procedural documentation
• Articulate a deep understanding of the commercial and government payer landscape including coverage policies and payment processes by identifying payer opportunities and issues and implement programs to resolve/mitigate barriers to entry for the Paradise system; this will include managing and addressing coverage policy issues with payers as necessary
• Establish and maintain effective working relationships with key stakeholders (including Cath Lab staff, billing, Administration and Physicians) at hospitals engaged in uRDN procedures, with the goal of supporting the site in to establish and maintain a uRDN program through development and implementation of tailored reimbursement plans addressing coding, coverage & payment
• Manage relationships with Commercial Insurance service carriers to optimize reimbursement environment and coverage for the Paradise system
• Present complex health economic information to influential and diverse groups in a way that is engaging, credible, and easily understood
• Create training materials and deliver education programs to sales force, physicians, medical directors, billing personnel, distributors, and other internal and external stakeholders as required
• Assist Regional/District Sales Managers in the development, implementation, and managements of strategic initiatives within geography. Support sales and clinical teams with reimbursement questions and challenges
• Utilize in-person & virtual meetings to educate and train sales team individually or in groups on health economic tools and messaging and the compliant use of economic tools
• Comply with U.S. Food and Drug Administration (FDA) regulations, other regulatory requirements, Company policies, operating procedures, processes, and task assignments
• Ensure compliance requirements for delivery of field or virtual reimbursement support services are fully met
• Serve as the field liaison to the Recor Market Access team by delivering customer insights, trends and challenges gathered from the field
• Experience with new technologies/therapies where coverage is provided on a case-by-case basis and has demonstrated effective partnership with Patient Therapy Access teams
  
  

Requirements

• Previous experience or strong working knowledge of hospital finance or medical device industry specifically pertaining to health economics, reimbursement and service line implementation
• Minimum 8 years’ experience in field reimbursement roles for medical device companies
• A minimum of a Bachelor’s degree is required
• Comprehensive understanding of US health care policy and payment systems, including hospital and physician reimbursement
• Ability to review aspects of medical documentation and verify medical criteria as cases are reviewed
• Outstanding interpersonal skills, experienced developing relationships at all organizational levels to deliver business objectives
• Ability to balance strategic thinking with detail planning and strong tactical execution
• Demonstrates responsiveness and a strong sense of urgency
• Ability to prioritize work tasks and manage multiple priorities concurrently and meet deadlines
• Demonstrates comfort with ambiguity and the ability to adapt and refine continuously
• Experience and comfort with complex concept sales involving changes in customer behavior or care pathway
• Ability to be perceived credibly and demonstrate excellent persuasion skills to achieve desired results
• Experience working functionally and cross-functionally
• Strong communication and collaboration skills
• Ability to work independently
• Travel: up to 70% of the time
  
  

Salary range: $168,676 - $189,498 (Annual base salary)

The successful candidate's starting base pay will be determined based on job-related skills, experience, qualifications, work location and market conditions. The expected base pay range for this role may be modified based on market conditions.

Equal Employment Opportunity

At Recor Medical, we value bringing together individuals from diverse backgrounds to develop new and innovative solutions for patients. As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, national origin, age, sex (including pregnancy), physical or mental disability, medical condition, genetic information gender identity or expression, sexual orientation, marital status, protected veteran status, or any other legally protected characteristic.

Pre-Employment Requirements

At Recor Medical, patient safety, integrity, and regulatory compliance are foundational to everything we do. To support these standards, employment is contingent upon meeting the following requirements:

• Background Screening & Drug Testing: Final candidates may be required to successfully complete a background check and/or drug screening, conducted in accordance with applicable laws and regulations.
• Washington Fair Chance Act Compliance (if applicable): For applicants who reside in or are applying for roles based in Washington State, Recor Medical adheres to the Washington Fair Chance Act. This means we do not inquire about or consider criminal history until after an initial determination has been made that the candidate is otherwise qualified for the role, and we do not automatically exclude individuals based on criminal records.
• New Hire Training: All employees are required to successfully complete Recor training program within their first 90 days of employment as a condition of continued employment.
  
  

Radiation Safety Requirement

Certain field-based roles at Recor Medical require work in environments where radiation sources (e.g., x-ray equipment) are in use. Employees in these roles will be issued a personal dosimetry badge to monitor occupational exposure and are required to wear it in accordance with company policy and applicable regulatory standards. This program is designed to ensure compliance with federal and state regulations and to maintain radiation exposure at levels that are As Low As Reasonably Achievable (ALARA). Additional guidance and protective equipment, as necessary, will be provided as part of onboarding and ongoing safety training.

Respecting your privacy is an essential part of the Company’s privacy program and we are committed to the proper handling of Personal Information collected or processed in connection with an Applicant’s application for employment, a Contract Worker’s work, or a Former Employee’s employment at Recor. Refer to our Applicant, Contract Worker & Former Employee Privacy Policy for more detail information.