Senior Field Reimbursement Manager, West

Otsuka Pharmaceutical Co., Ltd; United States; Remote; USD 168,676 - 189,498; Full time

Job summary

Otsuka Pharmaceutical Co., Ltd is seeking a Senior Field Reimbursement Manager to work with hospitals and physicians in the West region. This role will ensure recognition of the economic value of the Paradise Ultrasound Renal Denervation System.

The successful candidate will possess extensive experience in reimbursement within the medical device industry, along with superior communication skills to convey complex information. Salary range is between $168,676 and $189,498 annually.

Qualifications

• Minimum 8 years’ experience in field reimbursement roles for medical device companies.
• Comprehensive understanding of U.S. health care policy and payment systems.
• Outstanding interpersonal skills, experienced in developing relationships at all organizational levels.

Responsibilities

• Work with hospitals to evaluate reimbursement activities and financial environment.
• Articulate understanding of commercial and government payer landscape.
• Establish working relationships with key stakeholders involved in uRDN procedures.

Skills

Hospital finance knowledge

Field reimbursement experience

Health economics expertise

Interpersonal skills

Communication 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 the 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 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 the broader financial environment relating to ultrasound renal denervation by analyzing key customer needs including coding (CPT, ICD‑10, DRG), claims denials, and 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 implementing programs to resolve or 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 establishing and maintaining a uRDN program through development and implementation of tailored reimbursement plans addressing coding, coverage, and 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 the 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 management of strategic initiatives within the geography. Support sales and clinical teams with reimbursement questions and challenges.
• Utilize in‑person and virtual meetings to educate and train the 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.
• Travel: up to 70% of the time.

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 U.S. 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 in 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.

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.

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.