Field Reimbursement Manager - Northeast Area (NY, RI, CT, MA, VT, NH, ME)

The role

The Field Reimbursement Manager provides support to optimize access and minimize reimbursement barriers for patients and providers. This role involves building relationships with providers, surgery centers, and hospitals to manage coding, coverage, and payment issues.

What you will do

• Provide support to optimize access and minimize reimbursement barriers
• Build relationships with providers, offices, surgery centers, and hospitals
• Act as subject matter expert on coding, coverage, and payment for Medicare and commercial payers
• Communicate reimbursement education and resources to customers
• Navigate and address individual account and patient access issues
• Respond to client and internal partner requests for site visits and business reviews
• Establish and maintain customer relationships through cross-functional partnerships
• Execute access and reimbursement strategic priorities
• Collaborate in the development of reimbursement presentations
• Keep abreast of market dynamics and industry trends regarding CMS and commercial payers

Required qualifications

• Bachelor’s degree in business, science or healthcare administration
• 7+ years of experience in reimbursement/market access and/or successful experience working with complex insurance payer claims, denials, and appeals (Medicare and commercial)
• Demonstrated knowledge in coding, coverage, and payment for implantable medical devices across the healthcare landscape including HCPs, ASCs, hospitals
• Experience engaging directly with HCPs in multiple sites of service and in group educational settings
• Excellent communication and in person and virtual presentation skills
• Independent and team-oriented problem solving and diligent self-motivated follow up
• Direct experience collaborating with multiple internal and external stakeholders and managing project
• Ability to travel regularly and up to 25%

Nice to have

• Implantable medical device experience
• Experience with Neurology products
• Coding certification (CPC, COC)

Benefits

• Multiple health insurance plan options
• Employer contributions to Health Savings Account
• Dental, Vision, Life and Disability benefits
• 401k plan + employer match
• Identity Protection
• Flexible time off
• Tuition Reimbursement
• Employee Assistance program
• Equity awards
• Employee Stock Purchase Program

About the company

Inspire Medical Systems is a medical device company focused on Obstructive Sleep Apnea (OSA). They offer an FDA-approved medical device designed to reduce OSA severity.