Senior Field Reimbursement Manager responsible for customer engagement and reimbursement training for Olympus medical technologies. Collaborating with sales and marketing teams to implement business plans.
Responsibilities
Daily engagement with US hospital and office administrators to review coding and payer coverage policies and decisions to enable physician and facility purchase decisions
Educate customers (physicians, purchasers, etc.) on reimbursement, coverage, coding, and Medicare payments
Influence the purchasing and/or reimbursement decision-making processes at all levels, including Medical Directors, Clinical, Policy, and C-Suite executives, physicians, biller, revenue cycle manager, VAC Committee members and national/regional payers
Establish critical relationships with a variety of national stakeholders within geography: national and regional health plan medical directors, policy analysts, claims processing, key practice managers, state/national societies
Serve as strategic field lead to develop strategic implementation plans to influence targeted national/regional managed care customers to ensure favorable market access policy of Olympus supported products
Provide real-time resolution for reimbursement questions in the office and other settings of care
Educate customer about appropriate billing, prior authorization and denial resolution steps
Provide customers with guidance on payer decision-making process including coverage policies and guidelines
Educate customers about the benefit of Olympus Reimbursement support services and programs and steps to facilitate participation
Assure consistent communication and collaboration with field sales teams to ensure proper prioritization of customer engagement and alignment of field-based reimbursement activities
Provide strategic reimbursement oversight in all targeted accounts
Lead reimbursement business reviews at key accounts and assist as necessary economic and reimbursement reviews in advance of VAC meetings
Contribute to strategic discussions with Olympus Health Economics & Market Access, Reimbursement in the development and review of reimbursement and economic materials and programs
May include project leadership
Identify physicians to assist with reimbursement or payer coverage policy revisions
Provide customer insights to back to corporate reimbursement and sales and regarding provider purchase decisions
Requirements
Bachelor's degree or equivalent required
Minimum of 15 years of relevant experience is required
Ability to educate customers on economic and reimbursement models
Up to 50% travel
Master’s in Healthcare administration, MPH or MBA is preferred
Medical device and/or Pharmaceutical experience in a field reimbursement and economics position, with responsibilities of educating physicians and practice administrators, billing departments regarding their understanding medical device coding, coverage and payment preferred
Coding certifications are preferred. (e.g., AAPC CIC or CPC)
Excellent oral and written communication skills
Highly functional in PowerPoint, Excel, Microsoft Word, SalesForce.com
Benefits
Competitive salaries, annual bonus and 401(k)* with company match
Comprehensive medical, dental, vision coverage effective on start date
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