Field Reimbursement Manager

Location: Remote, CA

Circulation

  • Deliver reimbursement and health economic education for hospital C-Suite, value analysis committees, service line directors, supply managers, purchasing staff, billing and coding staff, and other value purchasers.
  • Provide in-service training to sales and customers to increase awareness of and education on coding and billing for ZOLL Circulation therapies.
  • Provide reimbursement support to expand therapy access, including supporting the reimbursement email inquiry boxes.
  • Address reimbursement issues and partner with physician accounts to support claim resolution.
  • Cultivate relationships with key hospital administrators, integrated delivery network administrators, and group purchasing and payor organizations.
  • Listen and respond appropriately to customer needs and questions.
  • Serve as a strategic business partner with field sales leadership to develop and deliver value messaging.
  • Support policy efforts through participation in specialty society and trade organization work groups and meetings as needed.
  • Identify physicians to assist with reimbursement or payor coverage policy advocacy.
  • Participate in teleconference and live national and regional meetings and training sessions.
  • Represent ZOLL at national and/or local conventions when requested.
  • Ensure behaviors consistent with healthcare compliance guidelines.
  • Build a field reimbursement specialist team.

Education

A 4-year college degree in business, health sciences, management, healthcare administration or related field; advanced degree (MBA, MS, etc.) preferred.

Qualifications

  • Minimum of 5 years of proven experience in a field reimbursement role, preferably for a medical device company.
  • Demonstrate teamwork abilities, strategic thinking, managing multiple initiatives and cross-functional relationships
  • Comfortable driving multiple initiatives at a rapid pace.
  • High attention to detail and customer support.
  • Experience working closely with US sales and marketing commercial teams, including the ability to influence cross-functionally.
  • Ability to analyze and interpret regulations and legislation on coding, coverage & reimbursement in the medical device industry.
  • Knowledge of reimbursement compliance requirements and maintaining a high level of personal integrity to promote a compliant reimbursement environment.
  • Knowledge of private payer, Medicare and Medicaid, and other insurance systems’ structures, policies & reimbursement processes.
  • Proficient in Microsoft Office applications, including Word, PowerPoint, Excel.
  • Travel estimated at 50%.

Preferred Qualifications

  • MBA or equivalent advanced degree
  • Prior experience working with GPO/IDN or hospital value analysis committees.
  • A track record of developing coding, coverage, and payment for emerging technologies.
  • Thorough understanding of clinical and economic data, coding, coverage, and payment issues.
  • Knowledge of cardiovascular anatomy/physiology.

ZOLL Medical Corporation appreciates and values diversity.  We are an Equal Opportunity Employer M/F/D/V. ADA:  The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990

 

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