Regional Reimbursement Manager

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Regional Reimbursement Manager
Duties: Develop, implement, and manage health economics and market access activities for working with divisional staff and key internal and external stakeholders: Provide reimbursement education and ongoing support to external stakeholders (e.g., physicians, hospitals, ambulatory surgical centers, including administrative staff, benefits and preauthorization leads, coders, and billers.) . Partner with the territory’s Sales Teams in executing reimbursement support and initiatives for new and existing customer accounts. Executes high level customer service and building relationships with a provider’s staff to maintain ongoing assistance with coding, coverage, payment, and individual case assistance, and the internal Preauthorization Team. Act as a liaison between providers and Preauthorization Team to ensure that processing of cases is in a timely manner and to achieve favorable decisions to contribute to the goal of coverage on a case by case bases and broader policy changes. Provide appropriate in-service training to internal stakeholders (e.g., sales, marketing, clinical, regulatory, and legal to increase awareness and understanding of health economics and market access and their role in supporting a product’s success. Develop practical strategies and tactics to secure optimal reimbursement and coverage for products and the procedures they enable. Monitor policy developments and trends that impact the reimbursement of products according to the payer targets assigned. Assists the Director in building relationships in key markets with government, physician (including Key Opinion Leaders), hospital, and third-party payer decision makers. Highly involved with obtaining payer coverage by becoming a key member of the Internal Payer Team to assist in requesting and preparing for payer technology review meetings.

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