Director, Field Reimbursement
Inspire Medical Systems Inc.
Summary
The Field Reimbursement Director is responsible for leading the U.S. Field Reimbursement team and supporting the reimbursement needs of both internal and external customers. The Director manages a team of 7-9 Field Reimbursement Specialists and serves as a senior reimbursement subject matter expert for coding, coverage, payment, claims, prior authorization, and patient access support. This role provides leadership for reimbursement strategy, customer education, field execution, and cross-functional initiatives supporting patient access and business objectives.
Job description
Main Duties/Responsibilities
- Lead, coach, and develop a team of 7-9 Field Reimbursement Specialists. Serve as senior subject matter expert for coding, coverage, and payment.
- Serve as senior subject matter expert for coding, coverage, and payment.
- Direct field reimbursement support and complex reimbursement escalations.
- Develop and maintain reimbursement tools, resources, and educational materials.
- Partner with Sales, Market Access, Clinical Affairs, and other functions.
- Lead reimbursement education programs, webinars, and training.
- Oversee payment calculators and reimbursement resources.
- Lead cross-functional reimbursement initiatives and process improvements.
- Track performance metrics, reimbursement trends, and project outcomes.
- Establish operational standards and identify opportunities to improve patient access and customer experience.
- Ability to travel 50% of the time.
Quality System Responsibilities
- Document product and therapy-related field reports within prescribed timelines.
- Complete required training and competency confirmations.
- Ensure team compliance with quality system procedures and policies.
- Promote continuous process improvement and compliance.
Qualifications
Educational Requirements: Required: Bachelor's degree in business, science, healthcare administration, or related field. Preferred: Advanced degree and/or CPC/COC certification.
Required Experience: 10+ years in reimbursement, market access, or related healthcare functions. 3+ years leading reimbursement or market access teams. Extensive knowledge of Medicare, commercial payer coverage, coding, and payment systems. Strong leadership, analytical, communication, and project management skills.
Preferred Experience: Implantable medical device experience. Experience leading geographically dispersed field teams. Experience developing reimbursement and coverage strategies.
Requirements
- Bachelor's degree in business, science, healthcare administration, or related field
- 10+ years in reimbursement, market access, or related healthcare functions
- 3+ years leading reimbursement or market access teams
- Extensive knowledge of Medicare, commercial payer coverage, coding, and payment systems
- Strong leadership, analytical, communication, and project management skills
- Ability to travel 50% of the time
Benefits
- Health Insurance
- Health Savings Account
- Dental, Vision, Life & Disability
- 401(k) Matching
- Identity Protection
- Flexible Time Off
- Tuition Reimbursement
- Employee Assistance Program
- Equity Awards
- Employee Stock Purchase Program
Company overview
Inspire Medical Systems Inc. is a pioneering medical technology company founded in 2007 and headquartered in Golden Valley, Minnesota. The company specializes in developing and commercializing innovative neurostimulation solutions for treating obstructive sleep apnea (OSA). Inspire's flagship product is the Inspire Sleep Apnea System, the world's first FDA-approved fully implanted neurostimulation device for moderate to severe OSA treatment. This revolutionary technology uses proprietary algorithms to stimulate key airway muscles based on individual breathing patterns, offering a mask-free alternative to traditional CPAP therapy. As a publicly traded company (NYSE: INSP) with over 1,200 employees, Inspire has established significant market presence in both the United States and Europe, generating substantial revenue growth. The company maintains strong relationships with healthcare providers and federal agencies, including the Department of Veterans Affairs and Defense Health Agency, while continuously advancing its technology through research and development. Inspire's patient-centric approach and commitment to improving quality of life have positioned it as a leader in sleep disorder treatment innovation.