Senior Field Reimbursement Manager

Job Duties

• 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, payments and coding.
• 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.
• Manage case submissions in the Olympus patient access HUB that are in their geography.
• 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 sale 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.
• Other duties as assigned.

Job Qualifications

Required: Bachelor's degree or equivalent required. Minimum of 10 years of relevant experience is required. Ability to educate customers on economic and reimbursement models. Excellent oral and written communication skills. Highly functional in PowerPoint, Excel, Microsoft Word, SalesForce.com. Up to 50% travel.

Preferred: Master's in Health Care Administration, MPH or MBA is desirable. Medical device experience in a field reimbursement and economics position, with responsibilities of educating physicians, practice administrators, and billing departments regarding their understanding of medical device coding, coverage, and payment preferred. Coding certifications are preferred (e.g., AAPC CIC or CPC).