Field Reimbursement Manager

Accountabilities:

You will act as a subject matter expert in reimbursement and market access, helping healthcare providers navigate payer requirements while ensuring that all activities comply with applicable regulations and internal policies.

• Serve as a subject matter expert on coding, coverage, and payment requirements for Medicare and commercial insurance payers, addressing complex reimbursement challenges that affect patient access.
• Educate healthcare providers, administrators, hospitals, and ambulatory surgery centers on reimbursement resources, processes, and support programs.
• Proactively identify and resolve account-level and patient-specific access issues in collaboration with internal reimbursement teams, prior authorization support services, field sales, and external stakeholders.
• Respond to requests for customer site visits, reimbursement support, program reviews, and account-specific guidance.
• Build and maintain strong relationships with healthcare professionals and other stakeholders through ongoing reimbursement engagement and cross-functional collaboration.
• Execute strategic market access and reimbursement priorities, identifying and prioritizing key accounts to align support with business objectives.
• Develop and deliver reimbursement presentations, customer training sessions, educational materials, and other resources tailored to different healthcare settings.
• Monitor changes in healthcare reimbursement, payer policies, industry trends, and relevant Centers for Medicare & Medicaid Services (CMS) developments.
• Communicate payer-related coverage challenges and provide guidance on navigating reimbursement barriers.
• Collaborate with Sales, Marketing, Medical Education, Legal, Compliance, and other internal teams to coordinate customer support and improve access outcomes.
• Manage additional responsibilities as organizational needs evolve in a dynamic environment.
• Ensure all activities comply with applicable laws, regulations, industry standards, and internal quality systems and policies.

Requirements:

The ideal candidate has substantial experience in healthcare reimbursement or market access, a strong understanding of insurance payer processes, and the communication skills needed to support healthcare professionals across multiple care settings.

• Bachelor's degree in business, science, healthcare administration, or a related field.
• At least 7 years of experience in reimbursement or market access, or demonstrated experience managing complex insurance claims, denials, and appeals involving Medicare and commercial payers.
• Strong knowledge of coding, coverage, and payment requirements for implantable medical devices across healthcare settings, including healthcare professional offices, ambulatory surgery centers, and hospitals.
• Experience engaging directly with healthcare professionals and delivering educational sessions in individual and group settings.
• Excellent verbal and written communication skills, including strong in-person and virtual presentation capabilities.
• Demonstrated ability to solve problems independently while collaborating effectively with cross-functional teams.
• Strong organizational skills, initiative, and consistent follow-through when managing customer requests and reimbursement challenges.
• Experience coordinating projects and working with multiple internal and external stakeholders.
• Willingness and ability to travel regularly, up to 25% of the time.
• Preferred qualifications:
  • Experience working with implantable medical devices.
  • Experience with neurology products.
  • Coding certification, such as Certified Professional Coder (CPC) or Certified Outpatient Coder (COC).
  • Must be based in Florida, as the position is remote and the stated eligible location is Florida.

  Benefits:

  • Annual salary range of $160,000–$190,000, with the final offer based on experience, qualifications, geographic location, education, and skills.
  • Multiple health insurance plan options.
  • Employer contributions to a Health Savings Account (HSA).
  • Dental and vision coverage.
  • Life and disability insurance benefits.
  • 401(k) retirement plan with employer matching contributions.
  • Flexible time off.
  • Tuition reimbursement to support continued education and professional development.
  • Employee Assistance Program.
  • Identity protection benefits.
  • Opportunities to participate in company ownership and growth through equity awards and an Employee Stock Purchase Program.
  • Remote work arrangement for eligible candidates based in Florida.