Senior Manager, Customer Centricity – Business Cards & Payments
Capital One
Manager, Market Access and Reimbursement
Artex Risk Solutions
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $136,501 - $150,000 per year
Job Level
Mid-LevelSenior
About the role
- Manage special projects (e.g., internal hotline, Chatter) and corresponding activities with accountabilities for successful completion.
- Educate and train Arthrex’ Sales team and respective agencies, as assigned, on all aspects of U.S. reimbursement (coding, coverage, payment, and contracting) for the product portfolio and messaging in-person, virtual meetings and on-demand phone calls.
- Develop, manage, and deliver reimbursement educational programs for Arthrex internal (sales reps. & sales leadership) and external (surgeons, hospitals, ASCs, payers) customers.
- Collaborate with Marketing, Sales, Product Management and Regulatory teams to anticipate market needs and inform the development of customer-facing tools, economic models, and other tactical elements of reimbursement to maximize patient access to Arthrex’s technologies and products.
- Work in partnership with Sales and Sales leadership to plan and prioritize key customer visits, virtual and in-person, to provide education, and deliver value-based messages to drive patient access.
- Develop and implement reimbursement, market access, and value-based strategies to promote broader access for patients, in alignment with commercial objectives.
- Develop and support relationships with local physician champions to support interactions with payors.
- Monitor and research reimbursement trends, market changes, coverage issues, coding developments, payment methodologies and communicate recommendations.
- Triage and manage routine internal and external requests.
- Travel up to 40%.
- Ensure compliance within functional areas and support the compliance objectives of the organization as a whole.
Requirements
- 5+ years of experience working in the delivery and/or administration of healthcare, healthcare insurance plan or the medical device industry required
- Bachelor’s degree required
- Master’s Degree or other advanced degree is a plus
- Experience in Orthopedic medical devices desired but not required
- Prior field reimbursement experience in medical devices desired but not required
- Certified Professional Coder (CPC) credential or willing to obtain within 1 year of hire date.
- Detailed knowledge of medical device billing, coding (e.g., CPT, HCPCS, ICD-10, APC, DRG).
- Detailed knowledge of payer coverage requirements, Prior Authorization, claim submission, adjudication, and appeals processes.
- Knowledge of U.S. health care policy, payment systems and contracting methodologies, including Medicare and commercial payers, in inpatient and outpatient, physician office, and ASC/HOPD sites of service.
- Ability to train sales team members both individually and in groups regarding coding, coverage, reimbursement, and contracting concepts in a way that is easy to understand, credible, and engages the audience.
- Demonstrated responsiveness and sense of urgency when pursuing goals and completing tasks.
- Demonstrated ability to set and manage priorities, while managing multiple projects.
- Ability to work with ambiguity and continuously adapt in a rapidly changing atmosphere.
- Experience working as part of both functional and cross-functional teams.
- High customer service orientation with outstanding people skills, including developing relationships at all levels in an organization and directly influencing business objectives.
- Ability to effectively prioritize and implement multiple workstreams in a dynamic environment of multiple stakeholder audiences.
- Ability to work independently and effectively with minimal supervision.
- Demonstrated skills in account management and customer service, including use of CRM (e.g., Salesforce).
- Computer literacy (remote connectivity, Microsoft Office Suite).
- Must have a valid driver’s license with a clean motor vehicle record.
- Must be able to travel throughout the U.S. via plane, train, or vehicle.
Benefits
- Medical, Dental and Vision Insurance
- Company-Provided Life Insurance
- Voluntary Life Insurance
- Flexible Spending Account (FSA)
- Supplemental Insurance Plans (Accident, Cancer, Hospital, Critical Illness)
- Matching 401(k) Retirement Plan
- Annual Bonus
- Wellness Incentive Program
- Gym Reimbursement Program
- Tuition Reimbursement Program
- Trip of a Lifetime
- Paid Parental Leave
- Paid Time Off
- Volunteer PTO
- Employee Assistance Provider (EAP)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
reimbursementcodingcoveragepaymentcontractingmedical device billingCPTHCPCSICD-10Prior Authorization
Soft skills
trainingcommunicationresponsivenesspriority managementadaptabilitycustomer servicerelationship buildinginfluencingindependenceproject management
Certifications
Certified Professional Coder (CPC)
