Senior Manager, Field Reimbursement

SetPoint Medical

Sr. Manager leading reimbursement support program for the first neuroimmune modulation therapy treating rheumatoid arthritis.

Posted 4/17/2026full-timeValencia • California • 🇺🇸 United StatesSenior💰 $125,000 - $175,000 per yearWebsite

About the role

Key responsibilities & impact

Lead and manage a team of field reimbursement specialists to support rheumatology, surgical practice and hospital/ASC value analysis and reimbursement outcomes.
Develop reimbursement/value analysis messaging platforms, including presentations and economic value, as well as customer support models for claim payment issues.
Serve as an executive-facing subject matter expert for value analysis committees, supply chain leaders, and clinical stakeholders.
Identify payment trends and build analytics to support our value proposition.
Provide claims support and follow-up, including claim review, denial analysis, appeal strategy, and payer communication.
Educate customers on appropriate coding, billing, and documentation requirements for device-related procedures.
Complete corporate administrative and training requirements on time and accurately.
Maintain company standards involving ethical and moral character, and always represent the company with the highest professional standards.

Requirements

What you’ll need

At least 4 years’ experience working in medical device reimbursement, market access, healthcare consulting, accounts receivable or claims follow-up in a medical device company, healthcare provider, or third-party billing service provider.
Ability to manage workload, delegate and build teams, either with direct reports are in a matrixed organization
Experience with claims follow-up for commercial and governmental payers
Awareness of, or ability to quickly learn, the medical policy and coverage landscape for vagus nerve stimulation.
Knowledge of the claims appeal processes that include electronic and paper claim appeals and external review, ALJ.
Experience with HIPAA compliance standards for covered entities.
Understanding of hospital billing workflows, ancillary systems (OR systems, materials master files, charge routers, etc.) and ability to learn and use IT systems such as EPIC, Cerner, etc.

Benefits

Comp & perks

Health insurance
401(k) matching
Paid time off
Flexible work arrangements
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical device reimbursementclaims follow-updenial analysisappeal strategycodingbillingdocumentation requirementsclaims appeal processesHIPAA compliancehospital billing workflows

Soft Skills

team managementdelegationworkload managementcustomer educationcommunicationleadershiporganizational skillsprofessional standards