Field Reimbursement Manager - Northeast Region (NY, RI, CT, MA, VT, NH, ME)

ABOUT INSPIRE MEDICAL SYSTEMS

Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are revolutionizing the sleep industry with our FDA-approved medical device, designed to reduce OSA severity for those who cannot tolerate or get consistent benefit from CPAP. Inspire Medical Systems is committed to enhancing patients’ lives through sleep innovation.  We are steadfast in our commitment to prioritize patient outcomes, act with integrity and lead with respect.

With positive persistence at our core, we are committed to all those we serve.

WHY JOIN OUR FAST-GROWING TEAM

At Inspire, we value people – your diverse experiences, backgrounds, and thoughts. We elevate voices and encourage learning opportunities to build a professional network that grows into community. We embrace a people-first culture by offering excellent benefits, 401k matching, ESPP, flexible time off (FTO), and tuition reimbursement.

If you’re passionate about making a difference in people’s lives and want to work with innovative technology, come be a part of our great team!

Considering remote candidates in the following locations:  NY, RI, CT, MA, VT, NH, ME

ESSENTIAL JOB FUNCTIONS

We are recruiting a Field Reimbursement Manager to join our team. In this provider/customer facing role, you will be instrumental in providing support to optimize Inspire access and minimize reimbursement barriers for patients and providers. You will be building relationships with providers, providers’ offices, Ambulatory Surgery Centers, hospital outpatient facilities, as well as other cross functional internal and external stakeholders.

You will be working independently in a fast paced, highly visible environment as well as collaboratively with the internal program prior authorization support services and field sales to ensure all customer needs are met supporting patient therapy access and communicating coverage challenges across specific payer channels with guidance on how to navigate and minimize those potential hurdles. You will also actively engage with new accounts for billing and coding training, audit education, and program review support.

• OPPORTUNITIES YOU WILL HAVE IN THIS ROLE
• Be the subject matter expert on coding, coverage, and payment for Medicare and commercial payers and impact patient access through complex problem solving
• Effectively communicate and explain Inspire reimbursement education, support, and resources to customers in multiple sites of service including administrators

Both proactively and reactively navigate and address individual account and patient access issues that occur by partnering with external and internal stakeholders including internal reimbursement team and field sales colleagues

Respond to client and internal partner requests for customer site visits, Inspire program business reviews, and reimbursement needs/support

Establish and maintain customer relationships through reimbursement related engagement and cross-functional partnerships including Sales, Marketing, Medical Education, and Legal and Compliance, etc.

Execute on access and reimbursement strategic priorities, working with business partners to identify and prioritize key accounts for alignment of reimbursement support to achieve goals

• Collaborate in the development of reimbursement presentations for site visits, trainings, client presentations and other meetings as appropriate
• Keep abreast of ever-changing market dynamics and industry trends Inspire related impacts regarding to CMS and commercial payers
• Work in a fast-paced environment and manage additional related responsibilities based on organizational needs

Build a culture of compliance that ensures that all activities are fully aligned with company quality system procedures/policies, applicable laws, regulations, and industries standards

WHAT YOU CAN BRING TO OUR GREAT TEAM

• Required: Bachelor’s degree in business, science or healthcare administration required
• 7+ years of experience in reimbursement/market access and/or Successful experience working with complex insurance payer claims, denials, and appeals (Medicare and commercial)
• Demonstrated knowledge in coding, coverage, and payment for implantable medical devices across the healthcare landscape including HCPs, ASCs, hospitals
• Experience engaging directly with HCPs in multiple sites of service and in group educational settings
• Excellent communication and in person and virtual presentation skills to interface with customers, cross-functional partners, and internal reimbursement and prior authorization partners
• Independent and team-oriented problem solving and diligent self-motivated follow up
• Direct experience collaborating with multiple internal and external stakeholders and managing project
• Ability to travel regularly and up to 25%
• Preferred: Implantable medical device experience
• Experience with Neurology products
• Coding certification (CPC, COC)

The salary for this position will be offered at a level consistent with the experience and qualifications of the candidate. This information reflects the anticipated salary range for this position at the time of posting. The salary range may be modified in the future and actual compensation may vary from the posting based on various factors such as geographic location, work experience, education and/or skill level.