5+ years of medical device reimbursement experience preferred
Strong knowledge of Medicare, Medicaid, and private payer policies
Familiarity with CPT, HCPCS, and ICD-10 coding systems
Experience with new technology reimbursement
Understanding of managed care and insurance industry dynamics
Excellent written and verbal communication skills
Bachelor's degree in relevant field or equivalent experience
Responsibilities
Collaborate with management and cross-functional teams to align reimbursement strategies
Build and maintain relationships with key stakeholders, including surgeons and payers
Support national sales teams with reimbursement-related inquiries
Manage the Globus Reimbursement Education & Assistance Team (GREAT) program
Assist physicians and facilities in navigating the reimbursement process
Conduct research on reimbursement trends and payment methodologies
Provide training and resources to the sales force regarding reimbursement issues
Benefits
Opportunity to work in a collaborative environment with senior management
Engagement with key opinion leaders and industry stakeholders
Access to professional development and training resources
Involvement in strategic planning for market access and sales growth
Supportive role in overcoming barriers to patient access and reimbursement
Full Job Description
Position Summary:
Responsible for all aspects of reimbursement including development and execution of strategic reimbursement and health economics plans to gain market access and drive sales of Globus Medical products. Effectively monitor and communicate coding, coverage, and payment issues of relevance to all stake holders.
Essential Functions:
As part of Management Team, work collaboratively with Senior Management, Regulatory Affairs, Product Development, Clinical Research, Business Development, Sales, and Marketing to align reimbursement strategy with objectives of company.
Develop and maintain relationships with key stake holders including surgeon KOLs, providers, and payers.
Demonstrated ability to work with organizational decision makers, including medical directors, hospital administrators, C-level management, etc.
Reimbursement support for national sales teams for all product lines.
Manage GREAT (Globus Reimbursement Education & Assistance Team) Program to provide reimbursement support to surgeons, hospitals, and patients.
Provide support and assistance to physicians, facilities and their support staff in the reimbursement process
Provide necessary support to overcome barriers to coverage and reimbursement
Appeals assistance for patients and customers
Provide tactical tools including Reimbursement Guides and Quick Reference Guides to assist surgeons and hospitals obtain appropriate and consistent reimbursement for Globus Medical products.
Monitor and communicate reimbursement changes
Research reimbursement trends, coverage issues, and payment methodologies
Apprise sales force and management team of any/all initiatives that may impact reimbursement
Provide reimbursement in-service training to sales force and training team
Apprise sales force and management team of any/all initiatives that may impact reimbursement
Conduct reimbursement presentations to stakeholders.
Lead Patient Access Team and Market Access Team
Qualifications:
Demonstrated knowledge and experience in Medicare, Medicaid, and private payer policies, reimbursement process and the health care legislative environment
Experience with new technology reimbursement
Knowledge of managed care and/or insurance industry
Knowledge of payment methodologies
Knowledge of CPT, HCPCS, and ICD-10 coding systems
Excellent written and verbal communication skills
4 year degree in public health, nursing, healthcare economics, business administration, healthcare administration or related fields or equivalent experience
5 plus years of medical device reimbursement experience is highly desirable
Physical Demands:
The physical demands listed here are representative of those that must be met by and employee to successfully perform the essential functions of this job.
Required to sit; climb or balance; and stoop, kneel, crouch or crawl
Required to regularly lift and/or move up to 10 pounds, and occasionally lift and/or move up to 25 pounds
Required to possess specific visons abilities, including: close vision, distance vision, color vision, peripheral vision, depth perception and capacity to adjust focus.
Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
About Globus Medical
Globus Medical is a medical device company that develops and manufactures products for patients with musculoskeletal disorders. The company's products include spinal implants, surgical instruments, and orthopedic implants. Globus Medical was founded in 2003 and is headquartered in Audubon, Pennsylvania. The company has a strong focus on research and development and has received numerous awards for its innovative products. Globus Medical is committed to improving patient outcomes and has a strong reputation for providing high-quality products and services.
