Sr. Field Reimbursement Expert - Retina Clinic - Mid-Atlantic

Alcon

$90K — $120K *
US-AnywhereRemote in Florida, US
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent experience required
  • 7 years of relevant experience in reimbursement or related field
  • Fluency in English for effective communication
  • Preferably possess CAT III CPT Code experience

Responsibilities

  • Develop reimbursement strategies to ensure coverage and payment
  • Provide oversight for contract performance and bid submissions
  • Advise product teams on reimbursement insights and strategies
  • Identify and resolve payer issues to improve product access
  • Collaborate to assess economic impacts on payers
  • Create and deliver training for healthcare staff on reimbursement processes
  • Manage multiple projects to align with business strategies

Benefits

  • Comprehensive health and life insurance coverage
  • Retirement savings plan options
  • Generous flexible time-off policy
  • Opportunities for career growth and professional development
  • Travel requirements of up to 60%
Full Job Description
As a Sr. Field Reimbursement Expert Retina Clinic - South will manage daily patient access & reimbursement activity for accounts in a specified geography to support the Alcon surgical and ocular health portfolio. Specific responsibilities include working with provider offices and outpatient facilities to ensure both providers and staff are educated on payer and reimbursement policies and procedures, coding, and claim appeals. This role will be remote with 60% Travel. In this role a typical day will include: - Develop and implement reimbursement strategies and programs to secure coverage, coding, and payment. - Provide direction and oversight for bid submissions, contract performance analysis, and follow-up. - Offer reimbursement-related advice to product development, marketing, sales, regulatory, clinical, and business leaders. - Identify payer opportunities and issues, implementing programs to resolve barriers to entry for the company's products or therapies. - Collaborate with Health Economics staff to evaluate the economic impact of therapies/products on payers, including government entities. - Create and deliver training and education programs to sales force, physicians, home care agencies, case managers, hospital Chief Financial Officers, medical directors, billing personnel, and pharmacists in clinics and hospitals. - Oversee multiple projects, ensuring goals are met through self-directed work and oversight, impacting project performance and success, and contributing to the overall business strategy. - Collaborate cross-functionally with various departments and external stakeholders to drive reimbursement initiatives and influence the development and implementation of reimbursement strategies that affect the company's market access and revenue. - Make key decisions affecting project outcomes and reimbursement strategies, operating with a high level of autonomy, requiring advanced problem-solving and decision-making skills. What You'll Bring to Alcon: - Bachelor's Degree or Equivalent years of directly related experience (or high school+15 yrs; Assoc.+11 yrs; M.S.+4 yrs; PhD+3 yrs) - The ability to fluently read, write, understand and communicate in English. - 7 Years of Relevant Experience. Preferred Qualifications: - CAT III CPT Code experience How You Can Thrive at Alcon: - Join Alcon's mission to provide outstanding, innovative products and solutions to improve sight, improve lives, and grow your career! - Alcon provides robust benefits package including health, life, retirement, flexible time off, and much more! - Travel Requirements: Up to 60% Alcon Careers See your impact at alcon.com.careers ATTENTION: Current Alcon Employee/Contingent Worker If you are currently an active employee/contingent worker at Alcon, please click the appropriate link below to apply on the Internal Career site. Find Jobs for Employees Find Jobs for Contingent Worker

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