Field Reimbursement Manager, East (US)

Field Reimbursement Manager

Life. Unlimited. At Smith+Nephew we design and manufacture technology that takes the limits off living.

The Field Reimbursement Manager (FRM) will work alongside US commercial teams to educate sales teams and engage directly with providers and payers to overcome barriers to the adoption of Smith+Nephew ENT surgical technologies. The FRM will educate and support the integration of the product into physician offices, ambulatory surgical centers, and other care settings while providing support on reimbursement-related processes to optimize coverage and payment. The FRM will be expected to identify novel funding and contracting options to secure more widespread adoption of Smith+Nephew technologies.

The initial focus will be supporting the expansion of innovative technology for tympanostomy procedures, one of the highest-volume surgical procedures in the United States. The medical device was designed to allow tympanostomy procedures to be conducted under local anesthetic in a physician's office. This technology has the potential to reduce the trauma associated with tube surgery for patients and their careers while shifting treatment to a lower acuity site of care, which should provide economic benefits for payers and providers.

Locations: New York City, NY; Newark, NJ; Boston, MA; Philadelphia, PA; Providence, RI; Hartford/New Haven, CT; Buffalo, NY; Washington, DC.

What will you be doing?

• Working with US commercial colleagues, prioritize opportunities to secure coverage for ENT surgical technologies through engagement with surgeons/providers & payers.
• Communicate the economic value proposition to payers, providers, and policy makers to secure optimal coverage and reimbursement for S+N ENT technologies.
• Support the education of sales teams to ensure that they are equipped to convey accurate reimbursement information to providers.
• Develop processes to ensure that sales teams escalate reimbursement issues to the FRM and/or Market Access colleagues where appropriate.
• Identify opportunities to secure more widespread adoption of S+N technologies through novel contracting processes that de-risk adoption for providers/payers.
• Assist in the design and development of customer facing value communication tools (e.g., value dossiers, calculators, PPTs).
• Assure compliance at all times with company policies and regulations on communicating product value messages and reimbursement information.

What will you need to be successful?

• Education: Bachelor's degree in the business, health sciences, management, healthcare administration or related field.
• Preferred -Advanced Degree (MBA, MS, Etc.)
• Experience: Minimum of 3 years in medical device, biotechnology, pharmaceutical industry that support reimbursement and market access initiatives.
• 3+ years of experience in reimbursement, billing and coding within the healthcare, biotechnology, pharmaceutical, or surgical device fields.
• Demonstrated experience of establishing reimbursement and overcoming barriers to adoption, preferably in a surgical/medical discipline. Experience in the design and deployment of novel contracting solutions would also be advantageous.
• Demonstrated teamwork abilities, strategic thinking, managing multiple initiatives and cross-functional relationships.
• Knowledge: Comprehensive knowledge of healthcare reimbursement practices, billing procedures, compliance, coding, denials, and appeals processes.
• Detailed knowledge of US reimbursement system, coding, coverage and payment systems of Commercial Insurers, Managed Care, Government, and Federal payer sector.
• Travel: 50-70%

Life Unlimited. At Smith+Nephew we design and manufacture technology that takes the limits off living.

The anticipated base compensation range for this position is $130,000.00 to $150,000.00 USD annually.

The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, and geographic location. Compensation decisions are dependent upon the facts and circumstances of each position and candidate.

In addition to base pay, we offer competitive bonus and benefits, including medical, dental, and vision coverage, 401(k), tuition reimbursement, medical leave programs, parental leave, generous PTO, paid company holidays, 8 hours of volunteer time annually, and a variety of wellness offerings such as EAP.

You.Unlimited.

This is where you belong.

We believe in creating the greatest good for society. Our strongest investments are in our people and the patients we serve.

Inclusion and Belonging - Committed to Welcoming, Celebrating and Thriving. Learn more about Employee Inclusion Groups on our website.

Other reasons why you will love it here!

• Your Future: 401k Matching Program, 401k Plus Program, Discounted Stock Options, Tuition Reimbursement
• Work/Life Balance: Flexible Personal/Vacation Time Off, Paid Holidays, Flex Holidays, Paid Community Service Day
• Your Wellbeing: Medical, Dental, Vision, Health Savings Account (Employer Contribution of $500+ annually), Employee Assistance Program, Parental Leave, Fertility and Adoption Assistance Program
• Training: Hands-On, Team-Customized, Mentorship
• Extra Perks: Discounts on fitness clubs, travel and more!

Smith+Nephew provides equal employment opportunities to applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability.