Reimbursement Business Manager
2 weeks ago
Additional Location(s):US-MN-Minneapolis; US-IL-Chicago
Diversity - Innovation - Caring - Global Collaboration - Winning Spirit- High Performance
At Boston Scientific, we'll give you the opportunity to harness all that's within you by working in teams of diverse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we'll help you in advancing your skills and career. Here, you'll be supported in progressing - whatever your ambitions.
About the role:
The Reimbursement Business Manager plays a key role in the commercialization of the Intracept technology. They are responsible for implementing and managing Intracept Patient Access Programs that build the foundation of Intracept adoption. This includes training, education and oversight of programs. He/she will partner with Territory Managers in all aspects of program establishment and monitoring. This is a field-based role.
Location:Ideal candidate will be located in the Midwest near an airport hub (like Minneapolis or Chicago).
Your responsibilities:
- Engage and work strategically with C-Suite and/or business decision makers, physicians and support personnel of potential sites of care.
- Serve as the primary contact for reimbursement support and education regarding billing, coding, national and local coverage policies.
- Partner with Territory Managers to educate and open accounts.
- Train field sales organization, physicians/staff and key stake holders on the reimbursement landscape, patient access tools and resources. Presentations for up to 50 people at a time.
- Prepare and conduct Intracept Program Reviews.
- Identification and education regarding billing and coding issues and resolution.
- Strategically interacting with commercial payers to open up access to care for the Intracept procedure.
- Navigate payer contracting discussion with facilities and physicians.
- Secure home office space with ability to protect HIPAA sensitive materials.
Required Qualifications:
- BS/BA degree preferred.
- Minimum 5 years market access experience required, including payer coverage.
- Minimum 5 years of experience supporting field-based sales roles.
- Minimum 5 years medical device industry experience preferred.
- Must be willing to travel up to 50% of the time, including some weekends.(Depending upon location, driving within about 4 hours from home plus air travel, weekends: Fri.-Sat. 1X/2 mo., need to be near major airport hub.)
Preferred Qualifications:
- Salesforce experience is a plus
- Startup experience is preferred
- Strong problem solving and business acumen skills with an ability to work independently, manage priorities, develop strong relationships with internal and external stakeholders.
- Clear understanding and ability to navigate the prior authorization and appeals process with commercial payers.
- Understand technology assessment process for payer environment.
- Broad knowledge of payer systems, including risk management systems and provider contracting
- Excellent organizational, written and verbal communication skills.
- Ability to analyze payer data and trends that will drive strategic decisions for the development payer coverage.
- Ability to work cross functionally and adapt as the needs of the business change or evolve.
- Excellent interpersonal skills.
#LI-Remote
Requisition ID:579698
As a leader in medical science for more than 40 years, we are committed to solving the challenges that matter most - united by a deep caring for human life. Our mission to advance science for life is about transforming lives through innovative medical solutions that improve patient lives, create value for our customers, and support our employees and the communities in which we operate. Now more than ever, we have a responsibility to apply those values to everything we do - as a global business and as a global corporate citizen.
So, choosing a career with Boston Scientific (NYSE: BSX) isn't just business, it's personal. And if you're a natural problem-solver with the imagination, determination, and spirit to make a meaningful difference to people worldwide, we encourage you to apply and look forward to connecting with you
At Boston Scientific, we recognize that nurturing a diverse and inclusive workplace helps us be more innovative and it is important in our work of advancing science for life and improving patient health. That is why we stand for inclusion, equality, and opportunity for all. By embracing the richness of our unique backgrounds and perspectives, we create a better, more rewarding place for our employees to work and reflect the patients, customers, and communities we serve. Boston Scientific is proud to be an equal opportunity and affirmative action employer.
Boston Scientific maintains a prohibited substance freeworkplace. Pursuant to Va. Code * , Boston Scientific is providing notification that the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance or marijuana is prohibited in the workplace and that violations will result in disciplinary action up to and including termination.
Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and/or health care centers, require acceptable proof of COVID-19 vaccination status. Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment. Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements. As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company's policies or protocols change with regard to COVID-19 vaccination.
Boston Scientific is an Equal Opportunity Employer – Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Disability, Veteran
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