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Reimbursement, Economics and Value

3 months ago

Santa Clarita, United States AVITA Medical Americas, LLC Full time

Job Description

Job Description Description: Avita Medical is a regenerative medicine company leading the development and commercialization of devices and autologous cellular therapies for skin restoration. Our FDA-approved RECELL System technology platform treats patients with thermal burn wounds and full-thickness skin defects and is used for re-pigmentation of stable depigmented vitiligo lesions by harnessing the regenerative properties of a patients’ own skin to create Spray-On Skim cells.

We believe that patients are at the heart of everything we do, our employees are the lifeblood of Avita Medical, passion is key to making a difference, quality impacts everything we do, and integrity is essential to our success.

Position Summary: The role will be responsible for implementing and managing field-based reimbursement and health economics activities for AVITA Medical’s portfolio. This position will support AVITA’s sales teams and customers serving as an expert on all matters related to coverage, reimbursement, coding, and health economics for AVITA’s products in the U.S. market.

Key Responsibilities : Serve as a primary resource for the sales team and customers on coverage, reimbursement, coding, and health economics for AVITA’s products. Provide reimbursement and health economic support and training to AVITA sales force and key external stakeholders (e.g., hospitals, clinicians, investigator sites, professional societies) as appropriate. Prepare and deliver presentations to internal and external stakeholders on health economics and reimbursement topics. Build relationships with customers to foster reimbursement success and cultivate advocates who will assist AVITA Medical in engagements with payer organizations. Build relationships with government, physician, hospital, and third-party payer decisionmakers. Track payer and provider trends by geography; integrate insights and feedback into AVITA’s business planning processes. Develop and manage centralized tools, such as coding guides and other reimbursement and health economic materials, to aid the company in delivering uniform reimbursement and policy communications. Follow all work/quality procedures to ensure quality system compliance and high-quality work. Other duties/projects as assigned. Requirements:

Travel: Up to 60% Strong understanding of the U.S. healthcare system, including Medicare, Medicaid, and private payer policies. Knowledgeable in outpatient and inpatient coding (APC, MS-DRG, ICD-10), physician coding (CPT, HCPCS), Medicare, Medicaid, and third-party payer issues. Extensive knowledge of reimbursement across all sites of service including physician office reimbursement, hospital outpatient, inpatient facility, and ambulatory surgical centers. Ability to effectively communicate and translate complex economic and reimbursement concepts into understandable and actionable information to AVITA Medical's team, leaders, and customers. Excellent presentation and communication skills – written, verbal and interpersonal. Ability to establish and maintain good working relationships with customer groups and clinical staff. Ability to support fast paced sales force including sales leadership. Demonstrated strategic thinking and agility, adept at executing effective reimbursement strategies and navigating healthcare market complexities. Demonstrated proficiency using Salesforce, Excel, Power Point, and Word applications. Requires at least 7-10 years of proven success in reimbursement and health economics. Must have prior experience in a medical device company, preferably with involvement in emerging medical device technologies. BA or BS required, a major in business or a healthcare related field preferred. EEOC: Avita Medical is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All employment decisions are based on qualifications, merit, and business needs.

Your Physical Work Environment Will Require: The physical demands described here are representative of those that must be met by an individual to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit, talk, and hear, stand, walk and/or balance, use hands and fingers to type, handle, feel, grasp, push, and pull. Hand-eye coordination is necessary to operate computers and various pieces of office equipment. Specific vision abilities required by this job include close vision and the ability to adjust focus. The individual is frequently required to reach with hands and arms, and repetitive motion, The individual is occasionally required to stoop, kneel, or crouch. The individual may occasionally lift and/or move up to 25 pounds.

Avita Medical is an E-Verify participant.

AVITA Medical recognizes the role of information security in ensuring that users have access to the information they require to carry out their work in a secure manner. AVITA Medical is committed to protecting the security of its information and information systems. As such, each role within AVITA Medical must demonstrate the same commitment to information security.

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