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Healthcare Reimbursement and Economic Strategy Manager
2 months ago
Company Overview:
Avita Medical is at the forefront of regenerative medicine, dedicated to innovating and commercializing advanced devices and cellular therapies aimed at skin restoration. Our FDA-approved RECELL System technology is designed to treat patients suffering from thermal burn injuries and full-thickness skin defects, while also facilitating the re-pigmentation of stable depigmented vitiligo lesions by utilizing the regenerative capabilities of the patient's own skin to generate Spray-On Skin cells.
Core Values:
At Avita Medical, we prioritize our patients and recognize that our employees are essential to our mission. We believe that passion drives impactful change, quality is integral to our operations, and integrity is vital for our success.
Position Overview:
The selected candidate will oversee and execute field-based reimbursement and health economics initiatives for Avita Medical's product offerings. This role will act as a vital resource for our sales teams and clients, providing expertise on coverage, reimbursement, coding, and health economics within the U.S. market.
Key Responsibilities:
- Serve as the primary point of contact for the sales team and clients regarding coverage, reimbursement, coding, and health economics for Avita Medical's offerings.
- Deliver reimbursement and health economic training and support to the Avita sales force and key external stakeholders, including hospitals and professional societies.
- Prepare and present informative sessions to both internal and external audiences on reimbursement and health economics topics.
- Establish and nurture relationships with clients to enhance reimbursement outcomes and develop advocates to support Avita Medical's engagements with payer organizations.
- Engage with decision-makers across government, physician, hospital, and third-party payer sectors.
- Monitor payer and provider trends by region, integrating insights into Avita's strategic planning processes.
- Create and manage centralized resources, such as coding guides and reimbursement materials, to ensure consistent communication regarding reimbursement policies.
- Adhere to all quality procedures to maintain compliance and deliver high-quality work.
- Perform additional duties and projects as assigned.
Requirements:
- Willingness to travel up to 60% of the time.
- Comprehensive understanding of the U.S. healthcare landscape, including Medicare, Medicaid, and private payer policies.
- Familiarity with outpatient and inpatient coding (APC, MS-DRG, ICD-10), physician coding (CPT, HCPCS), and third-party payer issues.
- Extensive knowledge of reimbursement processes across various service settings, including physician offices and surgical centers.
- Ability to communicate complex economic and reimbursement concepts clearly and effectively to diverse audiences.
- Strong presentation and interpersonal communication skills.
- Capability to build and maintain productive relationships with clinical staff and customer groups.
- Experience supporting a dynamic sales force, including sales leadership.
- Proven strategic thinking and adaptability in executing effective reimbursement strategies.
- Proficiency in Salesforce, Excel, PowerPoint, and Word applications.
- A minimum of 7-10 years of demonstrated success in reimbursement and health economics is required.
- Prior experience in a medical device company, particularly with emerging technologies, is preferred.
- A Bachelor’s degree is required, preferably in business or a healthcare-related field.
Equal Opportunity Employment:
Avita Medical is an Equal Opportunity Employer, committed to fostering a diverse and inclusive workplace. All employment decisions are based on qualifications, merit, and business needs.
Physical Work Environment:
The physical demands of this role require the ability to sit, talk, hear, stand, walk, and perform repetitive motions. Reasonable accommodations may be made for individuals with disabilities to enable them to perform essential job functions.
Information Security Commitment:
Avita Medical recognizes the importance of information security in ensuring that users can access necessary information securely. Each role within the company must demonstrate a commitment to safeguarding information and information systems.
