US Field Reimbursement Manager
5 skills required
Job Details
General Summary
The US Field Reimbursement Manager at Penumbra is responsible for developing and communicating the clinical and economic value of the Penumbra interventional therapy portfolio of products. In collaboration with the Penumbra sales organization, the Field Reimbursement Manager will differentiate Penumbra through direct interaction with customers in both clinical and healthcare administration settings. This role will provide field-based reimbursement support to stakeholders (C-suite, hospital administration, payers, and physicians), with a near-term focus of educating and supporting our customers.
Specific Duties and Responsibilities
•Execute reimbursement, health economics, and value selling strategies to promote growth of the Intervention Therapies business to Penumbra’s customers/stakeholders (C-suite, hospital administration, payers, and physicians). *
•Build and maintain strategic working relationships with customers (C-suite, hospital administration, payers, and physicians) and develop economic key opinion leaders.
•Work in partnership with sales, strategic accounts & market access teams to plan and prioritize customer visits to deliver value selling messages. *
•Collaborate with colleagues to provide insight on market intelligence and reimbursement trends and inform the development of customer-facing tools, economic models, and other tactical elements of reimbursement to facilitate patient access to interventional therapy products. *
•Educate and train the sales team on health economic tools and messaging both in- person and via virtual meetings. *
•Develop relationships with physician champions to support interactions with hospital administrators and health plan decision-makers.
•Ensure health economic and value selling methodologies and messages are consistent and compliant with legal and regulatory guidance. *
•Maintain expert level reimbursement knowledge (policies, coding, coverage, payment) for all interventional therapy products.
•Provide education and training to healthcare providers, office staff, and sales organizations on reimbursement processes, coding requirements, and billing procedures. Work in collaboration with legal, compliance, and other business groups to assure appropriate customer engagement processes are strictly followed. *
•Assist healthcare providers to optimize reimbursement by ensuring accurate documentation and coding practices. *
•Assist with appeal and denial management in cases where insurance claims are denied, or coverage is inadequate and help healthcare providers navigate the appeals process.*
•Build and maintain relationships with political and policy stakeholders at the federal, state, and local levels to ensure that Penumbra is positioned as a key stakeholder in policy issues of importance to our business in the US. *
•Adhere to the Company’s Quality Management System (QMS) as well as domestic and global quality system regulations, standards, and procedures. *
•Understand relevant security, privacy and compliance principles and adhere to the regulations, standards, and procedures that are applicable to the Company. *
•Ensure other members of the department follow the QMS, regulations, standards, and procedures. *
•Perform other work-related duties as assigned.
*Indicates an essential function of the role
Position Qualifications
Minimum education and experience:
•Bachelor's degree with a focus in health policy, health economics, healthcare administration, health services, or a related field, with 5+ years of experience guiding Reimbursement and Health Economics strategies for a medical device manufacturer, or an equivalent combination of education and experience.
Additional qualifications:
•In-depth knowledge of US healthcare policy and payment systems, including Medicare and commercial payers, physicians, and hospital reimbursement for inpatient and outpatient sites of service is required.
•Experience and a high degree of comfort presenting complex health economics information to influential groups of varying size and level in a way that engages the audience, is easy to understand, and fosters trust is a necessity.
•Experience educating clinicians and facilities administrators on appropriate documentation and billing for innovative medical technologies, as well as training healthcare providers and sales organizations on the reimbursement process while simultaneously providing denial support
•Experience using financial calculators, with intermediate skills in Excel and PowerPoint to demonstrate how interventional therapy products impact facility economics or healthcare systems, both economically and financially.
•Ability to present complex health economic information to both large and small influential groups in a way that is credible, easy to understand and engages the audience.
•Ability to communicate and train healthcare providers and sales organization on reimbursement process and provide denial support.
•Strong oral, written, and interpersonal communication skills with the ability to develop relationships at all levels within an organization to influence related business decisions.
•High degree of accuracy and attention to detail.
•Excellent organizational skills with ability to prioritize assignments while handling various projects simultaneously.
Working Conditions
•General office, and hospital environments.
•Willingness and ability to work onsite in Alameda.
•Field based position with overnight travel estimated up to 50%.
•Potential exposure to blood-borne pathogens.
•Requires some lifting and moving of up to 25 pounds
•Must be able to move between buildings and floors.
•Must be able to remain stationary and use a computer or other standard office equipment, such as a printer or copy machine, for an extensive period of time each day.
•Must be able to read, prepare emails, and produce documents and spreadsheets.
•Must be able to move within the office and access file cabinets or supplies, as needed.
•Must be able to communicate and exchange accurate information with employees at all levels on a daily basis.
Annual Base Salary Range $120,000 to $170,000
We offer a competitive compensation package plus a benefits and equity program, when applicable.
Individual total compensation will vary based on factors such as qualifications, skill level, competencies, and work location.
What We Offer
•A collaborative teamwork environment where learning is constant, and performance is rewarded.
•The opportunity to be part of the team that is revolutionizing the treatment of some of the world's most devastating diseases.
•A generous benefits package for eligible employees that includes medical, dental, vision, life, AD&D, short and long-term disability insurance, 401(k) with employer match, an employee stock purchase plan, paid parental leave, eleven paid company holidays per year, a minimum of fifteen days of accrued vacation per year, which increases with tenure, and paid sick time in compliance with applicable law(s).
Penumbra, Inc., headquartered in Alameda, California, is a global healthcare company focused on innovative therapies. Penumbra designs, develops, manufactures, and markets novel products and has a broad portfolio that addresses challenging medical conditions in markets with significant unmet need. Penumbra sells its products to hospitals and healthcare providers primarily through its direct sales organization in the United States, most of Europe, Canada, and Australia, and through distributors in select international markets. The Penumbra logo is a trademark of Penumbra, Inc.
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, age, disability, military or veteran status, or any other characteristic protected by federal, state, or local laws.
If you reside in the State of California, please also refer to Penumbra's Privacy Notice for California Residents.
For additional information on Penumbra’s commitment to being an equal opportunity employer, please Penumbra's AAP Policy Statement.
What We Offer
•A collaborative teamwork environment where learning is constant, and performance is rewarded.
•The opportunity to be part of the team that is revolutionizing the treatment of some of the world's most devastating diseases.
•A generous benefits package for eligible employees that includes medical, dental, vision, life, AD&D, short and long-term disability insurance, 401(k) with employer match, an employee stock purchase plan, paid parental leave, eleven paid company holidays per year, a minimum of fifteen days of accrued vacation per year, which increases with tenure, and paid sick time in compliance with applicable law(s).
Penumbra, Inc., headquartered in Alameda, California, is a global healthcare company focused on innovative therapies. Penumbra designs, develops, manufactures, and markets novel products and has a broad portfolio that addresses challenging medical conditions in markets with significant unmet need. Penumbra sells its products to hospitals and healthcare providers primarily through its direct sales organization in the United States, most of Europe, Canada, and Australia, and through distributors in select international markets. The Penumbra logo is a trademark of Penumbra, Inc.
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, age, disability, military or veteran status, or any other characteristic protected by federal, state, or local laws.
If you reside in the State of California, please also refer to Penumbra's Privacy Notice for California Residents.
For additional information on Penumbra’s commitment to being an equal opportunity employer, please Penumbra's AAP Policy Statement.
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