Field Reimbursement Manager

ZOLL LifeVest
San Jose, CA Full Time
POSTED ON 4/3/2024

Location: San Jose, CA

Circulation


Field Reimbursement Manager

Job Locations US-CA-San Jose
Job ID
2022-1522
# of Openings
1
Posted Date
2 months ago(4/21/2022 12:46 PM)
Category
Marketing

Overview

ZOLL Medical is a growing, innovation-driven company on the forefront of delivering medical devices to save lives, and software solutions to improve efficiency. With customers in more than 140 countries, we continue to expand our reach, as well as our product offerings. Hospitals, emergency medical services (EMS), and others trust us to provide high-quality products and exceptional customer service. ZOLL products are used every day across the globe to save the lives of people who suffer sudden cardiac arrest. From Real CPR Help® technology—an industry first—to the world’s only wearable defibrillator, our capabilities and features set us apart. But none of this would be possible without the motivation and dedication of ZOLL employees, and we’re invested in their success.


We offer competitive salaries and a comprehensive benefits package. Join our team. It’s a great time to be a part of ZOLL!


NOTE:
ZOLL now mandates COVID vaccinations subject to legal exemptions


Overview
The Field Reimbursement Manager (FRM) at ZOLL | Circulation will be responsible for developing and delivering the health economics, reimbursement, and market access strategy for Circulation products. This role will work alongside and collaborate closely with Sales and Marketing team members to support physicians and accounts by providing super-saturated oxygen, IV temperature management, and other new Circulation therapies. Account management and development is a critical function of the FRM role. The FRM will work directly with hospitals and physicians to overcome barriers to disruptive and new therapies.

The FRM will execute local market plans to support field-based priorities. This will include understanding and educating on local health policy, reimbursement, billing, coding, and patient access issues.

The FRM as part of the Reimbursement and Market Access team will work with other team members to optimize coverage and payment. Other responsibilities may include leading direct payor advocacy strategies and evidence planning.

The FRM will communicate economic value propositions to providers, IDNs, ACOs, GPOs, and payors, supporting widespread utilization of ZOLL Circulation technologies. This position will be an integral member of quality initiative teams, working hand-in-hand with providers to measure and interpret therapy value.

The FRM will always assure compliance with company policies and regulations on communicating product value messages and reimbursement information.

This full-time position reports to the Director, Global Reimbursement and Health Economics, with corporate headquarters in San Jose, CA.

Responsibilities

  • Deliver reimbursement and health economic education for hospital C-Suite, value analysis committees, service line directors, supply managers, purchasing staff, billing and coding staff, and other value purchasers.
  • Provide in-service training to sales and customers to increase awareness of and education on coding and billing for ZOLL Circulation therapies.
  • Provide reimbursement support to expand therapy access, including supporting the reimbursement email inquiry boxes.
  • Address reimbursement issues and partner with physician accounts to support claim resolution.
  • Cultivate relationships with key hospital administrators, integrated delivery network administrators, and group purchasing and payor organizations.
  • Listen and respond appropriately to customer needs and questions.
  • Serve as a strategic business partner with field sales leadership to develop and deliver value messaging.
  • Support policy efforts through participation in specialty society and trade organization work groups and meetings as needed.
  • Identify physicians to assist with reimbursement or payor coverage policy advocacy.
  • Participate in teleconference and live national and regional meetings and training sessions.
  • Represent ZOLL at national and/or local conventions when requested.
  • Ensure behaviors consistent with healthcare compliance guidelines.
  • Build a field reimbursement specialist team.

Qualifications

Education
A 4-year college degree in business, health sciences, management, healthcare administration or related field; advanced degree (MBA, MS, etc.) preferred.

Qualifications
  • Minimum of 5 years of proven experience in a field reimbursement role, preferably for a medical device company.
  • Demonstrate teamwork abilities, strategic thinking, managing multiple initiatives and cross-functional relationships
  • Comfortable driving multiple initiatives at a rapid pace.
  • High attention to detail and customer support.
  • Experience working closely with US sales and marketing commercial teams, including the ability to influence cross-functionally.
  • Ability to analyze and interpret regulations and legislation on coding, coverage & reimbursement in the medical device industry.
  • Knowledge of reimbursement compliance requirements and maintaining a high level of personal integrity to promote a compliant reimbursement environment.
  • Knowledge of private payer, Medicare and Medicaid, and other insurance systems’ structures, policies & reimbursement processes.
  • Proficient in Microsoft Office applications, including Word, PowerPoint, Excel.
  • Travel estimated at 50%.
Preferred Qualifications
  • MBA or equivalent advanced degree
  • Prior experience working with GPO/IDN or hospital value analysis committees.
  • A track record of developing coding, coverage, and payment for emerging technologies.
  • Thorough understanding of clinical and economic data, coding, coverage, and payment issues.
  • Knowledge of cardiovascular anatomy/physiology.

ZOLL Medical Corporation appreciates and values diversity. We are an Equal Opportunity Employer M/F/D/V. ADA: The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990


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