Director of Reimbursment

Globus Medical•Audubon, PA

35d

About The Position

At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a culture of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and outcomes of surgery so patients can resume their lives as quickly as possible. Position Summary: Responsible for all aspects of reimbursement including development and execution of strategic reimbursement and health economics plans to gain market access and drive sales of Globus Medical products. Effectively monitor and communicate coding, coverage, and payment issues of relevance to all stake holders.

Requirements

Demonstrated knowledge and experience in Medicare, Medicaid, and private payer policies, reimbursement process and the health care legislative environment
Experience with new technology reimbursement
Knowledge of managed care and/or insurance industry
Knowledge of payment methodologies
Knowledge of CPT, HCPCS, and ICD-10 coding systems
Excellent written and verbal communication skills
4 year degree in public health, nursing, healthcare economics, business administration, healthcare administration or related fields or equivalent experience
5 plus years of medical device reimbursement experience is highly desirable

Responsibilities

As part of Management Team, work collaboratively with Senior Management, Regulatory Affairs, Product Development, Clinical Research, Business Development, Sales, and Marketing to align reimbursement strategy with objectives of company.
Develop and maintain relationships with key stake holders including surgeon KOLs, providers, and payers.
Demonstrated ability to work with organizational decision makers, including medical directors, hospital administrators, C-level management, etc.
Reimbursement support for national sales teams for all product lines.
Manage GREAT (Globus Reimbursement Education & Assistance Team) Program to provide reimbursement support to surgeons, hospitals, and patients.
Provide support and assistance to physicians, facilities and their support staff in the reimbursement process
Provide necessary support to overcome barriers to coverage and reimbursement
Appeals assistance for patients and customers
Provide tactical tools including Reimbursement Guides and Quick Reference Guides to assist surgeons and hospitals obtain appropriate and consistent reimbursement for Globus Medical products.
Monitor and communicate reimbursement changes
Research reimbursement trends, coverage issues, and payment methodologies
Apprise sales force and management team of any/all initiatives that may impact reimbursement
Provide reimbursement in-service training to sales force and training team
Apprise sales force and management team of any/all initiatives that may impact reimbursement
Conduct reimbursement presentations to stakeholders.
Lead Patient Access Team and Market Access Team