Field Reimbursement Manager: East Coast

Zimmer, Inc.•Remote, Remote

1d•$150,000 - $175,000•Remote

About The Position

The Field Reimbursement Manager is a remote, field-based role covering the eastern portion of the United States. The position advances customer access and supports commercial execution for an innovative cryotherapy technology used in pain management. It serves as a strategic reimbursement resource for healthcare providers, hospitals, ambulatory surgery centers, and revenue cycle stakeholders navigating reimbursement requirements. The manager provides compliant reimbursement education, helps customers identify access barriers, supports coding and billing workflows, and shares field insights to inform market access and commercial strategy. The role requires expertise in medical device reimbursement for pain management, including coding, payer policy, claims submission, prior authorization, appeals, denials, and reimbursement trends affecting emerging or evolving technologies. Travel to customer sites and meetings may be up to 75%, depending on geography and business needs.

Requirements

Bachelor's degree and 4 years of relevant experience, or an associate's degree and 6 years of relevant experience, or a high school diploma or equivalent and 8 years of relevant experience.
Strong communication, presentation, analytical, and relationship management skills.
Ability to work independently in a field-based environment and collaborate effectively across a matrixed organization.
Willingness and ability to travel extensively within an assigned geography and/or nationally, based on business needs.
Sound judgment and professionalism in customer-facing situations.
High degree of accountability, initiative, and responsiveness.
Ability to build credibility with internal and external stakeholders through expertise, collaboration, and follow-through.
Ability to navigate ambiguity and adapt to changing business and reimbursement environments.
Ability to contribute positively to a culture of compliance, teamwork, and continuous improvement.

Nice To Haves

Experience supporting pain management, cryotherapy, or other procedural medical device technologies; pharmaceutical experience is not relevant and will not be considered as a qualification.
Strong working knowledge of CPT, HCPCS, ICD-10-CM, modifiers, APCs, DRGs, and other applicable reimbursement methodologies.
Experience working directly with physicians, hospitals, ambulatory surgery centers, coders, billers, revenue cycle teams, and healthcare administrators.
Demonstrated ability to analyze and address complex claims, denials, underpayments, coverage issues, and reimbursement challenges.
Demonstrated ability to interpret CMS and commercial payer policies and translate reimbursement requirements into clear, actionable guidance.
CPC, CCS, CPMA, or another recognized coding or reimbursement certification.

Responsibilities

Serve as the field-based subject matter expert for cryoneurolysis procedures and related reimbursement across sites of care.
Deliver accurate, compliant reimbursement education to healthcare providers, hospitals, ambulatory surgery centers, coding professionals, billing teams, and revenue cycle leaders.
Support customers in understanding reimbursement pathways, including coding, claims submission, payer adjudication, and payment considerations.
Help customers identify potential drivers of denials, underpayments, delays, and other reimbursement barriers.
Provide practical, customer-focused guidance on reimbursement, coding, billing, coverage, and payment issues.
Support the development and deployment of reimbursement education materials, field tools, webinars, and customer-facing patient access resources, as applicable.
Maintain subject matter expertise in CPT, HCPCS, ICD-10-CM, modifiers, and other applicable coding methodologies.
Monitor and interpret new or evolving CPT guidance, payer policies, and reimbursement developments relevant to the business.
Develop and communicate clear, consistent guidance regarding coding and billing considerations for new or evolving procedures.
Maintain current knowledge of Category I and Category III CPT codes, modifiers, C-codes, APCs, DRGs, and other hospital and physician reimbursement methodologies.
Monitor CMS and commercial payer policy changes, identify emerging coverage and denial trends, and communicate material implications to leadership and internal stakeholders.
Build and maintain relationships with key provider stakeholders to support reimbursement education, market access initiatives, and customer engagement.
Provide field-based reimbursement insights to support strategic planning, customer engagement, and resource development.
Partner cross-functionally with Market Access, Sales, Marketing, Medical Education, Health Economics and Reimbursement, Customer Care, Legal, and Compliance, as appropriate.
Help ensure reimbursement communications and educational resources remain accurate, compliant, and aligned with company objectives.