Reimbursement & Health Economics Manager - Central US Region

HISTOSONICS INC• US,

5d•Remote

About The Position

HistoSonics is a commercial-stage medtech company advancing the Edison® System, a novel non-invasive sonic beam therapy based on histotripsy. Since receiving FDA De Novo grant for the non-invasive destruction of liver tumors in 2023, the company has progressed beyond initial market entry into commercial expansion, reimbursement momentum, and ongoing clinical and pipeline development. In addition to its current liver tumor indication, HistoSonics is pursuing future indications across multiple applications including kidney, pancreas, prostate, neuro, women’s health, and other significant underserved human health areas, to realize the broader potential histotripsy across multiple disease states and medical specialties. We offer an exciting work culture where cutting-edge science meets real-world application, and each team member’s contribution is important to our success in ensuring our physicians and their patients get what they need most. The Reimbursement & Health Economics Manager is a field-based role responsible for supporting the sales teams and physician and hospital accounts through reimbursement education of coding, coverage, and payment. The position requires company cross functional collaboration with sales, marketing, professional education and prior authorization teams. The Manager serves as the primary reimbursement contact for Histotripsy accounts and the commercial team. The role is primarily focused on field-based account reimbursement support (approximately 80%), with a smaller emphasis on payer engagement and policy support (approximately 20%).

Requirements

Bachelor’s degree required
8+ years of experience in health economics, reimbursement, or market access within the medical device industry
Deep expertise in U.S. public and commercial payer reimbursement, including coverage, coding, and payment methodologies
Demonstrated field reimbursement management experience, including hospital capital equipment, Category III CPT codes, revenue cycle management, physician payment, and Medicare and private payer models
Strong understanding of provider, payer, and revenue cycle decision-making, including private payer medical policies and contracts
Experience working cross-functionally in regulated environments, partnering with clinical, commercial, and policy stakeholders
Ability to interpret and apply clinical and economic evidence to develop and position compelling value propositions for providers, payers, professional societies, and Medicare
Background in hospital administration, physician practice, payer organizations, health economics/outcomes research, or industry reimbursement roles
Excellent analytical, presentation, and communication skills, with demonstrated ability to influence, manage conflict, and drive alignment

Nice To Haves

Master’s degree preferred
RF Ablation or Oncology experience strongly preferred
oncology experience a plus

Responsibilities

Identify and resolve physician and hospital reimbursement challenges in collaboration with account and prior authorization teams
Lead reimbursement-related calls, meetings, and discussions with new and existing accounts
Support field sales with reimbursement needs across all account stages
Develop and deliver reimbursement and health economics education, onboarding, tools, and training for internal and external stakeholders
Communicate value messaging, coverage strategies, and reimbursement issues
Assess, forecast, and troubleshoot coverage and payment challenges for hospitals and physicians
Manage reimbursement deliverables including reporting, dossiers, billing and coding tools, clinical bibliographies, and reimbursement analyses
Monitor reimbursement, customer, and competitive environments to identify opportunities and risks
Present reimbursement and economic strategies to physicians, administrators, and executive leadership
Develop reimbursement tools and tactics to support provider coverage and payment
Identify and engage key hospital decision-makers (e.g., chargemaster, CFO, compliance, contracting)
Track health economics and reimbursement policy trends impacting Histotripsy and competitors
Provide actionable assessments of local reimbursement environments to guide strategy and execution
Lead analyses and develop recommendations to address economic adoption barriers
Engage local payers to request coverage and appropriate payment
Plan and facilitate meetings with local payers and KOLs to influence coverage and payment
Travel, as needed, to support reimbursement execution, including site visits, sales meetings, trainings, and tradeshows