Reimbursement Specialist

Globus Medical•Collegeville, PA

About The Position

At Globus Medical, the team develops innovations intended to improve the quality of life of patients with musculoskeletal disorders. The company partners with researchers, educators, surgeons, and healthcare providers to develop solutions that improve surgical techniques and outcomes. Reporting to the Director, Global Reimbursement, the Reimbursement Specialist supports projects involving payer coverage expansion, health economic analyses, healthcare policy monitoring, and customer-facing market access initiatives. The role also supports the HFX Access Patient Access team. It is part of the Scientific Affairs department and collaborates with HFX Access, Field Sales, Marketing, Clinical Affairs, National Accounts, and Commercial Operations. The position provides reimbursement-related customer support and training, monitors relevant policy and regulatory developments, researches secondary data sources, and assists with patient access challenges. The role requires knowledge of the U.S. healthcare system and reimbursement policies, strong communication and relationship-building abilities, and customer service experience. Travel is expected to be up to 10%.

Requirements

Bachelor’s degree or an equivalent combination of education and experience.
At least 1–2 years of work experience in reimbursement or market access functions.
Demonstrated working knowledge of the U.S. healthcare system, including coverage, coding, and payment policies of public and private payers.
Strong written, verbal, and phone communication skills.
Customer service or client relations experience.
Demonstrated ability to develop and influence relationships.
Strong interpersonal skills and enjoyment of interacting with the sales team.
Solid communication and oral presentation skills.
Ability to travel up to 10%.

Nice To Haves

Patient access experience.
Advanced Microsoft Excel skills, including advanced formulas.
Experience in other functions within the pharmaceutical, biotechnology, or related industry, such as field sales, legal, market planning, or market or sales analytics.

Responsibilities

Provide field-based sales teams and customers with reimbursement support related to coding, billing, payment, and medical policy.
Assist with internal training for the sales team and customer training, including the launch of new initiatives or programs.
Track medical policy and other relevant policy changes applicable to Nevro products and pipeline, and share updates with internal stakeholders.
Monitor, review, and analyze CMS annual rulemaking and open meetings.
Research and extract relevant information from secondary data sources to provide strategic insight into market access strategies.
Interface with the HFX Access Patient Access team as appropriate to help resolve challenges.
Establish relationships with key institutions and accounts related to coding, billing, and reimbursement.
Work cross-functionally with HFX Access, National Accounts, Marketing, Sales, and Commercial Operations.
Monitor broad healthcare trends that could affect current or future product pricing, contracting, and distribution.
Follow the company Code of Conduct, the AdvaMed Code, the MedTech Code, and other company policies.
Comply with applicable governmental laws, rules, and regulations in the United States and internationally, including completing required training and maintaining role-related compliance knowledge.
Represent the company professionally and uphold ethical business practices and socially responsible conduct in interactions with employees, customers, suppliers, and other third parties.