Senior Director, Reimbursement and Market Access

AtriCure, Inc.Cincinnati, OH
64d$225,000 - $275,000Onsite

About The Position

AtriCure, Inc. provides innovative technologies for the treatment of Afib and related conditions. Afib affects more than 33 million people worldwide. Electrophysiologists and cardiothoracic surgeons around the globe use AtriCure technologies for the treatment of Afib and reduction of Afib related complications. AtriCure's Isolator Synergy Ablation System is the first medical device to receive FDA approval for the treatment of persistent Afib. AtriCure's AtriClip Left Atrial Appendage Exclusion System products are the most widely sold LAA management devices worldwide. AtriCure's Hybrid AF Therapy is a minimally invasive procedure that provides a lasting solution for long-standing persistent Afib patients. AtriCure's cryoICE cryoSPHERE probe is cleared for temporary ablation of peripheral nerves to block pain, providing pain relief in cardiac and thoracic procedures. For more information, visit AtriCure.com or follow us on Twitter @AtriCure. We foster a culture of inclusion by embracing diverse experiences and individuals where everyone's authentic self is welcome. We offer supporting programs and resources that provide enriching and equitable opportunities for each person to contribute professionally and personally. Must live in or relocate to the Minneapolis, MN or Cincinnati, OH area for this position. Not a remote role. POSITION SUMMARY: The Senior Director, Reimbursement and Market Access is responsible for developing and executing all aspects of the US reimbursement and market access strategy. This role will partner closely with Marketing, Sales, and Clinical/Scientific Affairs teams to understand reimbursement needs and develop initiatives to ensure adequate coverage and payment through the life cycle of products. Other responsibilities will include management of the field reimbursement and market access team, sales denial support and reimbursement hotline, payer and policy advocacy efforts, including society engagement; clinical trial support, and liaison with analytics team to drive greater market access and adoption. This role will collaborate closely with the VP HE&R, Director H&R Analytics, Senior Leadership, Sales, and Marketing team members.

Requirements

  • Bachelor Science in relevant field
  • Minimum of 10 years proven experience in a strategic reimbursement role
  • Experience in either hospital finance or coding expertise
  • Experience growing and mentoring team members
  • Comfortable driving multiple initiatives at a rapid pace, making thoughtful recommendations with available data; and
  • Experience in working closely with global sales and marketing commercial teams, including ability to influence cross functionally
  • Ability to analyze and interpret regulations and legislation re: coding, coverage & reimbursement in the medical device industry
  • Knowledge of private payer, Medicare and Medicaid, and other insurance systems' structures, policies & reimbursement processes
  • Computer skills to include MS Excel, Power Point, Word
  • Ability to regularly walk, sit, or stand as needed
  • Ability to occasionally bend and push/pull as needed
  • Ability to pass pre-employment drug screen and background check
  • Ability to Travel up to 30-40% as needed

Nice To Haves

  • Knowledge of cardiovascular anatomy, physiology, electrophysiology, and arrhythmias
  • Prior experience working with GPO/IDN or hospital value analysis committees
  • Expertise in coding and coverage; and
  • Documented examples of working with sales and commercial organization

Responsibilities

  • US Reimbursement Strategy and Operations Lead the overall field reimbursement strategy including team members (2), and reimbursement hotline daily activities, denial support, etc.
  • Direct US payer initiatives to support new codes and coverage of AtriCure therapies (society engagement, consultants, etc.)
  • Determine reimbursement staffing and/or faculty needs for customer VIP visits, professional education, and society meetings
  • Develop and oversee customer coding webinars (CEU, etc.)
  • Present and manage new material development/PROFORMAS for hospital C-Suite, value analysis committees, service line directors, billing/coding staff, and other value purchasers
  • Lead NPD or acquisition due diligence on coding and coverage needs
  • Work closely with VP sales and MKT leads on strategic account activities - program reviews, etc.
  • Partner with sales organization through training of current reimbursement practices as well as collaboration with hospital customers to ensure AtriCure therapy access through value analysis committees
  • Build tools to support value proposition to purchasers, including coding guides, PROFORMAs, program reviews, coding webinars, etc.
  • US Market Access and Payor Policy Manage overall market access and policy strategy (Trade Organizations, Societies), including team member (1)
  • Work with department VP to prioritize new policy and coding initiatives (ICD-10, CPT, MS-DRG, C, G codes)
  • Oversee monthly commercial payor dossier/outreach coverage targets
  • Collaborate with HE&R analytics lead to develop sales-oriented tools, including calculators, field coding guides, slide decks, policy analysis, etc.
  • Help identify physicians to assist with reimbursement or payor coverage policy initiatives
  • Collaborate with clinical and scientific affairs to support clinical trials (coverage policies with CMS, clinical trial budget negotiations, etc.) and marketing to plan evidentiary and coverage needs
  • Advise senior management on reimbursement and health policy trends that impact business strategy and product development
  • Represent reimbursement team in management meetings and yearly strategy planning
  • Plan development and growth activities for direct reports
  • Adhere to corporate compliance programs and successfully participate in training and continuing education programs
  • Regular and predictable work performance
  • Ability to work under fast-paced conditions
  • Ability to make decisions and use good judgment
  • Ability to prioritize various duties and multitask as required
  • Ability to successfully work with others
  • Additional duties as assigned

Benefits

  • Competitive Salary plus yearly bonus
  • For Minnesota based candidates, the base pay for this position is $225,000 - $275,000 (highly experienced). The pay for the successful candidate will depend on various factors, qualifications, education, prior experience, etc.
  • Healthcare (Medical, Dental, Vision, health savings account, mental health services)
  • 401K Retirement savings plus match
  • Volunteer Time Off
  • Extended Parental Leave
  • Discounted Employee Stock Purchase Program
  • Tuition reimbursement
  • Medical & Dental beginning day 1 of employment
  • 401K plus match
  • 20 days of paid Parental Leave, in addition to maternity leave, for new moms and dads
  • Volunteer Time off
  • Pet Insurance, and more
  • Corporate-based employees also have full access to our on-site fitness center and cafeteria

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What This Job Offers

Job Type

Full-time

Career Level

Senior

Industry

Miscellaneous Manufacturing

Number of Employees

1,001-5,000 employees

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