Sr. Field Reimbursement Expert - Retina Clinic - Mid-Atlantic

Alcon•Remote - Florida, FL

2d•Remote

About The Position

At Alcon, we are driven by the meaningful work we do to help people see brilliantly. We innovate boldly, champion progress, and act with speed as the global leader in eye care. Here, you’ll be recognized for your commitment and contributions and see your career like never before. Together, we go above and beyond to make an impact in the lives of our patients and customers. We foster an inclusive culture and are looking for diverse, talented people to join Alcon. As a Sr. Field Reimbursement Expert Retina Clinic - South will manage daily patient access & reimbursement activity for accounts in a specified geography to support the Alcon surgical and ocular health portfolio. Specific responsibilities include working with provider offices and outpatient facilities to ensure both providers and staff are educated on payer and reimbursement policies and procedures, coding, and claim appeals. This role will be remote with 60% Travel. In this role a typical day will include: Develop and implement reimbursement strategies and programs to secure coverage, coding, and payment. Provide direction and oversight for bid submissions, contract performance analysis, and follow-up. Offer reimbursement-related advice to product development, marketing, sales, regulatory, clinical, and business leaders. Identify payer opportunities and issues, implementing programs to resolve barriers to entry for the company's products or therapies. Collaborate with Health Economics staff to evaluate the economic impact of therapies/products on payers, including government entities. Create and deliver training and education programs to sales force, physicians, home care agencies, case managers, hospital Chief Financial Officers, medical directors, billing personnel, and pharmacists in clinics and hospitals. Oversee multiple projects, ensuring goals are met through self-directed work and oversight, impacting project performance and success, and contributing to the overall business strategy. Collaborate cross-functionally with various departments and external stakeholders to drive reimbursement initiatives and influence the development and implementation of reimbursement strategies that affect the company's market access and revenue. Make key decisions affecting project outcomes and reimbursement strategies, operating with a high level of autonomy, requiring advanced problem-solving and decision-making skills.

Requirements

Bachelor’s Degree or Equivalent years of directly related experience (or high school+15 yrs; Assoc.+11 yrs; M.S.+4 yrs; PhD+3 yrs)
The ability to fluently read, write, understand and communicate in English.
7 Years of Relevant Experience.

Nice To Haves

CAT III CPT Code experience

Responsibilities

Develop and implement reimbursement strategies and programs to secure coverage, coding, and payment.
Provide direction and oversight for bid submissions, contract performance analysis, and follow-up.
Offer reimbursement-related advice to product development, marketing, sales, regulatory, clinical, and business leaders.
Identify payer opportunities and issues, implementing programs to resolve barriers to entry for the company's products or therapies.
Collaborate with Health Economics staff to evaluate the economic impact of therapies/products on payers, including government entities.
Create and deliver training and education programs to sales force, physicians, home care agencies, case managers, hospital Chief Financial Officers, medical directors, billing personnel, and pharmacists in clinics and hospitals.
Oversee multiple projects, ensuring goals are met through self-directed work and oversight, impacting project performance and success, and contributing to the overall business strategy.
Collaborate cross-functionally with various departments and external stakeholders to drive reimbursement initiatives and influence the development and implementation of reimbursement strategies that affect the company's market access and revenue.
Make key decisions affecting project outcomes and reimbursement strategies, operating with a high level of autonomy, requiring advanced problem-solving and decision-making skills.