Reimbursement Field Program Manager Details

Olympus Corporation of the Americas - Chicago, IL

Employment Type : Full-Time

Are you looking for a company that cares about people’s lives and health, including yours? At Olympus, we help make people’s lives healthier, safer and more fulfilling, every day.

Let’s inspire healthier lives, together.

Job Description

This position is based in the Central US Territory.


The Field Reimbursement Manager will support iTind a newly approved device for BPH. The FRM will be responsible for customer related engagement related to reimbursement conducting reimbursement and economics training and business reviews for the Olympus customers. In conjunction with Olympus corporate reimbursement and sales and marketing teams, the candidate will implement the reimbursement and economic business plans with economic and administrative decision-makers.

Job Duties
  • Daily engagement with US hospital and office administrators to review coding and payer coverage policies and decisions to enable physician and facility purchase decisions.


  • Educate customers (physicians, purchasers, etc.) on reimbursement, coding (use of unlisted code), and new tech APC code.


  • Influence the purchasing and/or reimbursement decision-making processes at all levels, including Medical Directors, Clinical, Policy, and C-Suite executives, physicians, biller, revenue cycle manager, VAC Committee members and national/regional payers.


  • Establish critical relationships with a variety of national stakeholders within geography: national and regional health plan medical directors, policy analysts, claims processing, key practice managers, state/national societies.


  • Serve as strategic field lead to develop strategic implementation plans to influence targeted national/regional managed care customers to ensure favorable market access policy of Olympus supported products.


  • Provide real-time resolution for reimbursement questions in the office and other settings of care. Educate customer about appropriate billing, prior authorization and denial resolution steps.


  • Provide customers with guidance on payer decision-making process including coverage policies and guidelines.


  • Educate customers about the benefit of Olympus Reimbursement support services and programs and steps to facilitate participation.


  • Assure consistent communication and collaboration with field sale teams to ensure proper prioritization of customer engagement and alignment of field based reimbursement activities. Provide strategic reimbursement oversight in all targeted accounts.


  • Lead reimbursement business reviews at key accounts and assist as necessary economic and reimbursement reviews in advance of VAC meetings.


  • Contribute to strategic discussions with Olympus Health Economics & Market Access, Reimbursement in the development and review of reimbursement and economic materials and programs. This may include project leadership.


  • Identify physicians to assist with reimbursement or payer coverage policy revisions.


  • Provide customer insights to back to corporate reimbursement and sales and regarding provider purchase decisions.


  • Perform other duties as assigned.
Job Requirements

REQUIRED QUALIFICATIONS:


Bachelor's degree or equivalent required, Masters in Health care administration, MPH or MBA is preferred.


  • Minimum 15 years of relevant experience is required. Medical device experience in a field reimbursement and economics position, with responsibilities of educating physicians and practice administrators, billing departments regarding their understanding medical device coding, coverage and payment preferred.


  • Ability to educate customers on economic and reimbursement models.


  • Ability to travel up to 75%.


PREFERRED QUALIFICATIONS:


  • Coding certifications are preferred. (e.g. AAPC CIC or CPC)


  • Excellent oral and written communication skills.


  • Highly functional in PowerPoint, Excel, Microsoft Word, SalesForce.com.

We realize work isn’t just a job to you.

It’s a big part of your life, but not the only part. That’s why we offer competitive salaries, a robust 401(k) program, annual bonus program and comprehensive medical benefits, as well as tuition reimbursement, flexible schedules, parental and adoption leave, on-site services and Colleague Affinity Networks — so you can be ready for where life can take you.

Olympus is passionate about the solutions it creates for the medical, life sciences, and industrial equipment industries, as well as cameras and audio products. For more than 100 years, Olympus has focused on making people’s lives healthier, safer and more fulfilling by helping detect, prevent, and treat disease, furthering scientific research, ensuring public safety, and capturing images of the world.

Olympus’ Medical business uses innovative capabilities in medical technology, therapeutic intervention, and precision manufacturing to help healthcare professionals deliver diagnostic, therapeutic, and minimally invasive procedures to improve clinical outcomes, reduce overall costs, and enhance the quality of life for patients. Olympus’ Medical portfolio includes endoscopes, laparoscopes, and video imaging systems, as well as surgical energy devices, system integration solutions, medical services, and a wide range of endotherapy instruments for endoscopic and therapeutic applications. For more information, visit www.olympus-global.com.

Olympus…True To You. True To Society. True To LIFE.

It is the policy of Olympus to extend equal employment and advancement opportunity to all applicants and employees without regard to race, color, national origin (including language use restrictions), citizenship status, religious creed (including dress and grooming practices), age, sex (including pregnancy, childbirth, breastfeeding, medical conditions related to pregnancy, childbirth and/or breastfeeding), gender, gender identity and expression, sexual orientation, marital status, disability (physical or mental) and/or a medical condition, genetic information, ancestry, veteran status or service in the uniformed services, and any other characteristic protected by applicable federal, state or local law.

Posting Notes: || United States (US) || Illinois (US-IL) || Chicago ||


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Posted on : 3 years ago