Field Reimbursement and Market Access Manager

CORE RESPONSIBILITIES

• Address account reimbursement issues and work with the account and claim support for resolution.
• Lead reimbursement sales calls, meetings, and discussions with new and existing accounts.
• Support field sales reps with all aspects of new and existing account reimbursement needs.
• Conduct sales and account reimbursement training and education.
• Develop and implement reimbursement tools and tactics that support providers obtaining coverage and appropriate payment.
• Understand, monitor, and keep abreast of trends in health economics and reimbursement policies that impact Aquablation and the competitive landscape.
• Provide actionable assessments of local reimbursement environments to help guide strategy, resourcing, and tactical implementation.
• Lead and participate in teams to perform analyses, evaluate options, and develop recommendations to overcome economic barriers to market adoption.
• Provide strategic reimbursement input.
• Assist in meetings and working sessions with US payers and KOLs to influence public/private payers to achieve coverage and payment.
• Travel when needed to support reimbursement execution including site visits to physician practices or hospital administration, sales meetings, product training classes and tradeshows.
• Maintain trained status for, and comply with, all relevant aspects of the PROCEPT BioRobotics Quality Management System to ensure product and support regulatory compliance.
• Understand and adhere to the PROCEPT BioRobotics’ Quality & EHS policies.

QUALIFICATIONS (Education, Experience, Certifications)

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• A Bachelor of Arts or Science Degree, or equivalent combination of experience/education.
• 5+ years of medical device reimbursement and/or health economics experience.
• Urology experience, new and emerging technology exposure, Category lll Code and physician/hospital experience preferred.
• A track record of developing coding, coverage, and payment for emerging technologies with payers – public and private – as well as a thorough understanding of clinical and economic data, coding, coverage and payment issues, including issues that are unique to the reimbursement and market adoption of new technologies.
• Experience positioning clinical data/studies in support of reimbursement and economic value propositions to societies, commercial payers, and Medicare.
• Demonstrated knowledge and medical device experience with US private payers and Medicare reimbursement.
• Ability to assess payer medical policies.
• Comprehensive knowledge of payment methodologies.
• The ability to make effective presentations to all levels of Company management, physician practice staff, hospital personnel and payers.
• High level of interpersonal skills: influencing, resolving conflict, and creative problem solving.
• Must be an excellent communicator using all available channels. Strong written, verbal and presentations skills with the ability to present, persuade physicians, physician offices, hospital administrators and key opinion leaders with respect to the Company’s products and clinical strategies.
• The ability to research and strategically apply technical reimbursement knowledge to a variety of business situations.
• Comfortable working virtually, with flexible workplace arrangements and business virtual technologies.
• The ability to manage complex problems and projects while exercising independent decision-making and analytical thinking skills, with minimal supervision.
• Ability to travel up to 30% of the time.

PHYSICAL DEMANDS & WORK ENVIRONMENT

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• To perform this duty the employee must have the ability to sit or stand at and operate a computer terminal and walk or travel safely. The employee may occasionally lift and/or move up to 25 pounds.
• While performing the duties of this job, the employee regularly works in a home office environment as well as meetings at physician offices or hospitals and payers as required.