AtriCure, Inc.
Senior Director, Reimbursement and Market Access
AtriCure, Inc., Saint Paul, Minnesota, United States
Senior Director, Reimbursement and Market Access
Join to apply for the
Senior Director, Reimbursement and Market Access
role at
AtriCure, Inc.
Must live in or relocate to the Minneapolis, MN or Cincinnati, OH area for this position. Not a remote role.
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.
ESSENTIAL FUNCTIONS OF THE POSITION 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
Other Duties
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
ADDITIONAL ESSENTIAL FUNCTIONS OF THE POSITION
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
BASIC QUALIFICATIONS
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
PREFERRED QUALIFICATIONS
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
OTHER REQUIREMENTS
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
What we offer:
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)
Extended Parental Leave
Discounted Employee Stock Purchase Program
Seniority level Director
Employment type Full-time
Job function Strategy/Planning and Marketing
Industries Medical Equipment Manufacturing
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Senior Director, Reimbursement and Market Access
role at
AtriCure, Inc.
Must live in or relocate to the Minneapolis, MN or Cincinnati, OH area for this position. Not a remote role.
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.
ESSENTIAL FUNCTIONS OF THE POSITION 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
Other Duties
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
ADDITIONAL ESSENTIAL FUNCTIONS OF THE POSITION
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
BASIC QUALIFICATIONS
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
PREFERRED QUALIFICATIONS
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
OTHER REQUIREMENTS
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
What we offer:
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)
Extended Parental Leave
Discounted Employee Stock Purchase Program
Seniority level Director
Employment type Full-time
Job function Strategy/Planning and Marketing
Industries Medical Equipment Manufacturing
#J-18808-Ljbffr