Field Reimbursement Manager - US Gateway Central

About Inspire Medical Systems

Inspire is the first FDA-approved medical device designed to reduce Obstructive Sleep Apnea (OSA) severity for those who cannot tolerate or get consistent benefit from CPAP. We are committed to enhancing patients' lives through sleep innovation, prioritizing patient outcomes, acting with integrity, and leading with respect.

Why Join Our Team?

• We value people – diverse experiences, backgrounds, and thoughts.
• Elevate voices and encourage learning opportunities to build a professional network.
• Offer excellent benefits, 401k matching, ESPP, flexible time off, and tuition reimbursement.
• Passionate about making a difference in people's lives and working with innovative technology.

Essential Job Functions

• Optimize Inspire access and minimize reimbursement barriers for patients and providers.
• Build relationships with providers, providers' offices, Ambulatory Surgery Centers, hospital outpatient facilities, and other stakeholders.
• Engage with new accounts for billing and coding training, audit education, and program review support.
• Communicate coverage challenges across specific payer channels with guidance on navigating and minimizing those potential hurdles.
• Execute on access and reimbursement strategic priorities, working with business partners to identify and prioritize key accounts.
• Develop reimbursement presentations for site visits, trainings, client presentations, and other meetings.
• Stay updated on market dynamics and industry trends impacting CMS and commercial payers.
• Manage additional responsibilities based on organizational needs.
• Build a culture of compliance that ensures all activities align with company procedures and standards.

Required Qualifications

• Bachelor’s degree in business, science, or healthcare administration.
• 7+ years of experience in reimbursement/market access and/or successful experience with complex insurance payer claims, denials, and appeals (Medicare and commercial).
• Demonstrated knowledge in coding, coverage, and payment for implantable medical devices across the healthcare landscape.
• Excellent communication and presentation skills to interface with customers, cross-functional partners, and internal reimbursement and prior authorization partners.
• Independent and team-oriented problem-solving and diligent self-motivation.
• Experience collaborating with multiple internal and external stakeholders and managing projects.

Preferred Qualifications

• Implantable medical device experience.
• Coding certification (CPC, COC).

Salary Range

The salary for this position will be offered at a level consistent with the experience and qualifications of the candidate. The salary range may be modified in the future and actual compensation may vary from the posting based on various factors such as geographic location, work experience, education, and/or skill level. The salary range is $160,000—$190,000 USD.

Benefits and Other Compensation

• Multiple health insurance plan options.
• Employer contributions to Health Savings Account.
• Dental, Vision, Life, and Disability benefits.
• 401k plan + employer match.
• Identity Protection.
• Flexible time off.
• Tuition Reimbursement.
• Employee Assistance program.
• All employees have the opportunity to participate in the ownership and success of Inspire.

Equal Employment Opportunity

Inspire Medical Systems provides equal employment opportunity (EEO) to all employees and applicants without regard to race, color, religion, creed, sex, national origin, age, disability, marital status, familial status, sexual orientation, status regarding public assistance, membership or activity in a local commission, military or veteran status, genetic information, pregnancy or childbirth, or any other status protected by applicable federal, state, and local laws. This policy applies to all aspects of the employment relationship, including recruitment, hiring, compensation, promotion, transfer, disciplinary action, layoff, return from layoff, training, and social and recreational programs. Inspire Medical Systems complies with applicable laws governing non-discrimination in employment in every location in which Inspire Medical Systems has facilities. All such employment decisions will be made without unlawfully discriminating on any prohibited basis. Inspire Medical Systems is an equal opportunity employer with recruitment efforts focused on ensuring a diverse workforce.