Strategic Reimbursement Manager

Essential Functions

• Executes and optimizes US reimbursement strategies that support business objectives across prioritized product and therapy areas.
• Provides reimbursement and health policy guidance to product development, working in close partnership with clinical, regulatory, marketing, and sales teams.
• PARTNERS WITH HEOR TO ASSESS GLOBAL EVIDENCE NEEDS AND SUPPORT DEVELOPMENT OF PAYER‑RELEVANT DATA.
• ANALYZES REIMBURSEMENT LANDSCAPES AND CONTRIBUTES TO CODING, COVERAGE, AND PAYMENT PATHWAY DEVELOPMENT INCLUDING EVALUATION OF RELEVANT DATA ANALYTICS PERTAINING TO HEALTH POLICY INITIATIVES.
• EDUCATES INTERNAL LEADERS AND FIELD TEAMS ON REIMBURSEMENT REQUIREMENTS AND BUSINESS IMPACT.
• BUILDS AND MAINTAINS RELATIONSHIPS WITH PAYERS, GOVERNMENT AGENCIES, PROFESSIONAL SOCIETIES, AND ADVOCACY GROUPS.
• IDENTIFIES REIMBURSEMENT BARRIERS, DEVELOPS INITIATIVES, AND SUPPORTS IMPLEMENTATION OF PROGRAMS THAT IMPROVE MARKET ACCESS.
• DESIGNS AND DELIVERS REIMBURSEMENT EDUCATION FOR INTERNAL AND EXTERNAL STAKEHOLDERS.
• REPRESENTS, AS A LEADER, THE EXPERTISE AND PERSPECTIVE OF THE REIMBURSEMENT/MARKET ACCESS FUNCTION TO THE BUSINESS DIVISIONS IT SUPPORTS.

Essential Physical/Environmental Demands

• Lifting – Not to exceed 50 lbs. – local practice may apply.
• Sitting
• Standing
• Bending
• Writing
• Sitting
• Standing
• Bending
• Reading
• Field of vision/peripheral

Minimum Qualifications

• Bachelor’s degree required; advanced degree preferred.
• Minimum of 12 years of experience in reimbursement, market access, or health policy.
• Strong understanding of U.S. coverage, coding, and payment systems.
• Demonstrated ability to support reimbursement strategy in a matrixed environment.
• Proficiency with standard business applications.
• CPC or similar credential preferred.

COMPETENCIES

• Clear Communication
• Analytical Thinking
• Attention to Detail
• Project Management
• Teamwork
• Results Oriented
• Interpersonal Skills
• Team Collaboration
• Guiding Collaborative Decisions

Comments

• Infectious Control Risk Category III
• Multiple Shifts and Hours to choose from: Days, Swing (Eve), and Nights
• Medical/Dental & Other Insurances (eligible the first of month after 30 days)
• Low Cost Onsite Medical Clinic
• Two (2) Onsite Cafeterias
• Employee Garden | Gardening Classes
• 3 Weeks' Vacation | 1 Week Sick-Time | Paid Holidays
• 401K | Health Savings Account
• To see more on our culture, go to www.merit.com/careers.
• Military Veterans are encouraged to Apply.
• Merit is a proud Utah Patriot Partner committed to hiring our Veterans.