US Field Reimbursement Manager

The US Field Reimbursement Manager at Penumbra is responsible for developing and communicating the clinical and economic value of Penumbra’s interventional therapy portfolio of products. In collaboration with the Penumbra sales organization, the Field Reimbursement Manager will differentiate Penumbra through direct interaction with customers in both clinical and healthcare administration settings. This role will provide field-based reimbursement support to stakeholders (C-suite, hospital administration, payers, and physicians), with a near-term focus of educating and supporting customers.

• Execute reimbursement and value selling strategies to promote the growth of the interventional therapy business to Penumbra’s customers and stakeholders (C-suite, hospital administration, payers, and physicians).

• Build and maintain strategic working relationships with customers (C-suite, hospital administration, payers, and physicians) and develop economic key opinion leaders.

• Work in partnership with sales, strategic accounts, & market access teams to plan and prioritize customer visits to deliver value selling messages.

• Collaborate with colleagues to provide insight regarding market intelligence and reimbursement trends and inform the development of customer-facing tools, economic models, and other tactical elements of reimbursement to facilitate patient access to interventional therapy products.

• Educate and train sales team on health economic tools and messaging via in-person and virtual meetings.

• Develop relationships with physician champions to support interactions with hospital administrators and health plan decision-makers.

• Ensure value selling methodologies and messages are consistent and compliant with legal and regulatory guidance.

• Maintain expert level reimbursement knowledge (policies, coding, coverage, payment) for all Interventional Therapy products.

• Provide education and training to healthcare providers, office staff, and sales organizations on reimbursement processes, coding requirements, and billing procedures. Work in collaboration with legal, compliance, and other business groups to assure appropriate customer engagement processes are strictly adhered to.

• Assist healthcare providers in optimizing reimbursement by ensuring accurate documentation and coding practices.

• Assist with appeals and denials management in cases where insurance claims are denied, or coverage is inadequate, and help healthcare providers navigate the appeals process.

• Build and maintain relationships with political and policy stakeholders at the federal, state, and local levels to ensure that Penumbra is positioned as a key stakeholder in policy issues of importance to our business in the USA.

• Adhere to the Company’s Quality Management System (QMS) as well as domestic and global quality system regulations, standards, and procedures.

• Understand relevant security, privacy and compliance principles and adhere to the regulations, standards, and procedures that are applicable to the Company.

• Ensure other members of the department follow the QMS, regulations, standards, and procedures.

• Perform other work-related duties as assigned.

• Bachelor’s degree focused in health policy, health economics, healthcare administration, health services, or a related field, with five plus (5+) years of experience guiding reimbursement strategy for a medical device manufacturer, or an equivalent combination of education and experience.

• Knowledge of US healthcare policy and payment systems, including Medicare and commercial payers, physicians, and hospital reimbursement for inpatient and outpatient sites of service.

• Ability to use financial calculators, Excel, and PowerPoint to demonstrate how Penumbra’s interventional therapy portfolio of products impacts facility economics and/or healthcare systems both economically and financially.

• Ability to present complex disease state information to influential groups of varying size and organizational level in a way that engages the audience, is easy to understand and fosters trust.

• Ability to communicate and train healthcare providers and sales organization on the reimbursement process and provide denial support.

• Recent experience educating clinicians and facilities on appropriate documentation and billing for innovative medical technologies.

• Persuasive communication skills and experience delivering compelling and often complex messages to a diverse audience of varying levels in a way that builds rapport and encourages further conversations.

• Excellent organizational skills, highly proficient with standard office tools, and the ability to prioritize assignments while handling various projects simultaneously.

• General office and hospital environments.

• Willingness and ability to work onsite in Alameda.

•Willingness and ability to travel up to 50% of the time, including overnight, primarily in the Western part of the US.

• Potential exposure to blood-borne pathogens.

• Requires some lifting and moving of up to 25 pounds.

• Must be able to move between buildings and floors.

• Must be able to remain stationary and use a computer or other standard office equipment, such as a printer or copy machine, for an extensive period of time each day.

• Must be able to read, prepare emails, and produce documents and spreadsheets.

• Must be able to move within the office and access file cabinets or supplies, as needed.

• Must be able to communicate and exchange accurate information with employees at all levels on a daily basis.

•A collaborative teamwork environment where learning is constant, and performance is rewarded.

•The opportunity to be part of the team that is revolutionizing the treatment of some of the world’s most devastating diseases.

•A generous benefits package for eligible employees that includes medical, dental, vision, life, AD&D, short and long-term disability insurance, 401(k) with employer match, an employee stock purchase plan, paid parental leave, eleven paid company holidays per year, a minimum of fifteen days of accrued vacation per year, which increases with tenure, and paid sick time in compliance with applicable law(s).

 

Penumbra, Inc., headquartered in Alameda, California, is a global healthcare company focused on innovative therapies. Penumbra designs, develops, manufactures, and markets novel products and has a broad portfolio that addresses challenging medical conditions in markets with significant unmet need. Penumbra sells its products to hospitals and healthcare providers primarily through its direct sales organization in the United States, most of Europe, Canada, and Australia, and through distributors in select international markets. The Penumbra logo is a trademark of Penumbra, Inc.

 

 

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For additional information on Penumbra’s commitment to being an equal opportunity employer, please Penumbra’s AAP Policy Statement.