Market Access and Reimbursement - Senior Manager

Company Description

Sirtex Medical is a global healthcare business with offices in Boston, Sydney, Germany, and Singapore, working to improve outcomes in people with cancer. Our current lead product is a targeted radiation therapy for liver cancer called SIR-Spheres® Y-90 resin microspheres. More than 100,000 doses have been supplied to treat patients with liver cancer at more than 1,300 medical centers in over 50 countries. 

At Sirtex, we’re transforming our industry through our leadership with interventional oncology and being a values-led company. To do this, we empower our people to realize their potential through life-changing work. We offer stimulating careers and development, encourage innovation, and strive for excellence in everything we do. We will always foster a diverse and inclusive workplace, in which our global teams are united by an unwavering commitment to improve the quality and longevity of patients’ lives by providing innovative interventional oncology solutions. 

Here, you will be a vital contributor to our inspiring and bold mission. 

Job Description

The primary focus of this role is to provide field-based billing/ coding and reimbursement education and support to new and existing Sirtex accounts. This position collaborates with the Director, Reimbursement & Health Economics to provide strategic direction and development of country wide reimbursement programs to increase private, Medicaid and Medicare payer access.

• This position will monitor and anticipate changing market conditions relative to public and private payer policies and their potential impact on the company business and will work to foster alliances with stakeholders, professional organizations and payer organizations to build continued support for payer coverage. The Market Access and Reimbursement Senior Manager; MARSM will manage country wide communications concerning issues impacting financial reimbursement for Sirtex products. The MARSM will assist in monitoring reimbursement compliance as it relates to industry standards for national, state, and local coding and billing guidelines.
• The MARSM will be expected to primarily understand U.S. reimbursement policies in a variety of settings, including physician office, hospital outpatient, inpatient and ambulatory surgery centers. The MARSM will be required to interact with a diverse customer base, including payer thought leaders, physicians and their office staff, as well as Interventional, Nuclear Medicine and Radiation Oncology hospital managers. The MARSM will have the ability to interpret and translate billing, coding, coverage, and payment information and communicate these concepts at all levels of the organization to facilitate positive coverage and reimbursement for Sirtex products.
• This is a highly accountable and prominent position in Sirtex which requires engagement, partnership, and interaction with colleagues at all levels throughout the Sirtex matrix organization. Of paramount importance to success in the role is close partnership working with cross-functional team colleagues. The candidate should be extremely proactive and highly willing to engage both internally and externally and lead regarding providing successful market access solutions and developing Sirtex’s profile amongst oncology stakeholders of all types. The role demands strong project management experience and confidence in shaping, recommending and implementing strategy and initiatives across Sirtex’s matrix teams.
• The candidate is responsible for conducting their activities on behalf of the company consistent with a high standard of business ethics and in compliance with the laws and regulations that govern our activities. The obligation encompasses the following:
  • Takes personal responsibility for and demonstrates a high level of understanding of and adherence to the applicable internal policies, including but not limited to our Code of Ethics.
  • Adheres to business conduct and other policies applicable to the role, and external laws and regulations governing activities.
  • Exhibits high business ethics standard in dealing with internal and external stakeholders, including dealing with others honestly and openly, showing accountability, being reliable and trustworthy and being loyal to the company.
  • Completes all required compliance and ethics related training within required timelines.
  • Encourages a high level of understanding of and adherence to compliance and ethics amongst colleagues and third parties.
  • Fully co-operates in any internal and external audits, investigations and inspections.

RESPONSIBILITIES:

• Conduct onsite reimbursement meetings for new and existing Sirtex accounts on the current Facility and Professional coding and billing guidelines for the SIRT procedure. Frequency as needed. Track and report custo