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PE
US Field Reimbursement Manager (California)
PenumbraUnited Statesfull_timeVerifiedPosted 12 Mar 2025
💰 $170,000/yr($120,000/yr – $170,000/yr)
About the role
General SummaryThe US Field Reimbursement Manager at Penumbra is responsible for developing and communicating the clinical and economic value of the Penumbra 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 our customers. In order to meet the needs of our Team, we are prioritizing candidate who meet the qualifications listed, below, and also currently reside in California.
Specific Duties and Responsibilities•Execute reimbursement, health economics, and value selling strategies to promote growth of the Intervention Therapies business to Penumbra’s customers/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 on 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 the sales team on health economic tools and messaging both in- person and via virtual meetings. *•Develop relationships with physician champions to support interactions with hospital administrators and health plan decision-makers.•Ensure health economic and 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 followed. *•Assist healthcare providers to optimize reimbursement by ensuring accurate documentation and coding practices. *•Assist with appeal and denial 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 US. *•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.*Indicates an essential function of the role
Position QualificationsMinimum education and experience: Bachelor's degree with a focus in health policy, health economics, healthcare administration, health services, or a related field, with 5+ years of experience guiding Reimbursement and Health Economics strategies for a medical device manufacturer.
Additional qualifications:•In-depth knowledge of US healthcare policy and payment systems, including Medicare and commercial payers, physicians, and hospital reimbursement, for inpatient and outpatient sites of service is required.•Experience and a high degree of comfort presenting complex health economics information to influential groups of varying size and level in a way that engages the audience, is easy to understand, and fosters trust is a necessity.•Experience educating clinicians and facilities administrators on appropriate documentation and billing for innovative medical technologies, as well as training healthcare providers and sales organizations on the reimbursement process while simultaneously providing denial support•Experience using financial calculators, with intermediate skills in Excel and PowerPoint to demonstrate how interventional therapy products impact facility economics or hea
Specific Duties and Responsibilities•Execute reimbursement, health economics, and value selling strategies to promote growth of the Intervention Therapies business to Penumbra’s customers/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 on 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 the sales team on health economic tools and messaging both in- person and via virtual meetings. *•Develop relationships with physician champions to support interactions with hospital administrators and health plan decision-makers.•Ensure health economic and 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 followed. *•Assist healthcare providers to optimize reimbursement by ensuring accurate documentation and coding practices. *•Assist with appeal and denial 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 US. *•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.*Indicates an essential function of the role
Position QualificationsMinimum education and experience: Bachelor's degree with a focus in health policy, health economics, healthcare administration, health services, or a related field, with 5+ years of experience guiding Reimbursement and Health Economics strategies for a medical device manufacturer.
Additional qualifications:•In-depth knowledge of US healthcare policy and payment systems, including Medicare and commercial payers, physicians, and hospital reimbursement, for inpatient and outpatient sites of service is required.•Experience and a high degree of comfort presenting complex health economics information to influential groups of varying size and level in a way that engages the audience, is easy to understand, and fosters trust is a necessity.•Experience educating clinicians and facilities administrators on appropriate documentation and billing for innovative medical technologies, as well as training healthcare providers and sales organizations on the reimbursement process while simultaneously providing denial support•Experience using financial calculators, with intermediate skills in Excel and PowerPoint to demonstrate how interventional therapy products impact facility economics or hea
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