Director, Commercial Reimbursement

Added
6 days ago
Type
Full time
Salary
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Related skills

data analysis reimbursement leadership healthcare payer_policy

📋 Description

  • Lead payer coverage strategy and reimbursement operations across national, regional, and local
  • Manage and develop Market Access Manager team; set priorities and coach members.
  • Build standardized reimbursement processes and tools to improve field execution.
  • Collaborate with Commercial, Sales, Medical Affairs, Legal, Compliance, and Finance on planning and
  • Influence payer policies, address denials, appeals, and establish coverage pathways.
  • Lead escalations with complex payer policy disputes and high-stakes issues.

🎯 Requirements

  • Bachelor’s degree required; advanced degree preferred (health policy/health services
  • 8+ years in reimbursement/market access in medical devices or healthcare; Senior Manager/Director
  • Experience working with commercial health plans; payer policy review, negotiations, escalations.
  • Strong knowledge of prior authorization, claims processing, appeals, reimbursement, coding
  • Experience using payer data and claims datasets to analyze coverage and decision-making.
  • Travel up to 40%; must be legally authorized to work in the United States.

🎁 Benefits

  • Competitive base salary of $210,000–$225,000, plus variable incentive plan.
  • Stock options and opportunity to participate in growth.
  • Healthcare insurance, comprehensive benefits.
  • 401(k) plan.
  • Paid vacation.
  • Collaborative, high-achieving environment with growth opportunities.
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