Senior Manager Payer Policy Development

ROM TECHNOLOGIES INC • Brookfield, CT

1d • Remote

About The Position

Key Responsibilities Support the development of Payer Medical policies to ensure the Portable Connect in- home rehabilitation device is covered and paid for. Leveraging existing relationships to influence policy development and reimbursement strategies across national and regional commercial payers, integrated delivery network payers, independent physician associations, ACO’s and Government payers. Establish and strengthen relationships with key opinion leaders (KOLs) and influential stakeholders within payer organizations and the MedTech community. Analyze and present data-driven insights, identifying trends and ensuring payer engagement programs align with the companies’ goals. Collaborate with the Director of Market Access to develop and communicate strategic plans, tactics, and payer engagement initiatives. Work cross-functionally with Reimbursement, Health Economics, and Market Access teams to ensure comprehensive strategy execution. Work with and collaborate with the Payer Relations Specialist with the administrative tasks associated with overseeing a portfolio of clients. Responsible for assisting the field and RCM in pulling through complicated cases.

Requirements

• Exceptional negotiating skills.
• Demonstrated experience with payer medical policy development.
• Exceptional communication skills that include verbal, written and presentation abilities.
• Passion: Contagious excitement about the company - sense of urgency.
• Commitment to continuous improvement.
• Integrity: Commitment, accountability, and dedication to the highest ethical standards.
• Collaboration/Teamwork: Inclusion of Team Member regardless of geography, position, and product or service.
• Action/Results: High energy, decisive planning, timely execution.
• Innovation: Generation of new ideas from original thinking.
• Customer Focus: Exceed customer expectations, quality of products, services, and experience always present of mind.
• Emotional Intelligence: Recognizes, understands, manages one's own emotions and can influence others.
• A critical skill for pressure situations.
• Minimum of five (5) years of field-based experience in the medical device industry/DME preferred.

Responsibilities

• Support the development of Payer Medical policies to ensure the Portable Connect in- home rehabilitation device is covered and paid for.
• Leveraging existing relationships to influence policy development and reimbursement strategies across national and regional commercial payers, integrated delivery network payers, independent physician associations, ACO’s and Government payers.
• Establish and strengthen relationships with key opinion leaders (KOLs) and influential stakeholders within payer organizations and the MedTech community.
• Analyze and present data-driven insights, identifying trends and ensuring payer engagement programs align with the companies’ goals.
• Collaborate with the Director of Market Access to develop and communicate strategic plans, tactics, and payer engagement initiatives.
• Work cross-functionally with Reimbursement, Health Economics, and Market Access teams to ensure comprehensive strategy execution.
• Work with and collaborate with the Payer Relations Specialist with the administrative tasks associated with overseeing a portfolio of clients.
• Responsible for assisting the field and RCM in pulling through complicated cases.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed