Field Reimbursement Director

<strong>At Glaukos, our focus is to develop and lead the global ophthalmic market with novel therapies for the treatment of glaucoma, corneal disorders, and retinal diseases&mdash;therapies that advance the existing standard of care and enrich the lives and treatment alternatives for patients worldwide.<br /><br />Help put the next wave of disruptive technologies on the market. Work with a team that&rsquo;s dedicated to making a difference in the lives of patients worldwide.<br /></strong>

Chicago, IL

Glaukos

Founded in 1998, Glaukos Corporation is an ophthalmic medical technology and pharmaceutical company focused on novel therapies for the treatment of glaucoma, corneal disorders, and retinal diseases. <br /><br />Our company was the first company to bring to market Micro-Invasive Glaucoma Surgery (MIGS), the micro-invasive procedure which revolutionized the treatment and management of glaucoma. In 2012, we launched our first MIGS device&mdash;the iStent&reg;&mdash;in the United States, followed by our next-generation iStent&nbsp;inject&reg;&nbsp;device in September 2018 and iStent&nbsp;inject&reg;&nbsp;W in September 2020.<br /><br />In November 2019, Glaukos acquired Avedro, maker of the first and only FDA-approved cross-linking technology for progressive keratoconus. And we continue to seek to leverage our platform technologies to build a comprehensive and proprietary portfolio of micro-scale surgical and pharmaceutical therapies for glaucoma, corneal health, and retinal diseases. https://www.glaukos.com/

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Full time

Competitive industry and functional compensation.

Overview: <p>The Field Reimbursement Director (FRD), is a work from home, role based in the Chicago, IL or Remote U.S. and will be responsible for supporting all Glaukos brands to practices, ASC&rsquo;s, providers and select payers within a specific geographic area. Successful performance will include ensuring the execution of Market Access Reimbursement strategy that provides fair and consistent payment, and removing barriers in the overall reimbursement process. This position will also be responsible for supporting field sales leadership by coordinating strategy that supports a variety of customers to include; physicians, nurses, billing staff, hospital outpatient departments, and ASCs.</p> <p><strong>How will you make an impact?</strong></p> <p>The&nbsp;<strong>Field Reimbursement Director</strong>&nbsp;(FRD), is a work from home, role based in the Southeast, ideally Florida, Georgia or Alabama and&nbsp;will be responsible for supporting all Glaukos brands to practices, ASC&rsquo;s, providers and select payers within a specific geographic area. Successful performance will include ensuring the execution of Market Access Reimbursement strategy that provides fair and consistent payment, and removing barriers in the overall reimbursement process. This position will also be responsible for supporting field sales leadership by coordinating strategy that supports a variety of customers to include; physicians, nurses, billing staff, hospital outpatient departments, and ASCs. The Field Reimbursement Team will be accountable to serve as an expert in payer reimbursement policies and provide support to facilitate appropriate patient &amp; provider access and utilization of services to ensure their access to care. The Field Reimbursement Director will promote collaboration with the Sales, Customer Relations, HUB, and Medical Affairs teams in order to achieve payer and provider strategic business goals.</p>
Responsibilities: <ul> <li>Provide customer facing Reimbursement support for all Glaukos promoted brands. This requires working closely with Glaucoma Regional Business Managers (RBM) and Corneal Health Sales Managers (CHSM&rsquo;s), and their leadership (Area Directors &ndash; AD&rsquo;s).</li> <li>Work closely with Regional &amp; National Sales Leadership to inform commercial strategy and appropriately support health care providers with their reimbursement needs</li> <li>Work closely with Market Access Leadership and Payer Relations Directors (PRD&rsquo;s) to insure inform payer strategy, insure provider feedback is provided to PRD Team &amp; where needed oversee calls on Regional payers to meet customer needs</li> <li>Networking with regional, state providers, patient and healthcare systems advocacy organizations</li> <li>Develop sustainable corporate relationship that will allow for continued growth of current and future products</li> <li>Work on designated projects that are within the scope of services for US Market Access as assigned and/or consistent with developmental plans &amp; strengths.&nbsp;</li> <li>Understand and be able to coach at an expert level with reimbursement issues that work within our core classes of trade: <ul> <li>Commercial Managed Care (Regional Plans)</li> <li>Medicaid (Fee for Service, Managed Care Organizations)</li> <li>Medicare (Part A, B, C, D; Carriers)</li> <li>Veteran&rsquo;s Administration (VISNs)</li> <li>TRICARE Regional Offices</li> <li>Specialty Pharmacy &amp; Pharmacy Benefit Managers</li> <li>ACOs and other Integrated Delivery Networks (IDNs)</li> <li>Advocacy, consumer, provider and treatment systems groups</li> </ul> </li> </ul>
Requirements: <ul> <li>Prior Reimbursement, Consulting, or Leadership experience of 5-7 years, preferably in medical device or biologic/injectable/infusible drug space.&nbsp; Prior Account Management experience, direct biologic launch experience, Ophthalmology or ASC experience is highly desirable and preferred.</li> </ul> <p><strong>Other Considerations for Background:</strong></p> <ul> <li>Bachelor&rsquo;s degree. Advanced degree or specific Practice Management/Supervisory Leadership experience preferred.</li> <li>In depth knowledge of the buy and bill system.</li> <li>2-3+ years of reimbursement and account management experience preferred</li> <li>Minimum of 5 years&rsquo; experience in: practice management, or practice billing and revenue cycle; experience with public or private third party reimbursement related to product access impact on providers; or experience in pharmaceutical or managed care industry reimbursement including provider site reimbursement interactions</li> <li>Must be organized and detail-oriented</li> <li>Knowledge of private payer Medicare and Medicaid structure systems and reimbursement process</li> <li>Technical knowledge of health care reimbursement from a patient and provider perspective (miscellaneous J codes, billing coding, appeals process)</li> <li>Knowledge of private payer Medicare and Medicaid structure systems and reimbursement process</li> <li>Knowledge of reimbursement policies and hotline database systems</li> <li>Ability to travel overnight &amp; spend time in the field 2-3 nights per week at times; 50-60% travel S</li> <li>Ability to analyze and interpret regulation and legislation</li> <li>Demonstrated teamwork abilities, strategic thinking, and lead with high emotional intelligence. Premium on&nbsp; managing multiple business initiatives and cross-functional relationships</li> <li>Project management skills Ability to work independently</li> <li>Ability to schedule individual work-related travel (air hotel rental car as needed)</li> <li>Strong computer skills: PowerPoint, Excel, &amp; Word</li> <li>Identify important physical job demands (i.e. lifting, bending, etc.).</li> <li>Ability to drive during the daytime and nighttime</li> </ul>