US Reimbursement and Policy Strategist-Remote

Full Time
Phoenix, AZ
Posted
Job description
Job: Clinical/Regulatory
Primary Location: Americas-US-AZ-Phoenix
Travel%: 25%
Shift: Day
Schedule: Full-time

US Reimbursement and Policy Strategist-Remote-230780

About Us: Gore is a materials science company focused on improving lives through discovery, product innovation and rewarding careers for our Associates.

About the Industry: Saving lives and improving the quality of life for patients is at the core of everything we do. This meaningful work gives purpose to our lives and inspires us to create solutions that make a difference in the lives of others. Learn more at gore.com/products/industries

About the Role: We are looking for a US Reimbursement and Policy Strategist to join our Global Health Economics and Reimbursement team to execute reimbursement strategies to ensure optimal coding, coverage, payment, and policy for current and emerging technologies.

This is a remote position, and you can work from home in most locations within the United States.*

Responsibilities:

  • Execute strategies to address coding, coverage, and payment constraints placed by third-party payers on adoption of products in the US healthcare market
  • Create and update reimbursement resources for Gore medical products including coding guides, reimbursement calculators and sales enablement tools
  • Track and analyze health policy updates impacting current products and emerging technologies; develop insights and communications to inform both internal and external stakeholders
  • Thoroughly research, create, and deliver presentations on the US reimbursement system to cross functional teams including sales and marketing
  • Provide input for economic studies with knowledge of coding and claims databases
  • Work collaboratively with cross-functional partners to increase awareness and understanding of health economics and reimbursement
  • Prepare reimbursement applications for payment and coverage (CPT coding, New Technology Add-On Payments, Pass-Through Payments, etc)
  • Define clinical and economic evidence needed for coding, coverage, and payment
  • Collaborate with cross-functional colleagues to support strategic initiatives related to health economic research, health policy and business development

Required Qualifications:

  • Minimum of a Bachelor’s degree
  • Minimum of 5 years’ experience working in health economics and reimbursement within the medical device industry
  • Strong understanding of coding, coverage, and payment methodologies in the US health care policy and payment systems, including hospital inpatient, hospital outpatient, ambulatory surgery center and physician reimbursement
  • Effective communication and interpersonal skills
  • Strong working knowledge and skill with all MS Office-based applications
  • Demonstrated ability to work effectively in a team environment, both virtually and in person
  • Ability to travel 25%

Desired Qualifications:

  • Master’s degree in Health Economics, Business Management, Nursing, or a related business/ clinical discipline
  • Understanding of vascular and cardiology coding nomenclature
  • Remote Working Arrangements are permitted for Associates in the continental United States (US) and Canada, with appropriate approval and compliance with Gore’s remote working policies, from the country in which they are employed. Locations not eligible for new remote work arrangements include: Alaska and Hawaii (for all roles), and Rhode Island (for wage/hourly roles only).

What We Offer: At Gore, we offer comprehensive, competitive rewards in the form of compensation and benefits. Among these are work-life balance and sports programs, 401(k) Plan with a gift, Associate Stock Ownership Plan, health & well-being program with full health plan, and a flexible working program. Within Gore, you will find a unique culture, diversity, equity, and inclusion initiatives, and opportunities for growth and development. Learn more at gore.com/careers

We believe in the strength of a diverse workforce and inclusive work environment. In support of our values and continued success we are proud of Associates around the world who support an inclusive work environment, strive to reflect the diversity of the communities where we operate, and ensure all Associates and external partners are treated with fairness, dignity and respect.

Gore is committed to a drug-free workplace. All employment is contingent upon successful completion of drug and background screening.
Gore requires all applicants to be eligible to work within the U.S. Gore generally will not sponsor visas unless otherwise noted on the position description.
Gore is a M/F, Disabled and Vet EEO/AA employer. (Applies to all positions in the U.S.)
Our Talent Acquisition Team welcomes your questions at gore.com/careers/contact
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