GORE
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About the Role: We are looking for a Field Reimbursement Director to join our Health Economics and Reimbursement Team to work as a field-based extension of the Health Economics & Reimbursement team to ensure appropriate articulation of reimbursement (coding, coverage, and payment) information as well as economic value for Gore’s medical device portfolio.
This is a remote position, and you can work from home in most locations within the United States.
Responsibilities:
- Work as a field-based member of the Health Economics & Reimbursement Team, becoming heavily integrated and linked with Gore’s Selling Organization as a critical part of an effective institutional selling engine
- Support the Sales Organization in all things related to Health Economics & Reimbursement, including the appropriate articulation of value to the economic buying influencers within Gore’s target customer set as well as ensuring key customer objectives are clearly communicated back to Gore’s Health Economics & Reimbursement Team when needed
- Participate in customer engagements as part of the Provider Solutions Group (Provider Selling Organization, Provider Marketing, Health Economics, Business Operations and Clinical Sales) as an active extension of the Health Economics function
- Collaborate with Gore’s Health Economics and Outcomes Research team to ensure that the approved value propositions, tools, models and other value and services are fully leveraged within assigned customer accounts
- Analyze and understand basic payer mix (Medicare / Medicaid / Commercial / Uninsured) as well as other relevant factors for target provider institutions, using tools like Truven Market Scan, Definitive Healthcare
- Investigate, analyze, advise, educate, and develop strategies for addressing coding, coverage, and payment constraints placed by third-party payers (including government) on adoption of medical-device products at the individual healthcare provider, or institutional customer level
- Maintain expert level reimbursement knowledge (coding, coverage, payment) for assigned products and therapies
Required Qualifications:
- Bachelor’s Degree
- Minimum of 5 years experience working directly with customers to remove reimbursement barriers, or payers to gain or improve coverage for products reimbursed under the medical benefit required
- Prior experience in delivering reimbursement and economic value evidence messaging and tools to support sales and customers
- Experience working in medical device industry, hospital administration, managed care, or related health care field
- Experience with evidence dissemination tools and tactics
- Demonstrated knowledge and understanding of U.S. healthcare reimbursement mechanisms and regulations related to reimbursement for medical technology products
- Strong computer skills, particularly Excel (e.g., for basic economic models), PowerPoint (effective story telling/persuasion)
- Excellent communication ability (both written and presentation ability)
- Ability to travel up to 40%
To minimize disruption to the business, while supporting growth and development, Associates are expected to fulfill a minimum of 2 years in commitment before applying to another internal commitment. Any exceptions to this policy must be approved.
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. For fully remote roles, the following locations are not eligible for new fully remote work arrangements: Alaska and Hawaii (for all roles), and Rhode Island (for wage/hourly roles only)
What We Offer: Our success is based on the capability and creativity of our Associates, and we are proud to offer a comprehensive and competitive total rewards program that supports your everyday and helps you build your tomorrow.
We provide benefits that offer choice and flexibility and promote overall well-being. And in keeping with our belief that every Associate should share in the collective success of the enterprise; we provide a distinctive Associate Stock Ownership Plan in each country as well as potential opportunities for “profit-sharing”. Learn more at gore.com/careers/benefits
We believe in the strength of a diverse and inclusive workplace. With diverse perspectives, ideas and experiences, we uncover new possibilities and make a greater impact in the world. We are proud of Associates for building on our rich history of innovation, upholding our values and supporting an inclusive work environment where we treat each other and our external partners with fairness, dignity and respect.
Gore is an equal opportunity employer. We welcome all applications irrespective of race, color, religion, sex, gender, national origin, ancestry, age, status as a qualified individual with a disability, genetic information, pregnancy status, medical condition, marital status, sexual orientation, status as a covered veteran, gender identity and expression, and any other characteristic protected by applicable laws and regulations.
UNITED STATES
Gore is committed to a drug-free workplace. All employment is contingent upon successful completion of drug and background screening. Gore will consider qualified applicants with criminal histories, e.g., arrest and conviction records, in a manner consistent with the requirements of applicable laws.
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.
Our Talent Acquisition Team welcomes your questions at gore.com/careers/contact
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Our Talent Acquisition Team welcomes your questions at gore.com/careers/contact
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