US Reimbursement and Policy Strategist – Remote

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 position offers multiple work arrangements: on-site at our facility in Flagstaff, Arizona, hybrid or fully remote work allowed in most locations within the United States, depending upon the responsibilities of the role and business needs.

Responsibilities: 

• Execute strategies to optimize coding, coverage, and payment to support 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.)
• Monitor payer coverage landscape and engage with third-party payers to address limitations on coverage for procedures utilizing Gore technologies
• 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, trade associations, government Agencies, consulting firms, and/or providers
• Experience analyzing federal healthcare regulations, including Medicare reimbursement policy processes through annual rulemaking
• Strong understanding of coding, coverage, and payment methodologies in the US, including hospital inpatient, hospital outpatient, ambulatory surgery center and physician reimbursement
• Strong working knowledge and skill with all MS Office-based applications
• Effective communication and interpersonal skills
• 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, Health Policy, Business Management, Nursing, or a related business/ clinical discipline
• Understanding of vascular, cardiology, and general surgery 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. 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. 

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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