Reimbursement Specialist

At
** Embla Medical**, we are a purpose-driven company dedicated to improving people’s mobility through the delivery of Prosthetics, Neuro Orthotics, Bracing & Supports and Patient Care. We do this with compassion and innovation, from how we design our award-winning mobility solutions to how we operate our network of patient care clinics.

We are dedicated to providing the best possible care to our patients to help them live Life Without Limitations.
** About the Role
** Monitor, assess, and report on provider, payor, and legislative trends and developments. Manage day-to-day reimbursement activities to achieve key business objectives. Maintain existing reimbursement services and develop new ones. Work cross-functionally with Ossur’s Chronic Solutions (Ossur/College Park/Fior & Gentz) Business Area to develop new reimbursement services and training to targeted customers. Increase customer recognition of our companies as providers of industry-leading reimbursement resources.

This is a remote-eligible position in the following states: CA, CT, FL, GA, NY, OH, OR, RI, VI, WV.
** What You’ll Do
*** External Customer Reimbursement Responsibilities  + Provide appropriate support to external customers with reimbursement questions about Ӧssur products.  + Develop appropriate reimbursement materials regarding our companies’ products for customers.  + Assess and implement new reimbursement programs/resources/services that support our companies’ customers.  + Assist customers in obtaining authorization and writing appeals
* Internal Customer Reimbursement Responsibilities  + Update Ӧssur, College Park, and Fior & Gentz Sales & Marketing staff re. changes in payor policies affecting our customers’ access to our products.  + Work cross-functionally with our companies’ product management re. reimbursement issues / submissions to government contractors (e.g., PDAC).
* Other Responsibilities  + Participate in DME MAC Advisory Council meetings.  + Attend DME MAC educational meetings.

Company Responsibilities:
* Exercise good use of company funds and property within the set guidelines. Maintain an honest and professional attitude as the company’s representative at all times.
* All employees must be aware, have knowledge and shall have received general training in Ӧssur’s Quality requirements. Training takes place in the Onboarding process and in New Employee Orientation. More specific Quality training is job specific.
* All training related to the quality management system is done in accordance with the Training Management Process (QM1681).
* Contribute to a safe working environment by maintaining own workspace and reporting any potential hazards.
* Adhere to Company’s safety rules
* Adhere to Company Values – Honesty – Frugality – Courage
** Who You Are
*** 5+ years of experience in medical device reimbursement, market access, reimbursement policy, healthcare provider, and/or healthcare payer
* BS/BA degree
* Strong understanding and working knowledge of private, federal, and state healthcare coverage
* Prior experience with O&P facilities and/or physician practices preferred
* Ability to review medical records and assess their compliance with payer coverage requirements
* Proven ability to work cross-functionally in a large organization
* Demonstrated ability to take initiative and seek guidance when appropriate
* Demonstrated strong written and oral communication skills in group and one-on-one settings
* Strong analytical skills required
* Computer skills required, including Outlook, Word, Excel, and Power Point
* Ability to travel: 20%
* Remote work arrangement negotiable
** Why You’ll Feel Good Working Here
** Join our team if you want to make a lasting impact; we will support you along the way.
* Global organization with a network of employees around the world
* We believe in the importance of people’s growth and development
* At Embla Medical we celebrate different ideas, perspectives and backgrounds
* Joining Embla Medical is not just taking a job, patients we care for depend on us to help them get back their freedom and livelihood
* Competitive Compensation Packages
* Medical, Dental, and Vision Benefits
* 401(k) Retirement Plan with…