Area Reimbursement Lead - IN, KY, MI, OH, WV Territory - Remote

Role Summary

The Area Reimbursement Lead (ARL) – Cardiovascular is a field-based leadership role responsible for directing a team of Access Reimbursement Managers (ARMs) within an assigned geography, while providing hands-on support for complex access and reimbursement issues. The ARL partners with the Associate Director, Access & Reimbursement (ADAR) and reports to the Regional Director (RD) to ensure comprehensive access support for large systems of care and field-based initiatives. This remote, field-based role covers Indiana, Kentucky, Michigan, Ohio, and West Virginia; the associate must reside within the territory or within a 60-mile commuting distance of the border.

Responsibilities

• Lead, develop, and coach a team of ARMs to achieve and exceed business goals, objectives, and metrics.
• Develop, communicate and cascade Cardiovascular ARM strategies, plans, objectives and metrics and align these with the overall ARM and community-based strategies as appropriate.
• Guide, coach and mentor field team (including helping to solve complex reimbursement issues) and conduct regular field rides with ARMs to gain first-hand knowledge of customer access concerns and questions.
• Create and implement area-level strategic plans incorporating data insights, resource utilization, and actionable goals to enhance patient access.
• Act as the key conduit between ARM teams and internal stakeholders, ensuring the timely escalation of access and reimbursement challenges.
• Manage performance evaluations, providing actionable feedback through field contact reports, and continuous feedback throughout the year.
• Collaborate with the RD to ensure alignment of ARM team objectives with area and regional strategies.
• National and Regional Leadership Support: lead projects and initiatives at area, regional, and national levels to support organizational priorities.
• Maintain a deep understanding of NPC policies and requirements and perform all responsibilities with integrity and in a manner consistent with company guidance and policies, relevant state and federal laws and regulations, and prescribed Values and Behaviors. Handle Patient Identifiable Information (PII) appropriately and ensure HIPAA compliance and privacy guidelines.
• Responsible for identifying and reporting adverse events via the established systems as per applicable processes.

Qualifications

• Required: Bachelor's Degree.
• Preferred: Advanced degree.
• Preferred: 2+ years of first-line leadership experience.
• Preferred: 5+ years of Access & Reimbursement experience (Buy-and-Bill strongly preferred).
• Required: Excellent working knowledge of reimbursement and the practice management environment.
• Required: Strong understanding of commercial payers, Medicare, and state Medicaid in the geographic region.
• Required: Experience in patient assistance support, reimbursement support and other access programs.
• Required: Travel as required, potentially on short notice.
• Required: Resident within the assigned geographic area.
• Required: Driving is an essential function; must have a fully valid and unrestricted driver’s license.

Skills

• Excellent communication skills and ability to coordinate/manage large projects and initiatives.
• Strong financial planning, analysis and management skills; ability to build territory and account-specific business plans.
• Strong teamwork orientation and partnering skills; track record of working collaboratively with multiple internal/external partners.
• Strong organizational and time management skills; ability to organize and prioritize the work of others.
• Resource optimization; knowing what/who to use and when for optimal results.
• Outstanding influencing and presentation skills with demonstrated achievements.
• Strong customer orientation focus.
• Strong capabilities in decision making, teamwork and collaboration, business acumen, managing change, and strategic agility.

Additional Requirements

• Travel as required, including potential short notice.
• Driving is an essential function; must have a valid and unrestricted driver’s license.