Join Our Team

The Healthcare Solution and Reimbursement Manager at EvoEndo is a field-based employee responsible for working directly with hospitals and physicians to ensure they recognize the economic and clinical value of the EvoEndo sedation-free endoscopy system. Successful candidates will have excellent technical expertise in the areas of healthcare administration and delivery, facility and physician reimbursement, and health economic value messaging. The right candidate for this opportunity will exhibit outstanding communication skills, the ability to present complex information to a broad and diverse group of stakeholders, and the ability to convey the unique capabilities EvoEndo has in this market. The role is ideal for candidates who enjoy both strategy and execution and who welcome the opportunity to travel, as this field-based position will involve overnight travel, estimated up to 50%. 

• Work directly with hospitals to evaluate reimbursement activities and overall financial environment relating to EvoEndo by analyzing key customer needs, including coding (ICD-10, DRG, CPT), claims denials, and procedural documentation.
• Establish and maintain effective working relationships with key stakeholders (including Endoscopy staff, Billing, Administration and Physicians, interventionists and surgeons) at hospitals engaged in EvoEndo procedures, to support the site in establishing and maintaining an EvoEndo program through development and implementation of reimbursement plans (coding, coverage, payment) unique to each provider.
• Articulate a thorough understanding of the commercial and government payer landscape including coverage policies and payment processes by identifying payer opportunities and issues and implement programs to resolve/mitigate barriers to entry for the EvoEndo platform; this will include managing and addressing coverage policy issues with payers as necessary.
• Present complex health economic information to influential and diverse groups in a way that is engaging, credible, and easily understood.
• Manage relationships with commercial insurance service carriers to optimize reimbursement environment and coverage for EvoEndo technology.
• Assist our sales team in the development, implementation, and management of strategic initiatives within geographic territories.
• Support sales and clinical teams with reimbursement questions and issues.
• Create training materials and deliver education programs to sales force, physicians, medical directors, billing personnel, distributors, and other internal and external stakeholders as needed.
• Via in-person & virtual meetings, educate and train sales team on health economic tools and messaging; train sales team members (individually, and in groups) on the use of economic tools in a compliant manner.
• Other duties as assigned.

Required Qualifications 

• Previous experience in (or strong working knowledge of) hospital finance or medical device industry specifically pertaining to health economics, reimbursement planning, and program implementation.
• Strong understanding of US health care policy and payment systems, including hospital and physician reimbursement.
• Ability to review medical records and verify medical criteria as cases are reviewed.
• Outstanding interpersonal skills and experience developing relationships at all organizational levels to influence business objectives.
• Ability to balance strategic thinking with intricate planning and strong tactical execution.
• Demonstrate responsiveness and a sense of urgency.
• Ability to prioritize work and manage multiple priorities.
• Demonstrates comfort with ambiguity and the ability to adapt continuously. 
• Experience and comfort with complex concept sales involving changes in customer behavior or care-pathway. 
• Ability to gain high levels of credibility and excellent persuasion skills to achieve desired results.
• Functional and cross-functional teamwork experience.
• Ability to work independently.
• A valid driver's license issued in the United States.

Preferred Qualifications 

• An advanced degree such as an MBA, MPH, or MHA in health policy, health economics, healthcare administration, health services research, or similar discipline is highly desired but not required. 
• Extensive knowledge of medical coding, including ICD-10, DRGs, CPTs, and HCPCS codes. AAPC certification a plus Gastroenterology and/or Endoscopy experience preferred,

Please apply through our LinkedIn listing: https://www.linkedin.com/jobs/view/3642773634/