Remote Coding Director Jobs in California (NOW HIRING)

As a global medtech company, we are driven by our Vision of changing the trajectory of lives for a new day and our Mission to create ingenious solutions that ignite patient turnarounds. Our relentless commitment to patients and strong legacy of innovation in healthcare are the foundation of our future. If you're looking for a new chance, a new beginning, a new trajectory, LivaNova is where your talent can truly thrive. Join our talented team members worldwide to become a pioneer of tomorrow-because at LivaNova, we don't just treat conditions - we aspire to alter the course of lives.

Position Summary

The Director will lead US Field Market Access efforts in a defined region across LivaNova Neuromodulation businesses with a focus on expanding access to care. Given the complexity of the US healthcare system this role requires a deep understanding and experience in engaging both providers and payers.

On providers, the Director will work closely with our commercial team to expand access to care by educating providers on correct billing and coding practices, communicating economic value propositions and troubleshooting reimbursement concerns.

On payers, the Director will work closely to ensure commercial payers have comprehensive coverage policies for LivaNova technologies and that state Medicaid plans adequately compensate providers for care. A unique focus of this role is working with a defined region of Medicaid plans and potentially state government decision makers.

To be successful in this role and help more patients gain access to neuromodulation care the incumbent must have deep experience engaging and education providers and payers on neuromodulation technologies and procedures or experience at hospitals and payers assessing medical technologies and ensuring correct billing and reimbursement of care.

This individual contributor role involves relationship development with senior hospital executives, physicians and surgeons, commercial payer medical directors and executives, Medicare and its contractors, elected state Legislators and appointed Medicaid directors and administrators.

The successful candidate must demonstrate excellent communication and collaboration skills, demonstrated execution skills, ability to engage and support US commercial partners in sales and marketing, and high level of competence in reimbursement, health economics and coverage for medical devices in the US.

Location: US Remote with preference for candidates located in the Western half of the US and the Midwest regions.

POSITION RESPONSIBILITIES:

• Work closely with commercial leaders and teams to develop and implement provider education efforts to support new neuromodulation program starts, program expansions and restarts.

• Develop strategy and lead advocacy efforts with commercial and governmental payers for a defined region or assigned payers on the coverage and payment adequacy of company procedures and technologies.

• Advocate and lobby state Medicaid agencies and legislatures for improved procedure payment.

• Work with internal teams to develop value messaging and content that summarizes existing clinical and economic evidence to support product positioning and adoption.

• Monitor, analyze, and influence health care policy to ensure policy environment supports LivaNova innovation.

• Assess and communicate the coding, coverage and payment landscape for LivaNova products to internal and external stakeholders.

• Support the development of tools and messaging to advocate for comprehensive coverage and adequate payment rates; including, dossiers, budget impact models, reimbursement guides, etc.

• Communicate evidence requirements and reimbursement landscape to internal stakeholders.

• Provide training and education programs on reimbursement best practices and health policy issues to internal stakeholders and provide training and education to the sales force, physicians, office administrators and hospital personnel.

• Develops relationships with professional societies, medical associations, advocacy groups, thought leaders and trade groups for the purposes of driving comprehensive coverage and adequate payment of LivaNova products and procedures.

QUALIFICATIONS:

• Bachelor's degree

• Advanced degree in health policy, public health, health economics or related field of study preferred.

• Neuromodulation experience is preferred.

• Hospital and payer experience assessing medical technologies or establishing coverage policies is helpful

Key Requirements

• 10+ years' experience advocating to commercial payers, Medicare and state legislatures and Medicaid agencies.

• 10+ years of experience and track record of success in advocating for improved coverage and / or increased payment rates with US commercial payers, Medicare and Medicaid.

• 10+ years of experience educating and engaging healthcare providers on procedure and technology coding, coverage and payment.

• Experience developing a payer engagement strategy with supporting content and messaging.

• An in-depth understanding of the reimbursement environment to assist customers in navigating coverage and ensuring access to LivaNova technologies.

• Experience working closely with marketing and sales organizations.

• Excellent understanding of payers, policy developments and implications for LivaNova.

• Demonstrated ability to manage diverse portfolio of products and reimbursement needs.

• Experience communicating reimbursement and economic information to external stakeholders.

• Experience building coalitions and managing projects with external consultants.

• Ability to give best in class reimbursement advice to customers and internal stakeholders.

• Must self-motivated, passionate, with exceptional communicator.

• Ability to develop and manage multiple projects.

• Highly results and action orientated.

Employee benefits include:

Health benefits - Medical, Dental, Vision

Personal and Vacation Time

Retirement & Savings Plan (401K)

Employee Stock Purchase Plan

Training & Education Assistance

Bonus Referral Program

Service Awards

Employee Recognition Program

Flexible Work Schedules

Pay Transparency: A reasonable estimate of the annual base salary for this position is $165,000- $220,000 + discretionary annual bonus. Pay ranges may vary by location.

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