4 часа назад
Manager, RHEMA (Reimbursement, Health Economics & Market Access)
95 700 - 239 200$
Вакансия из Hirify Global, списка международных tech-компанийДля мэтча и отклика нужен Plus
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Manager, RHEMA (Reimbursement, Health Economics & Market Access) (Medical Technology Consulting): Leading coding analyses, reimbursement assessments, client engagements, and market access strategies for medical technology clients with an accent on CPT, HCPCS, ICD-10 coding, clinical documentation, and reimbursement policy. Focus on managing project plans and deliverables, presenting findings to healthcare stakeholders, leading project teams, and mentoring junior consultants.
Location: Washington, DC, United States of America; remote work environment available with occasional travel for client meetings, conferences, and internal meetings.
Annual base pay: $95,700–$239,200, depending on qualifications, location, and schedule.
Company
IQVIA MedTech and MCRA provide regulatory, clinical, reimbursement, market access, and quality solutions for the medical device and diagnostics industry.
What you will do
- Serve as a subject matter expert in reimbursement systems, coding methodologies, and clinical documentation.
- Lead inpatient facility and outpatient professional coding analyses using CPT, HCPCS, ICD-10-PCS, and ICD-10-CM.
- Conduct surgical coding audits and medical record reviews to assess coding accuracy, reimbursement implications, and compliance risks.
- Develop reimbursement, payment, coverage, and market access strategies based on coding and clinical findings.
- Manage client engagements, including planning, timelines, budgets, quality, deliverables, reports, and presentations.
- Lead project teams, mentor junior consultants, present findings to healthcare stakeholders, and support proposals and thought leadership.
Requirements
- Bachelor’s degree or equivalent professional experience.
- Typically 5–10 years of inpatient facility and/or outpatient professional coding experience, plus reimbursement, consulting, market access, provider strategy, or revenue cycle experience.
- Advanced knowledge of CPT, HCPCS, ICD-10-PCS, ICD-10-CM, medical record review, and surgical coding audits.
- Current AAPC or AHIMA certification, such as CPC, CCS, CCS-P, RHIA, or RHIT.
- Strong analytical, communication, presentation, project management, and client management skills.
- Proficiency with Microsoft Office applications.
Nice to have
- Advanced degree in a related field.
- Additional specialty coding credentials.
- Experience translating coding analyses into reimbursement and market access strategies.
- Experience presenting to physicians and provider organizations.
Culture & Benefits
- Professional office or remote work environment.
- Occasional travel for client meetings, conferences, and internal meetings.
- Health and welfare benefits may be available.
- Incentive plans, bonuses, or other compensation may be offered depending on the position.
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