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Reimbursement Manager I Job

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Date: Feb 14, 2021

Location: Valencia, CA, US, 91355

Company: Boston Scientific

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Purpose and Passion • Comprehensive Benefits • Life-Work Integration • Community • Career Growth

At Boston Scientific, you will find a collaborative culture driven by a passion for innovation that keeps us connected on the most essential level. With determination, imagination and a deep caring for human life, we’re solving some of the most important healthcare industry challenges. Together, we’re one global team committed to making a difference in people’s lives around the world. This is a place where you can find a career with meaningful purpose—improving lives through your life’s work.


Reimbursement Manager I


About the role
The Reimbursement Manager will be responsible for the management and leadership of the Preauthorization Call Center’s Operations and the development and implementation of reimbursement activities. This position will partner with other members of the team to ensure consistent delivery of world class service and provide vision and leadership for strategic projects with significant impact across Boston Scientific. The Reimbursement Manager will work collaboratively across functions, regions and business units to implement strategies and tactical plans to drive effortless customer experiences and deliver results. Additionally, they will act as a champion of change and leverage technologies to drive best practices globally.


Your responsibilities will include:

  • Develop, implement, and manage reimbursement activities for BSC working with divisional staff and key internal and external stakeholders.
  • Develop practical strategies and tactics to secure optimal reimbursement for BSC products and the procedures they enable.
  • Implement and manage activities required to achieve reimbursement strategic objectives (e.g., preparation of economic and reimbursement dossiers for payer negotiations, new code applications, customer billing guides).
  • Identify key reimbursement needs for BSC platform products to determine actions required.
  • Assess reimbursement opportunities and challenges facing the division’s emerging technologies and commercially marketed products and communicate business impact to senior management.
  • Work with new product development teams to ensure reimbursement needs are incorporated into product development plans and timelines; ensure all necessary new product development deliverables are completed on time and on budget.
  • Provide reimbursement support to sales force and key external stakeholders (e.g., hospitals, clinicians, investigator sites, professional societies) as appropriate.
  • Provide appropriate in-service training to sales, marketing, clinical, regulatory, and legal to increase awareness and understanding of reimbursement competency and its role in supporting a product’s success.
  • Monitor policy developments that impact the reimbursement of BSC products.
  • Build relationships in key markets with government, physician, hospital, and third-party payer decision makers.


What we’re looking for in you:
Minimum Qualifications

  • Bachelor’s degree or equivalent experience
  • 5+ years in a management role
  • Insurance Pre-Authorization Reimbursement experience
  • Experience working with various payors including, Medicare, Medicaid, Private Payor, and Workers Compensation as it relates to medical procedures, services, and devices
  • Ability to set priorities and execute work in a fast-paced environment
  • Driven, energetic, self-assured professional with high personal integrity
  • Strong communication (verbal and written), presentation, and project management skills
  • Ability to develop effective, positive interpersonal relationships

Preferred Qualifications

  • Medical Device or Boston Scientific experience


About us

As a global medical technology leader for more than 35 years, our mission at Boston Scientific (NYSE: BSX) is to transform lives through innovative medical solutions that improve the health of patients. If you’re looking to truly make a difference to people both around the world and around the corner, there’s no better place to make it happen.


Boston Scientific is an Equal Opportunity Employer – Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Disability, Veteran


Boston Scientific maintains a drug-free workplace.  Pursuant to Va. Code § 2.2-4312 (2000), Boston Scientific is providing notification that the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance or marijuana is prohibited in the workplace and that violations will result in disciplinary action up to and including termination.

Requisition ID: 475057


Nearest Major Market: Los Angeles

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