The Reimbursement Liaison will serve as an expert in reimbursement policies to ensure patients have access to Glaukos' sight saving technologies. The position involves educating HCPs and their office staff on clinical documentation, securing treatment approvals, and providing education on billing and coding practices.
Requirements
- Bachelor's degree in a related field
- 8+ years of experience working with specialty pharmaceuticals or surgical devices
- Minimum of 3 years 'direct' reimbursement/healthcare policy experience
- Previous sales, district management, field reimbursement, hospital or practice experience
- Eyecare experience
- Reimbursement experience with physician-administered injectables and/or medical devices, Category III CPT codes and/or miscellaneous J-codes, specialty pharmacy and buy & bill acquisition, and benefit verifications, prior authorizations, claims assistance, and appeals
- Payer/insurance coverage experience with Medicare, Medicare Advantage, VA/Tri-Care, Commercial and Medicaid plans
- Ability to travel adequately to cover territory, as well as overnight travel (~50%) and attendance at scheduled training and meetings
- Proven record of accomplishment in achieving objectives and corporate goals with minimal direct supervision
- Demonstrated creativity, situation analysis/problem solving skills and analytical skill ability
- Excellent communication skills, including written, verbal and listening. Strong presentation and training skills
- Demonstrated leadership and project management skills
- Significant experience working with a Patient Service Center/Hub
- Successful navigation of complex authorization processes for specialty medications, Orphan, or Rare disease
- Educate Healthcare Professionals on the availability of patient support programs such as Co-Pay Assistance and Patient Assistance Programs
