Reimbursement & Health Economics Manager - Central US Region at HISTOSONICS INC

, , United States -

Full Time

Start Date

Immediate

Expiry Date

06 Aug, 26

Salary

200000.0

Posted On

08 May, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Health Economics, Reimbursement Management, Market Access, Medical Device Industry, Coding And Coverage, Payment Methodologies, Revenue Cycle Management, CPT Codes, Payer Engagement, Value Proposition Development, Cross-functional Collaboration, Analytical Skills, Presentation Skills, Communication Skills, Conflict Management, Strategic Planning

Industry

Medical Equipment Manufacturing

Description

HistoSonics is a commercial-stage medtech company advancing the Edison® System, a novel non-invasive sonic beam therapy based on histotripsy. Since receiving FDA De Novo grant for the non-invasive destruction of liver tumors in 2023, the company has progressed beyond initial market entry into commercial expansion, reimbursement momentum, and ongoing clinical and pipeline development. In addition to its current liver tumor indication, HistoSonics is pursuing future indications across multiple applications including kidney, pancreas, prostate, neuro, women’s health, and other significant underserved human health areas, to realize the broader potential histotripsy across multiple disease states and medical specialties. We offer an exciting work culture where cutting-edge science meets real-world application, and each team member’s contribution is important to our success in ensuring our physicians and their patients get what they need most. Location: Remote US: Central Region Travel: 20% for trade shows and to visit accounts/sites. Position Summary Histosonics is expanding its Reimbursement and Health Economics team to support successful commercialization. The Reimbursement & Health Economics Manager is a field-based role responsible for supporting the sales teams and physician and hospital accounts through reimbursement education of coding, coverage, and payment. The position requires company cross functional collaboration with sales, marketing, professional education and prior authorization teams. The Manager serves as the primary reimbursement contact for Histotripsy accounts and the commercial team. The role is primarily focused on field-based account reimbursement support (approximately 80%), with a smaller emphasis on payer engagement and policy support (approximately 20%). Responsibilities * Identify and resolve physician and hospital reimbursement challenges in collaboration with account and prior authorization teams * Lead reimbursement-related calls, meetings, and discussions with new and existing accounts * Support field sales with reimbursement needs across all account stages * Develop and deliver reimbursement and health economics education, onboarding, tools, and training for internal and external stakeholders * Communicate value messaging, coverage strategies, and reimbursement issues * Assess, forecast, and troubleshoot coverage and payment challenges for hospitals and physicians * Manage reimbursement deliverables including reporting, dossiers, billing and coding tools, clinical bibliographies, and reimbursement analyses * Monitor reimbursement, customer, and competitive environments to identify opportunities and risks * Present reimbursement and economic strategies to physicians, administrators, and executive leadership * Develop reimbursement tools and tactics to support provider coverage and payment * Identify and engage key hospital decision-makers (e.g., chargemaster, CFO, compliance, contracting) * Track health economics and reimbursement policy trends impacting Histotripsy and competitors * Provide actionable assessments of local reimbursement environments to guide strategy and execution * Lead analyses and develop recommendations to address economic adoption barriers * Engage local payers to request coverage and appropriate payment * Plan and facilitate meetings with local payers and KOLs to influence coverage and payment * Travel, as needed, to support reimbursement execution, including site visits, sales meetings, trainings, and tradeshows Qualifications and Skills * Bachelor’s degree required; Master’s degree preferred * 8+ years of experience in health economics, reimbursement, or market access within the medical device industry; RF Ablation or Oncology experience strongly preferred * Deep expertise in U.S. public and commercial payer reimbursement, including coverage, coding, and payment methodologies * Demonstrated field reimbursement management experience, including hospital capital equipment, Category III CPT codes, revenue cycle management, physician payment, and Medicare and private payer models; oncology experience a plus * Strong understanding of provider, payer, and revenue cycle decision-making, including private payer medical policies and contracts * Experience working cross-functionally in regulated environments, partnering with clinical, commercial, and policy stakeholders * Ability to interpret and apply clinical and economic evidence to develop and position compelling value propositions for providers, payers, professional societies, and Medicare * Background in hospital administration, physician practice, payer organizations, health economics/outcomes research, or industry reimbursement roles * Excellent analytical, presentation, and communication skills, with demonstrated ability to influence, manage conflict, and drive alignment Salary Range: $140,000-$200,000, plus bonus. Benefits: We offer a comprehensive benefits package for full-time employees. This includes health, dental, and vision insurance, life, short-term and long-term disability insurance, 401(k), paid time off, and more. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. #LI-Remote #LI-LH1

Responsibilities

The role focuses on providing field-based reimbursement education on coding, coverage, and payment to support sales teams and hospital accounts. It involves collaborating cross-functionally to resolve reimbursement challenges and engaging with payers to influence coverage policies.