Reimbursement & Pricing Specialist Job at GForce Life Sciences, Maple Grove, MN

OXpVMkRWcXVCWis0ZklnbmhnT1dnaTQ3Nnc9PQ==
  • GForce Life Sciences
  • Maple Grove, MN

Job Description

Consultant, Clinical Reimbursement and Pricing Specialist, Medical Devices

Summary

Our client, a Fortune 500 medical device company , has engaged GForce Life Sciences to provide a detail-oriented and knowledgeable Clinical Reimbursement and Pricing Specialist to support the pricing and contracting process by triaging and resolving lower- to mid-level pricing deviations and related issues. The ideal candidate will have 2–4 years of experience in reimbursement and coding, with a strong understanding of healthcare compliance and technical reimbursement processes.

Job Duties

· Review and address lower- to mid-level pricing issues that arise during the contracting process.

· Triage reimbursement-related inquiries and escalate complex cases as needed.

· Ensure compliance with federal, state, and industry reimbursement regulations.

· Apply knowledge of US reimbursement coding, including DRG assignments and APC categorizations.

· Interpret complex disease states and communicate related technical product information effectively.

Requirements

· Bachelor’s degree in business administration, sciences, nursing or a related field or equivalent work experience

· A minimum of 3 years’ experience involving coverage policies, procedures and regulations including but not limited to: Clinical and AdvaMed Code of Ethics on Interactions with Health Care Professionals.

· Experience with US reimbursement coding, Diagnostic Related Group (DRG) assignments, Ambulatory Payment Classification (APC) categorization and process.

· Demonstrated knowledge of federal, state and industry rules and regulations governing technical aspects of reimbursement and compliance

· Ability to understand complex disease states and technical product information

· Advanced personal computer skills, including experience with Microsoft Office

· Experience with budget and contract negotiations.

Preferred Requirements

· Experience in international reimbursement

Term & Start

· Contract through end of the year, possibility of converting FT

· Hybrid in Santa Clara, CA, Sylmar, CA, Maple Grove, MN, Plano, TX, or Burlington, MA (4 days/week onsite)

Job Tags

Contract work, Work experience placement,

Similar Jobs

Princess House

Copywriter & Copy Editor (English/Spanish) Job at Princess House

 ...integral role in developing and translating marketing communications that define, support and...  ...several channels, including catalog, Social media and web, for marketing, sales and corporate...  ...perform the essential functions. LEVEL OF SUPERVISION RECEIVED: Performs... 

Premium Merchant Funding

Sales Development Representative (Fintech/Small Business Lending) Job at Premium Merchant Funding

 ...Wynwood, Miami | Full-Time About Us: At Premium Merchant Funding, we're on a mission to revolutionize financial solutions for small and medium-sized businesses. Headquartered on Wall Street, our Miami office in the vibrant Wynwood district embodies the energy,... 

Caesar Event Rentals Orlando

Sales representative - Events & Furniture Rental Job at Caesar Event Rentals Orlando

 ...Caesar Events USA is a reputable and growing company in the event furniture rental industry for venues, shows, parties, conventions, etc. We are expanding and looking for a dynamic, enthusiastic, and energetic salespeople with strong sales and marketing skills to drive... 

The H&K Group

Construction Intern - Philadelphia Job at The H&K Group

 ...opportunity to work cross-functionally with multiple departments and/or business partners, applying what youve learned in class to various...  ...or 60+ credits towards the bachelors degree Previous internship or work experience in the construction or construction... 

CAE

Tactical Data Link Instructor Job at CAE

 ...team requirements. Qualifications and Education Requirements ~4 years of Multi TDL experience and training Military instructor experience Capable of worldwide deployment supporting Mobile Training Teams, often under field conditions Associate Degree...