Reimbursement Policy Associate II

San Francisco, CA

Posted: 12/11/2015 Employment Type: Contract To Hire Job Number: 1225

Great Consulting Company located in SF is looking for an experienced Reimbursement Associate!

Responsibilities:
  • Evaluate drug and device technologies and determine Medicare and managed care reimbursement policies
  • Identify and review national, regional, and local coverage policies to identify rationale behind positive and negative coverage decisions
  • Search diagnosis, procedure, drug, device, and supply codes to identify potential options and new pathways for new life science and medical technologies
  • Understand payment systems to identify fee for service payment levels across provider types and settings of care
  • Develop and help implement reimbursement roadmaps/strategies for hospital inpatient and outpatient services, physician office procedures, physician surgical services, retail and specialty pharmacy products, DMEPOS items, clinical lab services including advanced diagnostics, etc.
  • Health care or business experience (1-4 years) particularly in the drug or device industry
  • Superior written and verbal communication skills
  • Work independently and in a team setting
  • Superior organizational skills with the ability to adapt and adjust to changing priorities
  • Be results and performance oriented; focus on improving operational efficiencies and leveraging tools and resources 
  • Demonstrate sound judgment in individual job duties, project teams, as well as in the office environment at large
  • Develop spreadsheets and understand project budgets and perform project tasks to pre-specified budgets
  • Understand billability targets and work with colleagues and management to meet individual billability requirements
  • Excellent proficiency in Microsoft Office Excel, Word, PowerPoint, and Outlook 

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