Role Serve as Reimbursement Liaison for ophthalmic devices, focusing on patient access, payer policies, and provider education.
Responsibilities educate HCPs and staff on benefit verification, prior authorization, coding, and billing
assist in overcoming access barriers
monitor reimbursement trends
manage communications
and ensure compliance with legal and regulatory standards related to healthcare reimbursement
Requirements Bachelor's degree (MBA or MPH preferred)
8+ years in specialty pharmaceuticals or surgical devices
minimum 3 years in reimbursement or healthcare policy
experience with specialty pharmacy, medical device reimbursement (Category III CPT/J-codes), and payers including Medicare, Medicaid, and commercial plans
Preferred eyecare background
sales or field reimbursement experience
knowledge of physician-administered injectables
High-Value ophthalmic (corneal) devices
patient support programs
specialty pharmacy
buy & bill processes
complex authorization procedures
WorkSetup travel up to 50% for territory coverage, training, and meetings.