Field Reimbursement

Requisition ID: 7035 Job Title: Field Reimbursement & Payer Relations Manager - Remote Job Country: United States (US) Here at Avanos Medical, we passionately believe in three things: Making a difference in our products, services and offers, never ceasing to fight for groundbreaking solutions in everything we do; Making a difference in how we work and collaborate, constantly nurturing our nimble culture of innovation; Having an impact on the healthcare challenges we all face, and the lives of people and communities around the world. At Avanos you will find an environment that strives to be independent and different, one that supports and inspires you to excel and to help change what medical devices can deliver, now and in the future. Employment for customer facing roles is contingent upon your ability to satisfy all vendor credentialing requirements. If you are unable to be credentialed, Avanos reserves the right to withdraw your employment offer or end your employment. If you require a medical or religious accommodation from these requirements or if you would like to understand more about these requirements, please advise HR so that we can provide additional information and if needed, we can explore any needed accommodation(s). Avanos is a medical device company focused on delivering clinically superior breakthrough solutions that will help patients get back to the things that matter. We are committed to creating the next generation of innovative healthcare solutions which will address our most important healthcare needs, such as reducing the use of opioids while helping patients move from surgery to recovery. Headquartered in Alpharetta, Georgia, we develop, manufacture and market recognized brands in more than 90 countries. For more information, visit www.avanos.com . Essential Duties and Responsibilities: This is a field-based role requiring the ability to travel >50%. The Field Reimbursement and Payer Relations Manager is part of the Market Access, Reimbursement, and Medical Policy (MA&R) team. The MA&R team supports internal and external customers navigate through reimbursement nuances and barriers, the facilitation of authorizations and appeals, and collaborates with key opinion leaders, Specialty Societies, Government organizations, and payer decision makers to influence coverage via policy change in efforts to increase access to Avanos products. This role will primarily focus on the Avanos Pain Management and Recovery product portfolios. Key Responsibilities: Delivers expert-level acumen on coding, billing, fee schedules, payment methodologies, revenue cycle management support to our customers. Works in partnership with customers to develop strategic and tactical direction to customers based on the reimbursement landscape. Provides superior support to customers to ensure accurate submission and adjudication of claims by translating medical policies, regulatory requirements, clinical coding guidelines, and business reviews in an accurate, consistent, timely, and compliant manner. Develop and execute strategies to secure and expand payer coverage for key company technologies and therapies. Monitor and analyze payer policies, reimbursement trends, and regulatory changes that impact business performance. Collaborate with cross-functional teams including clinical, regulatory, marketing, and commercial leadership to align reimbursement strategies with business objectives. Engage with payers and external stakeholders to communicate the clinical and economic value of company technologies. Support development of payer education materials, reimbursement tools, and policy submissions. Navigate the commercial payer landscape to prepare, develop, and deliver clinical and economic positioning designed to challenge, overturn, or influence payer policies affecting RFA technologies. Fosters a strong alliance with the MA&R Team in the identification applicable market access, reimbursement, and payer coverage changes and/or trends at the customer, regional, and national levels (e.g., CMS rules and updates, payer policies and reimbursement guidelines, and Society and Government initiatives) that may impact patient access to Avanos products. Partners in the development and pull-through of strategic initiatives in efforts to increase access and neutralize barriers to Avanos products. Collaborates with internal teams at tradeshows and events to provide reimbursement education, address reimbursement related concerns, promote our Patient Access Program, and collaborate in the identification of strong physician advocates to assist with efforts to obtain payer coverage. Establishes professional relationships and maintains an effective communication network with the internal and