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Market Access and Reimbursement Contractor

Remote:

Full Remote

Contract:

Part time

Work from:

California (USA)

Offer summary

Qualifications:

Minimum 10 years in reimbursement and market access roles, Expert knowledge of vision insurance and FDA regulations, Bachelor’s degree required, master's preferred.

Key responsabilities:

Develop operational and coverage strategies
Ensure compliance with reimbursement regulations
Monitor reimbursement landscape for insights

ICONMA Human Resources, Staffing & Recruiting Large https://www.iconma.com/

1001 - 5000 Employees

See more ICONMA offers

Job description

Market Access and Reimbursement Contractor

Location: Remote
Duration: 2 months

This is a part-time role (10 hours/week).
Schedule Notes: fully remote candidates, part time role 10 hours / week

Key Qualifications
Proven experience (minimum 10 years) in reimbursement and market access roles
working with vision plans, eyewear medical device / manufacturers and/or retailers
Expert knowledge of vision insurance value propositions and assessments,
credentialing, regulatory requirements, and claims / billing
Strong knowledge with the eyewear ecosystem, reimbursement mechanisms, account management, provider network dynamics, and pricing models across
major payer segments e.g. Commercial, Medicare Advantage, Medicaid
Familiarity with FDA-regulated and OTC healthcare items / services
Ability to balance strategic thinking with tactical execution, including guidance to internal team on resource allocation, pricing strategies, and market penetration
Excellent business acumen and analytical and problem-solving skills, with the ability to translate complex data into actionable insights
Experience in engaging with key stakeholders such as payers and eyecare professionals

Education & Experience:
Bachelor’s degree with industry experience required.
A master's degree or higher in science, business, or related discipline is preferred.

Operations Strategy and Implementation:
Develop a thoughtful strategy and roadmap to operationalize insurance billing across payer credentialing and contracting, billing for insurance claims, and processing insurance information

Coverage Strategy and Implementation:
Help inform strategies to secure coverage and payment of innovative prescription technologies in vision

Regulatory Compliance:
Stay up-to-date with relevant reimbursement regulations, policies, and guidelines, ensuring compliance in reimbursement
activities

Competitive Intelligence:
Monitor eyewear / vision reimbursement landscape, providing insights and recommendations to inform strategic decision making.

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws