Job Title: Associate Manager, Managed Care
Change people’s lives and love what you do! Cochlear develops world-leading medical devices that help people hear. As the top 100 medical device company and market-leader in implantable hearing devices, more people choose a Cochlear-branded cochlear implant system than any other. Our employees tell us that the number one reason they enjoy working for Cochlear is the opportunity to make a difference to people’s lives.
About the role
In order to help deliver exceptional support to recipients and patients in need of implantable hearing technologies, we are recruiting for an Associate Manager, Managed Care. The role can be remote, or in office at our U.S headquarters in Centennial, CO.
To be successful in this role, you will need to exhibit superior reimbursement knowledge and a strong understanding of the U.S. payer environment. You will apply your provider relations and contract negotiation experience to obtain agreements with health plans and form relationships that allow for collaborative environment. You’ll work closely with Health Economics and Reimbursement Billing Services team members to eliminate barriers for recipients in need of replacement parts and accessories.
In this role you'll have the opportunity to make a significant contribution to Cochlear's successful history of innovation by applying your knowledge of managed care contracting and provider relations. You'll know you've been successful in this role when your team has helped to reduce barriers and increased access to implantable hearing technologies.
Accountability 1: Develop and Manage Contract Negotiations with Third Party Payers
- Build and manage relationships with key third party payers.
- Lead the end-to-end negotiations of third party contract agreements which include the review, negotiation, implementation and maintenance of contracts consistent with the organization’s strategic goals, business and marketing plans.
- Manage a portfolio of payer contracts that optimizes organization revenue, margin and growth in alignment with Cochlear’s strategic objectives.
- Communicate and operationalize contract terms, amendments and policy terms.
- Support the development and evaluation of new business relationships with payers in order to decrease processing time for managed Medicaid and Medicare recipient orders.
- Coordinate financial analysis of payer contract performance and modeling projections based on alternate contract agreements with payers, adverse trends, etc. and make appropriate recommendations on conclusions.
Accountability 2: Manage Internal and External Third Party Payer Relations
- Work collaboratively with internal stakeholders to define and achieve common payer strategy and reimbursement objectives.
- Ensure provider agreements are maintained in an effort to facilitate proper billing and collection of company claims.
- Resolve managed care operational issues with third party payers such as billing, prior authorization and any other items that cause claims disruption.
- Assist with managing existing internal and external Payer Relations by resolving significant issues and/or identifying contracting opportunities.
To add value to Cochlear in this role you'll be able to demonstrate the following skills and experience in your application and at interview:
- Bachelor’s Degree plus 5 years of experience in managed care/insurance, healthcare, DME provider office; or 10+ years of experience in managed care/insurance, healthcare, DME provider office
- At least 5 years of experience in contract negotiations or provider relations.
- Demonstrated experience developing and implementing reimbursement strategies within the managed care community
- Ability to build and maintain effective relationships within the Company and with customers
- Strong analytical skills and ability to research and resolve issues
- Must have a strong attention to detail
- Must be able to deal with internal and external customers in a professional and diplomatic manner
- Must be able to learn at a fast pace in a dynamic environment
- Must be able to work independently, multi-task and be highly organized
- Excellent customer service skills
- Must be able to process a high volume of work within tight deadlines
- Proficient in Excel, Word, etc.
- Ability to travel up to 20%
DME/POS contracting experience
Working at Cochlear Americas:
- Work with dedicated and passionate colleagues to help more people hear
- Diverse culture
- Highly collaborative team environment
- Opportunities for growth and development
- Competitive salary, benefits and bonus
- State of the art facility with great work/life balance conveniences (daily on-site coffee barista, onsite gym, dry cleaning services and more)
Apply now by completing your application form online. Cochlear is an equal employment opportunity organization. Applicants must meet the job specific application criteria to be considered.
Cochlear pioneered and is the global leader in the research and development, manufacture and marketing of implantable hearing solutions. Cochlear’s global headquarters is located in Sydney, Australia where we design and manufacture the leading cochlear implant devices in the world. A success story in the commercialization of R&D, Cochlear has a 60% share of the global market, employs more than 2,500 people worldwide, operates directly in over 20 countries and sells in over 100 countries. Over 250,000 people across more than 100 countries now experience hearing as a recipient of a Cochlear hearing solution. Cochlear can offer:
- The Work - A high impact job supporting world leading technology
- The Organization – A global leader in active implantable medical device hearing technology
- The Opportunity – To make a difference to the quality of people’s lives and grow your career
As a world-leader in innovative medical devices, Cochlear encourages continuous learning for employees. Visit www.cochlear.com/careers for more information.
Apply now by completing your application form online. Applicants must meet the job specific application criteria to be considered.
Cochlear Americas is an Equal Opportunity, Affirmative Action Employer and provides equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, marital status, veteran status, or any other characteristic protected by federal, state or local law. In addition, Cochlear will provide reasonable accommodations for qualified individuals with disabilities. If you require accommodation with completing the online application, please contact us via web or phone at 303-264-2349. #cochlearcareers