About Inspire Medical Systems 

Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are revolutionizing the sleep industry with our FDA-approved medical device, designed to reduce OSA severity for those who cannot tolerate or get consistent benefit from CPAP. Our focus on patient outcomes is at the core of everything we do, and our “think I can” attitude drives us to make a difference in the lives of those seeking alternative sleep apnea treatments.   

Why Join Our Fast-Growing Team 

At Inspire, we value people – your diverse experiences, backgrounds, and thoughts. We elevate voices and encourage learning opportunities to build a professional network that grows into community. We embrace a people-first culture by offering hybrid work schedules, excellent benefits, 401k matching, ESPP, flexible time off (FTO), and tuition reimbursement. 

If you’re passionate about making a difference in people’s lives and want to work with innovative technology, come be a part of our great team! 

About This Position  

The Reimbursement Senior Manager will support the day to day reimbursement needs for both internal and external customers. The Reimbursement Senior Manager will utilize analytical and critical thinking skills/experience to help solve complex reimbursement related problems and work directly with customers to ensure they are fully trained on Inspire billing and coding practices. The Reimbursement Senior Manager should be experienced in the area of third-party (commercial) and government reimbursement process and policies, particularly as it relates to supporting hospital and physician customers. The role will contribute regularly to developing and distributing materials regarding key Inspire reimbursement information to the appropriate groups. The Reimbursement Senior Manager will serve as a key partner to customers (physicians and hospitals) and the Inspire sales team in assisting with coding and claims issues/denials and providing overall reimbursement support. This role will report to the Director of Market Access.

Opportunities You Will Have In This Role  

• Serve as subject matter expert for internal and external customers regarding all existing and newly established coding, coverage and payment associated with Inspire.
• Assist with the development and maintenance of coding, coverage, and payment information and tools that supports customer understanding and education.
• Provide support and analysis to the field in the areas of US reimbursement rules and regulations for Inspire. 
• Maintain a comprehensive knowledge of the rules and regulations of CMS as well as major commercial payers.
• Contribute to solutions for reimbursement coding, payment and coverage challenges for commercialized products.  
• Partner with other team members and the US Sales team on critical coding, coverage and payment hospital focused messages and development of tools and customer resources. 
• Contribute to reimbursement education programs to internal and external constituents. These programs can include training, best practice sharing, and delivery and sharing of reimbursement expertise and knowledge.
• Prepare and deliver training and education webinars and presentations to internal and external audiences on Reimbursement topics.
• Development and update of payment spreadsheets/calculators to provide account specific payment information.
• Contribute to and project manage cross-functional projects such as reimbursement collateral development and field-based training seminars.
• Track and report project status, timelines, and findings, highlight successes, and measure the contribution of outputs to the business. 

What You Can Bring To Our Great Team

Required

• Bachelor’s degree in business, science or healthcare administration required.
• Minimum ten (10) plus years of work experience in reimbursement/market access/health economics for a medical technology/device company, health care consulting firm, insurance company, healthcare delivery system, physician’s office and/or hospitals.
• Demonstrated knowledge and understanding of U.S. healthcare reimbursement mechanisms (Medicare prospective payment systems, third-party payer coverage, clinical and procedural coding) and regulations related to reimbursement for medical technology products. 
• Able to work independently, cross functionally and as part of a team to problem solve and seek advice when necessary performing work with limited oversight and supervision. 
• Able to make recommendations and implement process improvement opportunities. 
• Able to manage multiple tasks with high degree of organization-prioritization skill and attention to detail and accuracy.
• Excellent verbal and written communication skills. Must have demonstrated comfort and capability routinely communicating with patients, physicians, hospital billers, and sales representatives.
• Strong computer skills (Excel, Word, PowerPoint).

Preferred

• Coding certification (CPC, COC) preferred
• Experience in providing coding, coverage, and payment advice in a healthcare setting with an emphasis on implantable devices preferred.
• Successful strategic coding and policy development and execution.

Inspire Medical Systems provides equal employment opportunity (EEO) to all employees and applicants without regard to race, color, religion, creed, sex, national origin, age, disability, marital status, familial status, sexual orientation, status regarding public assistance, membership or activity in a local commission, military or veteran status, genetic information, or any other status protected by applicable federal, state, and local laws. This policy applies to all aspects of the employment relationship, including recruitment, hiring, compensation, promotion, transfer, disciplinary action, layoff, return from layoff, training, and social and recreational programs. Inspire Medical Systems complies with applicable laws governing non-discrimination in employment in every location in which Inspire Medical Systems has facilities. All such employment decisions will be made without unlawfully discriminating on any prohibited basis.

Inspire Medical Systems is an equal opportunity employer with recruitment efforts focused on ensuring a diverse workforce. Applicants with a disability that need accommodation to complete the Inspire Medical Systems application process should contact Human Resources at 844-672-4357 or email careers@inspiresleep(dot)com  

Inspire Medical Systems participates in E-Verify.