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Consultant / Senior Executive, Payer / CMS Process Strategy & Negotiat - healthcare - job employment

City: San francisco bay area
Date: 12 Feb 2018
Category: Medical / Health

Contract Position with Rapidly-Growing Medical Device Company

ROM3 is a three-year-old medical technology company that has created and patented a revolutionary orthopedic rehabilitation device (see our product video at We have been well-funded, having raised $3.1 million to date (on our way to an initial $5 million raise), and are currently planning for a public offering within the next nine months.

We introduced our initial product to the market in 2016. This year, we are planning to launch a new, groundbreaking and portable version of the product. We are currently in the design phase and have a core team of professionals working to make it a success but now are in need of an expert in CMS/private payer reimbursement strategy to join our team.

This senior position will be responsible for negotiating and procuring billable HCPCS/CPT codes (or their equivalent in a bundled payments environment) along with assisting to develop product strategy. This candidate will have experience with designing and refining healthcare business models based on product strategy. The ideal candidate will have years of experience in successful negotiation with CMS, private payers, and Managed Care organizations and may have strong and well-established professional relationships with healthcare insurers.

Advise management on healthcare business strategy
Share insights and recommendations for product strategy
Negotiate billable HCPCS/CPT Codes with CMS
Negotiate reimbursements with other Managed Care Organizations

Key Requirements:
Possess the skills, knowledge, and ability to strategize and successfully negotiate billable HCPCS/CPT codes with the Centers of Medicare and Medicaid for billable/reimbursable codes
10+ years of negotiating care contracts and reimbursement with Managed Care organizations
Complete and thorough knowledge of the Healthcare and Medical Device field (preferably orthopedic devices, but not required)

ROM3's leadership team is comprised of successful serial entrepreneurs, and the company's current product offerings are only one part of a broader product lineup that they plan to roll out over time. That means that for the right candidate, this position may grow into a long-term relationship that includes many future projects.

Qualified candidates, please respond with an up-to-date resume, examples of medical devices that you have successfully developed reimbursement strategy and negotiated reimbursable, billable HCPCS/CPT codes with CMS, and a cover letter detailing why you are the ideal fit for this job. Submissions without a cover letter will not be considered.

Compensation is competitive and negotiable, based on experience, accomplishments, and proven success. Executive-level consulting in a part-time or full-time capacity will be considered.

Finally, openness, honesty, and candidness are qualities we respond to--as opposed to framing things in the right way with the right words. Please be who you are and let the dice roll.
Thank you for your interest.
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