Oticon Medical is a Hearing Implant company providing solutions for those with hearing losses that a hearing aid cannot treat. The Sr. Manager, Insurance is responsible for the direction and oversight of the insurance team and accountable for delivering a best-in-class customer experience from them.

• Develops a culture, procedures and policies that lead to a best-in-class customer experience with focused health insurance acumen.
• Responsible for the strategic intent and operations of the insurance team.
• Collaborates with the relevant commercial and clinical groups within Oticon Medical to maximize coverage and reimbursement for all current and future products.
• Drafts, implements, and executes policies and procedures to facilitate a quality and compliant customer experience.
• Establishes service levels and requirements for the department including role-based performance metrics.
• Develops and implements methods to record, assess, and analyze customer feedback.
• Manages direct reports and will be responsible for their performance and development
• Understands the healthcare and Medicare/Medicaid/private insurance environments, and tracks changes that can affect future reimbursement and policy expansion.
• Proactively identifies, assesses and communicates key policy, reimbursement and contracting issues (including utilization management and prior authorization)
• Leads an internal Insurance Services team through referral/order receipt, medical record review, benefits investigation, pre-authorization approval and denial appeals and claims preparation and submission.
• Coordinates claims/enrollment/collections with other departments within the company.
• Develops and implements training and quality assurance programs for new hires and experienced employees.
• Identifies and recommends expansions to technology, equipment, and policies that may improve service and retention.
• Acts as a liaison between the insurance and customer service department and other divisions in the company.
• Drafts, implements, and manages the departments budget.
• Holds oneself and others accountable to conduct business in a manner compliant within Oticon Medicals Code of Conduct, policies and procedures and internal controls applicable to their role.
• May perform miscellaneous tasks/projects as directed by the General Manager.

• 5 years of experience in Insurance/Reimbursement (DME preferred) and prior management experience
• Bachelors degree required; advanced degree preferred.
• Expert knowledge of reimbursement, government/commercial payer requirements (Medicare, Medicaid, Commercial, VA, etc). Process-oriented with strong analytical and problem-solving skills.
• Experience working in customer-facing roles
• As a manager of high performance, customer-facing teams, the candidate must possess Leadership qualities.
• Excellent verbal and written communication skills.
• Excellent interpersonal and customer service skills.
• Excellent organizational skills and attention to detail.

The Company is an Equal Opportunity / Affirmative Action employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

#LI-RW1 #OTM