Field Reimbursement Manager East

Job Description

Job Description

About Cleerly

We're Cleerly – a healthcare company that's revolutionizing how heart disease is diagnosed, treated, and tracked. We were founded in 2017 by one of the world's leading cardiologists and are a growing team of world-class engineering, operations, medical affairs, marketing, and sales leaders. We raised $223M in Series C funding in 2022 which has enabled rapid growth and continued support of our mission. In December 2024 we received an additional $106M in a Series C extension funding. Most of our teams work remotely and have access to our offices in Denver, Colorado, New, York, New York, Dallas, Texas, and Lisbon, Portugal with some roles requiring you to be on-site in a location.

Cleerly has created a new standard of care for heart disease through value-based, AI-driven precision diagnostic solutions with the goal of helping prevent heart attacks. Our technology goes beyond traditional measures of heart disease by enabling comprehensive quantification and characterization of atherosclerosis, or plaque buildup, in each of the heart arteries. Cleerly's solutions are supported by more than a decade of performing some of the world's largest clinical trials to identify important findings beyond symptoms that increase a person's risk of heart attacks.

At Cleerly, we collaborate digitally and use a wide variety of systems. Our people use Google Workspace (GMail, Drive, Docs, Sheets, Slides), Slack, Confluence / Jira, and Zoom Video, prior experience in these areas is a plus. Role or department specific technology needs may vary and will be listed as requirements in the job description.

While we are mostly a remote company, travel is required for some team meetings and cross function projects typically once per month or once per quarter, for some roles like sales or external facing roles travel could be up to 90% of the time.

About the Opportunity

The Field Reimbursement Manager (FRM) role will function as a reimbursement resource for current and future Cleerly customers. This position will collaborate closely with the Cleerly Sales and Implementation Teams to provide remote and in-person customer support. The FRM will educate and support customer billing staff on coding, reimbursement, market access, prior authorizations, appeals, and a variety of other reimbursement related topics in all sites of service. The FRM will also work with clients to provide education on payor policies, coverage criteria, reimbursement, and patient access.

About the Team

The FRM position will report directly to the Vice President of Market Access and Reimbursement. The Market Access Team consists of three Directors of Market Access, who are responsible for commercial and governmental payor coverage engagement and relationship management. In addition, the team will also include two FRM positions divided between the East and West regions.

Responsibilities

• Direct customer engagement through in-person or on-line meetings.
• Maintain a detailed understanding of all market access and reimbursement related information related to all Cleerly products and related services in all settings of care.
• Maintain a detailed knowledge of and ability to utilize all Cleerly resources and tools for customer assistance.
• Educate internal stakeholders, such as sales, marketing, etc., on nuances to coding, coverage, and reimbursement and how to communicate to customers in accordance with compliance standards
• Cross functional collaboration with Sales, Marketing, and Client Success teams to meet customer reimbursement needs across all phases of the sales process
• Cross functional collaboration with Sales and Implementation Teams to educate new and potential customers on patient access, reimbursement, and coding Cleerly products
• Regularly assess payor coverage policies for changes and communicate to internal and external stakeholders
• Identify, cultivate and maintain client relationships leading to KOL development for payor engagement
• Collaborate with Market Access Directors to engage KOLs for payor coverage engagement
• Assist Directors of Market Access with maintaining payor policy data
• Educate clients (including third party billers) on payor coverage topics, patient selection criteria, billing, coding, and reimbursement
• Work directly with new customer billing and coding teams to educate on prior authorizations, coding, coverage criteria, and other reimbursement related topics.
• Initiate regular, scheduled communications with customers and billing staff to assess any issues and educate accordingly.
• Assist customers with utilization of Cleerly tools and resources for prior authorizations and appeals
• Assess customer payor mix and perform claim reviews to ensure proper billing and coding
• Develop and share best practices with internal team regarding billing, coding and reimbursement processes
• Provide feedback to internal stakeholders regarding real-world access barriers and market dynamics

Requirements

TTC

Each role at Cleerly has a defined salary range based on market data and company stage. We typically hire at the lower to mid-point of the range, with the top end reserved for internal growth and exceptional performance. Actual pay depends on factors like experience, technical depth, geographic location, and alignment with internal peers.

Working at Cleerly takes HEART. Discover our Core Values :

Don't meet 100 percent of the qualifications? Apply anyway and help us diversify our candidate pool and workforce. We value experience, whether gained formally or informally on the job or through other experiences. Job duties, activities and responsibilities are subject to change by our company.

OUR COMPANY IS AN EQUAL OPPORTUNITY EMPLOYER. We do not discriminate on the basis of race, color, national origin, ancestry, citizenship status, protected veteran status, religion, physical or mental disability, marital status, sex, sexual orientation, gender identity or expression, age, or any other basis protected by law, ordinance, or regulation.

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