Director, Health Economics & Reimbursement

What sets us apart is not just our technology, but our culture. At Endologix, we foster a collaborative, mission-driven environment where every team member plays a vital role in advancing patient care. We value integrity, tenacity, and innovation—and we support our people with the tools, trust, and training they need to grow and continuously learn. If you're passionate about making a meaningful impact in healthcare, you’ll find purpose and belonging here.

ABOUT THE ROLE:

• Partner with and support sales organization, leading the health economics and reimbursement discussion with key hospital customers and physician champions.
• Provide education and training to hospital staff, healthcare providers, office staff, and the Endologix sales organization on reimbursement processes, coding requirements, and billing procedures.
• Act as principal HE&R contact and subject matter expert for hospital and physician customers in assigned region/customer segment.
• Lead and facilitate Endologix portion of the hospital value analysis process, providing all necessary HE&R materials, developing hospital-specific financial and economic data and resources, and lead the value analysis discussion with key hospital stakeholders at all levels.
• Educate and support hospitals’ and physicians’ appropriate claims submission both directly and with delegation to the Reimbursement Support Center (RSC).
• Assist healthcare providers in obtaining appropriate payment by ensuring accurate documentation and coding practices. Identify coding and charging issues and remediate with additional education, support, and RSC involvement.
• Build rapport with key hospital stakeholders to enhance reimbursement issue identification and problem solve with hospital stakeholders, as appropriate.
• Build rapport with regional DETOUR physician champions and educate for peer-to-peer discussions with payer Medical Directors in support of DETOUR coverage expansion.
• Partner with Sales, Enterprise Accounts, Marketing, Contracting, and other Endologix functions as necessary to facilitate customer adoption of DETOUR.
• Work in partnership with sales and sales leadership to plan and prioritize on-site customer visits to deliver value-selling messages.
• Monitor local changes in the hospital customer and payer landscape, identify/monitor trends, and communicate within HE&R and across the organization as necessary.
• Assist VP HE&R with maintaining and updating internal and external reimbursement materials, and creation of new materials as necessary.
• Support continuous improvement in HE&R messaging and education, incorporating feedback from customers and colleagues.
• Ensure health economic and value selling methodologies and messages are consistent and compliant with legal and regulatory guidance.
• Facilitate with RSC appeal and denial management in cases where insurance claims are denied, or coverage is inadequate and help healthcare providers navigate the appeals process.
• Perform other duties as assigned by supervisor.
• Ability to travel up to 50%.

• Bachelor’s degree required.
• An advanced degree preferred, such as an MBA, MPH or MHA, including curriculum in health policy, health economics, healthcare administration, health services research or similar.

• Minimum 10 years of experience guiding HE&R strategies for a medical device manufacturer.
• Experience influencing coding, coverage, and payment for medical devices in Medicare, Medicaid, and private health plans.
• Ability to use financial calculators, Excel and PowerPoint to demonstrate how Endologix products impact facility economics or healthcare system economically and financially.
• Ability to present complex health economic information to both large and small influential groups in a way that is credible, easy to understand and engages the audience.

• Experience educating clinicians and facilities on appropriate documentation and billing for medical device technologies.
• Strong understanding of reimbursement programs such as NTAP/transitional pass-though and documentation requirements for products reported under Category III CPT codes.
• Outstanding interpersonal skills with ability to develop relationships at all levels in an organization which impact organizational business goals.
• Record of success with facilitating adoption of emerging technology through deployment of comprehensive health economic, reimbursement and market access strategies.
• Expertise in the field of health economics and healthcare delivery systems, including hospitals, integrated delivery networks, ambulatory surgery centers (ASCs) and office-based practices.

Pioneering: Challenge the status quo and embrace innovation. Develop new ideas, test bold solutions, and pave the way for others — driving progress through curiosity and creativity.

WHAT WE OFFER:

• Base salary of $197,000/yr-$236,000/yr DOE
• Discretionary bonus
• Equity participation as approved by Board of Directors (4-year vesting schedule)
• Comprehensive health, dental, and vision insurance plans
• Generous PTO and holiday schedule
• 401(k) retirement plan with company match

• Employee wellness initiatives and mental health support
• Collaborative and inclusive company culture focused on impact and innovation
• Opportunities for career growth and internal mobility