Who can apply: US-based role. The employer has not said which states are eligible — confirm before applying.
Location as listed by the employer: “Remote, USA; Remote - USA”
Apply on Calyxo's site ↗
Opens the employer's official application page.
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About this role
Calyxo is hiring for a Director, Commercial Reimbursement - Remote, USA role. See the official posting for full details.
Requirements
- Bachelor’s degree required; advanced degree preferred (health policy, health services administration, public health).
- Minimum 8 years of progressively responsible experience, including accountability consistent with a Senior Manager or Director level role, in reimbursement, market access, or payer relations within medical devices or he…
- Demonstrated experience working with commercial health plans, including policy review, coverage advocacy, and payer negotiations.
- Strong working knowledge of commercial health plan prior authorization, claims processing, and appeals in outpatient settings.
- Experience working with commercial payer data sources and claims datasets (e.g., payer policy intelligence platforms or DHC type claims data) to support coverage analysis, denial trends, and reimbursement decision makin…
- Familiarity with coding, payment, and site‑of‑service considerations across multiple care settings.
- Experience partnering with physicians to support payer discussions or appeal strategies.
- Prior people management experience with accountability for team performance and development.
Summarized from the employer's posting — check the full posting for every requirement.
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