VPSR. Director Market Access
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Job Location:
Boston, NH - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Senior Director Market Access/Reimbursement
Start up Medical Device Company
About the job
The Senior Director of Strategic Reimbursement and Market Access is a high-impact field-based role responsible for leading U.S. reimbursement and market access efforts to support patient access to Company products. This includes developing and executing strategies around coding coverage and payment as well as guiding and training the U.S. Sales team. The role manages field-based Reimbursement Access Managers and is responsible for their hiring onboarding and performance. This position also plays a key role in shaping a favorable national reimbursement environment and supporting field teams through strategic direction and education. Success in this role requires strong leadership excellent communication skills and the ability to operate effectively in a fast-paced cross-functional setting.
This position requires experience supporting field-based reimbursement teams will support the national development and execution of reimbursement strategy to create a favorable reimbursement climate for Company products and facilitate US Sales reimbursement education and training and requires excellent communication skills and the ability to perform at high levels in a fast-paced dynamic environment.
Responsibilities and Authorities: (list of the essential functions of the position itself)
- Develop and lead reimbursement strategies for current and future products.
- Secure favorable coding coverage payment decisions and health technology assessments (HTAs).
- Coordinate and support presentations by key opinion leaders (KOLs) to decision-makers like CMS medical directors and HTA committees.
- Build and maintain relationships with CAW members KOLs and professional societies to support reimbursement efforts.
- Maintain a comprehensive understanding of local regional and national reimbursement coverage issues through research of payer websites face-to-face meetings KOL interviews and attendance at public meetings.
- Analyze reimbursement policies affecting Companyand competitor products.
- Provide reimbursement education and support to customers targeting areas with knowledge gaps.
- Identify and address reimbursement challenges through training programs and educational initiatives.
- Oversee team operations to ensure efficient effective support for internal and external stakeholders.
- Develop adaptable compliant reimbursement education materials tailored to regional and customer needs.
- Create and distribute compliant reimbursement tools for both internal teams and customers.
- Work cross-functionally to align on coding coverage and payment strategies across the organization.
- Collaborates closely with local/regional sales teams supporting targeted accounts ensuring patients and providers experience minimal barriers to access.
- Partner with external vendors to continuously enhance patient access deliverables services and the customer experience.
- This role is expected to travel in the field with sales and regional colleagues to call upon key providers meet customers and attend conferences as well as work closely with Executive Team.
- Customer facing role with ability to communicate with multiple stakeholders
QUALIFICATIONS ESSENTIAL SKILLS AND ABILITIES:
- BA/BS degree in Business Economics Basic Sciences or acceptable alternative; or equivalent experience. Graduate degree or course work in health policy is highly desirable.
- At least 15 years medical device reimbursement coding coverage and payment experience.
- Minimum of 10 years experience working within US payers and provider systems
- Must have a Minimum of 5 years in a Director level or higher
- Must have experience managing a team.
- In depth understanding of the reimbursement environment to assist customers in navigating coverage and ensuring access to Companytechnologies.
- Prior management experience; management of direct reports.
- Previous experience supporting internal (sales; strategic accounts; management team etc.) and external customers (physician offices ASCs hospital outpatient personnel etc.)
- Urology experience is a plus.
- CPC accreditation preferred.
- Solid understanding of CPT ICD-10 HCPCS and POS coding.
- High attention to detail and capable of in-depth analysis and problem resolution.
- Strong knowledge of Microsoft word excel PowerPoint and outlook.
- Strong understanding of private and government reimbursement policy including coverage development.
- Knowledge of Medicare Medicaid and Private Insurer reimbursement methodology.
- Understanding of healthcare benefits (deductible out of pocket benefit exclusions etc.).
- Travel requirements up to 30%.
Featured benefits
- Medical insurance
- Vision insurance
- Dental insurance
- 401(k)
- Paid maternity leave
- Tuition assistance
Key Skills
- Microsoft Access
- SQL
- Analysis Skills
- Microsoft Powerpoint
- Securities Law
- Data Mining
- Investment Banking
- Market Research
- Microsoft Excel
- Visual Basic
- Bloomberg
- Data Analysis Skills
