Senior Specialist, Health Economics and Reimbursement

Building trusted partnerships is an essential way we work together to deliver meaningful impact to patients lives. The Market Access function is a strategic and multidisciplinary role dedicated to enabling our innovative medical technologies to be accessible reimbursable and adopted by healthcare providers. Your work will not simply focus on improving access; together with talented team members youll contribute to better health outcomes for patients across the globe.

This is an exciting opportunity to join the Global Health Economics & Reimbursement (GHER) team and play a critical role in the success of the Transcatheter Heart Valves (THV) business at Edwards Lifesciences. This role requires strong analytical capabilities a solid understanding of U.S. reimbursement systems and the ability to translate complex policy and reimbursement topics into clear actionable insights. This position is based at the corporate headquarters in Irvine California.

How You Will Make an Impact:

• Monitor U.S. reimbursement policy changes coding updates and payment trends that may impact market access for THV technologies.

• Support the development of market access collateral (coding coverage and payment) to enhance patient access to THV therapies.

• Provide reimbursement insights training and tools to field teams to support customer discussions related to coverage coding and payment.

• Engage with internal and external stakeholders leveraging insights from direct interactions to inform coverage and payment strategies.

• Educate crossfunctional partners including Sales Marketing Clinical Regulatory and Legal on health economics and reimbursement topics.

• Develop a strong working knowledge of payer coverage and payment processes (e.g. Medicare Medicare contractors and private payers) including ongoing monitoring of commercial policies.

• Track changes in the external health policy and regulatory environment and communicate potential risks and opportunities to senior leadership including recommended actions.

• Perform other incidental duties as assigned.

What You Will Need (Required):

• Bachelors degree in life sciences health economics health policy or a related field plus a minimum of 5 years of relevant experience or equivalent work experience based on Edwards criteria.

What Else We Look For (Preferred):

• AI background with demonstrated examples of applying AI or advanced analytics to realworld business policy market access or healthcare use cases.

• Masters degree in life sciences health economics healthcare finance health policy public policy or a related discipline.

• Experience in or strong knowledge of the medical device industry; clinical trial experience.

• Solid understanding of public and private payer systems medical device payment methodologies and coding and coverage fundamentals.

• Experience working with external stakeholders (e.g. payers hospitals physicians vendors) and internal crossfunctional teams.

• Excellent communication and interpersonal skills including the ability to develop and deliver effective presentations.

• Strong analytical problemsolving organizational and criticalthinking skills.

• Proven project management capabilities with the ability to manage competing priorities in a fastpaced environment.

• Demonstrated adaptability and comfort operating in a rapidly evolving environment.

• Strong business acumen with experience partnering across Sales Marketing Medical Affairs Clinical Regulatory Legal and Government Affairs to address market access challenges.

• Selfdirected collaborative and able to advance projects with limited supervision.

• Willingness to travel domestically up to 10%.

Aligning our overall business objectives with performance we offer competitive salaries performance-based incentives and a wide variety of benefits programs to address the diverse individual needs of our employees and their families.

For California (CA) the base pay range for this position is $108000 to $153000 (highly experienced).

The pay for the successful candidate will depend on various factors (e.g. qualifications education prior experience).Applications will be accepted while this position is posted on our Careers website.

Edwards is an Equal Opportunity/Affirmative Action employer including protected Veterans and individuals with disabilities.

COVID Vaccination Requirement

Edwards is committed to protecting our vulnerable patients and the healthcare providers who are treating them. As such all patient-facing and in-hospital positions require COVID-19 vaccination. If hired into a covered role as a condition of employment you will be required to submit proof that you have been vaccinated for COVID-19 unless you request and are granted a medical or religious accommodation for exemption from the vaccination requirement. This vaccination requirement does not apply in locations where it is prohibited by law to impose vaccination.