Associate Director – Market Access and Policy

Associate Director – Market Access and Policy

Requirements

• BA/BS degree required; advanced degree preferred
• 7+ years of market access, payment policy and reimbursement experience required
• Experience engaging with or working for medical societies, Centers for Medicare and Medicaid Services (CMS), commercial health plans, and/or Members of Congress
• Familiarity navigating and participating in CMS’ rule making process
• Solid understanding of market access principles and US health policy; strong working knowledge of managed care (Medicare Advantage and Medicaid MCOs) is highly desirable
• Experience leading health care coding applications (ICD-10, CPT, HCPCS) and navigating CMS’ various payment systems
• External, customer-facing experience is required
• Excellent communication skills, both oral and written
• A self-starter with the ability to think strategically and execute consistently
• Demonstrated track record of being able to lead cross-functional initiatives effectively
• Analytical, problem solving, persuasive ability to develop and implement strategic plans

Responsibilities

• Execute on key imperatives with the Sr. Director, Market Access & Payment Policy and other business unit Market Access leads, advancing optimal coding, payment and coverage of targeted products
• Elevate BD’s understanding of key risks and opportunities related to the U.S. healthcare landscape through ongoing monitoring of federal health and payment policy trends
• Advise on changes to and opportunities within U.S. value and quality payment programs, as well as participating in critical workstreams to advance adoption of key technologies by leveraging existing opportunities
• Quarterback Market Access team engagement with AdvaMed’s payment policy working groups as well as coordinating involvement with the Medical Device Innovation Consortium to ensure a cohesive approach
• Provide critical support and coordination for CMS’ notice and comment periods, working closely with Market Access colleagues to ensure business perspectives are being addressed
• Monitor global market access developments and participate in engagements with relevant trade associations such as MedTech Europe and ALDIMED
• Inform and drive a coordinated approach to global payer engagement strategies, as well as coding and payment initiatives
• Communicate complex topics and concepts in a way that may be understood by a broad range of internal and external stakeholders, fostering effective collaboration and discussion to advance business goals
• Work closely and collaboratively with BD’s Public Affairs team to advance Congressional activities impacting payment policy initiatives
• Build new and maintain existing relationships with medical societies and academies as well as physician thought leaders

Preferred Qualifications

• Strong working knowledge of managed care (Medicare Advantage and Medicaid MCOs) is highly desirable
• Track record of securing reimbursement for health care products through the creation of tactical and strategic market access plans is highly desirable, either domestically or internationally