Reimbursement Program Director – Hepr – Surgical

Reimbursement Program Director – Hepr – Surgical

Requirements

• Bachelor’s degree
• Minimum of 10 years of relevant experience with 7+ years of managerial experience, or advanced degree with a minimum of 8 years of relevant experience with 7+ years of managerial experience.

Responsibilities

• Manages and provides guidance to the Surgical HEPR team regarding strategic reimbursement direction and initiatives aligned with key business priorities.
• Creates and executes comprehensive market access strategies by integrating reimbursement, health technology assessment, evidence-based medicine review, pricing, and health economic modeling activities.
• Designs, develops, and implements an integrated approach to all aspects of the payer value proposition from early development through and beyond the loss of exclusivity.
• Represents the HEPR function in OU core team and product development processes to ensure that global reimbursement and payer evidence development needs (clinical and economic) can be addressed early in the product development process.
• Engages on a collaborative basis with functions including Clinical Research and Medical Affairs, Regulatory, Marketing, R&D, Business Development & Strategy, Sales, Finance, and Government Affairs (among others) to assure that HEPR topics and interests are addressed comprehensively throughout the business.
• Communicates the unique attributes of Surgical therapies to external multi-stakeholders to ensure the therapies’ value proposition will be recognized and maximize market uptake.
• Works collectively with payers, including HTA, reimbursement influencers, and other decision-makers, to ensure the continuously changing reimbursement systems remain fair to all involved parties.
• Develops strategic studies with the end customer in mind to ensure that the results will favorably impact reimbursement, market access, pricing, and market uptake.
• Works with the Health Economics and Outcomes Research (HEOR) team to conceptualize evidence development strategies that will build the evidence base for SH&A therapies and position SH&A therapies strategically in the marketplace.
• Engages with the US Field & Customer Support team (regional economic managers) to ensure hospital and physician customers are educated about available reimbursement for Surgical therapies.

Preferred Qualifications

• Bachelor’s degree in health policy, health services research, economics, biostatistics, epidemiology, public administration, clinical research or related discipline
• Demonstrated strong influence management skills and ability to lead teams and work effectively across competing organizations.
• People, program, and change management
• The ability to research and strategically apply technical reimbursement knowledge to a variety of business situations.
• Demonstrated competence in international reimbursement, coding, coverage, and payment, and a key understanding of health care economics with multi-government health care systems.
• Master’s degree in health policy, business administration, public administration, or a related discipline.
• Experience in medical device or pharmaceutical industry health policy/strategic reimbursement experience.
• Experience with industry clinical trial management