Director of Reimbursement Strategy - Medical Device
San Diego, CA (hybrid; on-site 3x a week)
I am partnered with a large pharmaceutical company specializing in chronic pain management. They are looking for a strategic leader to develop their reimbursement strategy for their medical device division. In this role, you will partner cross-functionally with Clinical, Field Market Access, and other internal departments to ensure alignment on reimbursement strategy.
Key Responsibilities
Collaborate with internal and external partners to effectively package and position existing evidence and data.
Identify clinical and evidence gaps related to emerging coverage requirements.
Partner with clinical and medical colleagues to ensure evidence generation activities align with market access and reimbursement goals
Clearly communicate the medical device value message to payers.
Understand and recommend changes to current reimbursement methodologies.
Identify and address obstacles related to coding, coverage, and reimbursement.
Collect voice of customer (VOC) feedback to understand real-world impact.
Identify opportunities to collaborate with and educate payers.
Manage relationships with key influencers and payer networks.
Collaborate with marketing on product value propositions and outcomes.
Develop and oversee reimbursement tools and support programs.
Serve as a resource for HEMA/HEOR material development and communication.
Work with internal partners on messaging and resources for patient access.
Partner with field teams to gather insights on market dynamics and execute tactics for market access
Be the go-to resource for medical device reimbursement within the organization.
Qualifications:
Bachelor's Degree: Required; Health Policy, Finance, Business, or related field a plus.
Minimum of 8 years of health-care related experience required.
Minimum of 5 years of Reimbursement & Market Access experience required.
Experience in bringing medical device coverage from strategy development to execution and value creation.
Current and relevant working relationships with executive-level decision makers at payers, societies, associations, and coalitions.
In-depth understanding of key payer processes and medical policies.
Demonstrated understanding of CMS and commercial payment models and trends.
Knowledge of medical billing, coding, appeals, denials, and single case/procedure rates.