Senior Manager, Reimbursement coordinating US reimbursement strategies for Coloplast's Chronic Care products and engaging with payers for coding and coverage decisions. Collaborating with various stakeholders while shaping health policy for innovative solutions.
Responsibilities
Collaborates with the Director of Government Affairs, Reimbursement and Health Policy in the development and execution of US reimbursement strategies
Engaging various stakeholders to influence/petition payers with coding, coverage and payment consideration requests
Manage, communicate and execute US reimbursement strategies that ensure Coloplast Chronic Care Products have strong value propositions
Partner with Public Affairs to develop campaigns and initiatives to engage stakeholders
Partner with global and US cross-functional teams throughout product life cycles to define evidence needs
Analyze and provide insight on health policy issues affecting Coloplast business
Interpret clinical and economic evidence and articulate value proposition of Coloplast product, service and digital services to payers and health technology agencies
Develop and maintain a current knowledge of the government payors landscape within DMEPOS markets
Partner with Downstream Market Access and Comfort Medical teams to develop and deploy access and reimbursement solutions
Monitor and communicate health policy changes to internal stakeholders
Requirements
Minimum 10 years’ experience working in the Medical Device, DME, managed care plan, Medicare/Medicaid arena
Demonstrated ability to work with organizational decision makers, including medical directors, hospital administrators, etc.
Extensive knowledge of the various payment methodologies, CPT and HCPCS coding systems
Knowledge of managed care and/or insurance industry
Excellent written and verbal communication skills
Strong oral, written and presentation skills; experience building customer/payor facing power point presentations
Experience in the development of payer advocacy campaigns and documents describing the product, the comparators, market characteristics, clinical and economic evidence to support reimbursement and health technology assessment submissions
Proven ability to successfully execute strategies in a matrixed organization
Relationship building skills with global and US cross-functional internal and external audiences including physician customers, DME suppliers and/or payers or state-based government
Benefits
Comprehensive medical, dental, and vision insurance plans
Access to company sponsored wellness programs and mental health resources
Paid leave of absence for qualifying events
Generous paid parental leave for both birthing and non-birthing parents
A competitive 401(k) plan with company match that vest immediately
Financial planning services to help you secure your future
Corporate discount programs for goods and services
Generous paid time off
Flexible work hours
Flexible work arrangement options
Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement
Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events
A supportive work environment where everyone feels valued, and has a sense of belonging
Participate in team-building activities, volunteer opportunities, and company-sponsored events
Sustainability strategy that outlines our ambitions for running our company in a more sustainable way
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