Plymouth, MN, US.
The Image Guided Therapies (IGT) Systems and Devices HEMAR leader will provide vision and strategic leadership to optimize market access and reimbursement of products/solutions throughout the product lifecycle. This Leader will partner to develop, communicate, and execute on the global clinical/economic evidence and payment pathway requirements for gaining public and private payer coverage and sustainable payments for business unit products. The leader will lead a team of professionals.
Your role:
- Establish the overall strategy and oversee all activities related to reimbursement and health policy initiatives, driving innovation and excellence in advocacy and operations. Employ a consultative approach to determine the product’s needs and priorities and monitor pertinent market activity.
- Utilize a deep understanding of Philips products to execute an aggressive Market Access plan, employ a consultative approach to determine the prospect’s needs and priorities, and monitor pertinent market activity
- Chart the access, coding, coverage, pricing and reimbursement plans for new service introductions; establish payer requirements and strategies, including collaborations to establish clinical utility evidence, as well as key stakeholder value positioning and promotional initiatives
- Monitor reimbursement developments relative to coverage and payment for business products/solutions. Provide Business Leadership with regular updates and strategies to address changes in the global payment systems.
- Collaborate with internal and external stakeholders to leverage and implement policies that ensure attainment of market access business objectives. Advocates with government agencies, payers, and industry stakeholders to influence reimbursement policies, regulations, and legislation.
- Partner with the business and engage the HEMAR Global Market Access Team, Health Economics and Outcomes Research (HEOR) Team, and Clinical Affairs leaders to influence the short and long-term clinical and marketing plans to ensure the evidence needs of economic stakeholders are met for Philips products/solutions.
- Lead the cross-functional development, planning and execution of a US and Global Reimbursement Strategic Plan for commercialized therapies based on the requirements of technology assessment organizations and payers, including Medicare, NICE, commercial payers, etc. Advocate/contract with commercial payers/Medicare for coverage/payment establishment, maintenance, and expansion.
- Actively participate throughout the product development process to champion HEMAR considerations. Develop reimbursement assessments/strategies for emerging therapies ensuring appropriate reimbursement and health economics analyses and perspectives are integrated into business plans, clinical studies, and decision making. Plan/support product launches (for reimbursement considerations) globally by working with geography specific market access colleagues. This will include charting the current state and determining “what has to be true” to ensure successful market access at launch.
- Work with Strategy and Business Development teams to evaluate the reimbursement environment and future expectations for business development opportunities and proposed future strategies.
- Collaborate with Sales and Marketing teams to craft, refine and ensure accurate and compliant economic messages for use with customers and development of economic models and champion the development and maintenance of necessary and appropriate reimbursement tools to be used by reimbursement colleagues and sales partners. (coding sheets, training, economic models, evidence dossiers, value summaries, etc.)
- Collaborate frequently with cross-functional partners (Clinical, Marketing, Sales, Regulatory, Legal, R&D, Corporate and Global reimbursement counterparts) to drive reimbursement and coverage initiatives and advocate for policies that ensure attainment of market access business objectives.
- Work with Clinical Affairs and R&D partners to ensure clinical study protocols collect and appropriate outcome measures to support therapy adoption, coverage expansion and that evidence plans are proactively developed. Also work to ensure HEOR plans support market access (models, value dossiers, claims analysis, etc.)
You’re the right fit if:
- Bachelor’s degree in health sciences, Public Health, Business Administration or equivalent.
- Minimum of 15 years of device/reimbursement/health economics experience with 10+ years of managerial experience
- Experience advocating with US payer medical directors for coverage considerations
- Strong business acumen, and the ability to connect key business issues and competitive/profit drivers to public policy matters and obtain value for/advance the business interests and reputation of Philips
- Strong interpersonal skills and demonstrated ability to establish solid working relationships across various internal and external stakeholders
- Expert knowledge of the healthcare industry and policy
- Working knowledge of the reimbursement and payment systems affecting Philips Healthcare products and services with the understanding and ability to navigate these systems on behalf of Philips
- Excellent leadership and communications skill especially to executive stakeholders
- Interacts internally and externally with executive level management, requiring negotiation of extremely critical matters. Influences policy making
- Demonstrated expertise in communicating complex, technical or policy issues to diverse, non-technical audiences
How we work together
We believe that we are better together than apart. For our office-based teams, this means working in-person at least 3 days per week. Onsite roles require full-time presence in the company’s facilities. Field roles are most effectively done outside of the company’s main facilities, generally at the customers’ or suppliers’ locations.
This is an office role.
About Philips
We are a health technology company. We built our entire company around the belief that every human matters, and we won’t stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help improve the lives of others.
This job is posted by Philips Healthcare.
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