Manager, Health Econ & Reimbursement

Company: Edwards Lifesciences Gruppe
Location: Irvine
Posted on: January 27, 2023

Job Description:

Manager - GHER Market Access and ReimbursementAs Manager of Market Access and Reimbursement Strategy in the Global Health Economics and Reimbursement (GHER) team, you will be responsible for developing and implementing reimbursement and market access strategies to support successful patient access to the exciting new transcatheter mitral and tricuspid valve technologies (TMTT) at Edwards Lifesciences. This individual will possess a strong understanding and application of principles and concepts in health economics, reimbursement and/or healthcare finance and be capable of articulating the current and future market access landscape to functional leaders and staff. This individual acts as a business partner/consultant, applying influence management with cross functional leaders and staff within Edwards, in order to achieve business goals and objectives. This position is based at the Edwards' corporate headquarters in Irvine, California.Primary Responsibilities include: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

• Drive the development of global reimbursement and market access strategies for integration into the development, sales and marketing of the TMTT portfolio in all phases of development.
• Execute on health economic modeling and simulation projects such as cost-comparison, cost-offset, budget impact models, etc., to support the clinical and economic value proposition messaging for hospitals and health systems. Develop presentations, abstracts/ publications and other materials to articulate and disseminate this evidence.
• Support regionalization of models and tools to support globalization of the TMTT portfolio
• Facilitate meetings with health care professionals and reimbursement and economic consultants as required to support strategic development or tactical implementation of various GHER deliverables.
• Articulate necessary patient-reported outcomes, economic endpoints and other evidence to be included in, or separate from, the trial to support economic modeling, economic value assessments and patient-focused value proposition.
• Support development of evidence-based tools to support field-based, key account value communication (US and Global)
• Support the strategy and implementation of key patient-centered outcome evidence generation approaches in TMTT clinical trials.
• Use analytical skills and judgment to solve problems with limited information at hand.
• Communicate complicated matters in a simple, structured way to internal and external customers.
• Establish working relationships with related professional organizations, trade party associations and other key third parties to influence outcomes of critical market access issues.
• Domestic and international travel up to 25%.Basic Qualifications:
  • Bachelor's degree in a life science, health economics, health policy, healthcare finance or related field required.
  • The individual must have a minimum of 8 years of experience in healthcare finance and/or medical device market access.
  • Formal training or experience in health economics is required.Preferred Qualifications:
    • Advanced degree (e.g. MPH, Ms.C. Ph.D.) is highly desirable.
    • 6 years of experience with a Master's degree preferably in MedTech related Health Economics, Reimbursement or Market Access with demonstrated success.
    • Demonstrated success and experience in reimbursement and/or health economics in the support of product strategies.
    • Exceptional project management skills.
    • Excellent interpersonal and communication skills, especially presentation development.
    • Ability to balance strategic thinking with intricate planning and strong tactical execution.
    • Strong business acumen, analytical skills and experience working with various internal business partners (especially Sales, Marketing, Clinical, Regulatory, Legal, and Government Affairs staff) Influence management skills and ability to work effectively in a matrixed organization and between competing organizations.
    • Understanding of key public and private payer policy infrastructure, payment methodologies coding and coverage; health policy trends, and current business challenges.
    • Previous experience in, or strong working knowledge of the medical device industry, especially with functional responsibility in health economics and reimbursement planning and program implementation.
    • Experience working with external stakeholders such as payers, hospitals, physicians, trade associations, professional and medical organizations to develop mutually beneficial health economics and reimbursement strategies and tactics to support portfolio planning, commercialization, and sales/marketing objectives.Edwards is an Equal Opportunity/Affirmative Action employer including protected Veterans and individuals with disabilities.COVID Vaccination RequirementEdwards is committed to complying with the requirements and guidance from our government authorities and to protecting our vulnerable patients and the healthcare providers who are treating them around the world. As such, all Healthcare Interacting positions require COVID-19 vaccination, which includes anyone who directly interfaces with patients and those who interact with healthcare providers as part of their role. If hired, as a condition of employment, you will be required to submit proof that you have been fully vaccinated for COVID-19, unless you request and are granted a medical or religious accommodation for exemption from the vaccination requirement. This vaccination requirement does not apply in countries where it is prohibited by law to impose vaccination. In countries where vaccines are less available, or other requirements exist, we may institute alternate measures that optimize patient safety and healthcare provider safety, which may include regular COVID testing or specific masking requirements.

Keywords: Edwards Lifesciences Gruppe, Irvine , Manager, Health Econ & Reimbursement, Executive , Irvine, California