Senior Director, US Reimbursement Strategy

This is a fully remote position, open to applicants in District of Columbia, +1 more state.

📋 Description

• Spearhead reimbursement strategies for U.S. Medicare regarding both current and upcoming technologies, encompassing payment, coding, coverage, and market access routes.

• Assess proposed and finalized CMS regulations, payment models, and policy updates to ascertain their impact on business and formulate strategic responses.

• Provide guidance to business leaders and cross-functional teams on reimbursement aspects related to product development, launch strategies, commercial plans, and investment choices.

• Create strategies to overcome reimbursement and payment obstacles that hinder patient access and the adoption of technology.

• Partner with leadership in Health Economics, Policy, and Reimbursement to ensure alignment of priorities with enterprise and portfolio goals.

• Establish and nurture relationships with CMS, industry associations, and healthcare policy influencers.

• Direct reimbursement policy stances, regulatory feedback, and advocacy initiatives supported by clinical, economic, and policy data.

• Simplify intricate reimbursement and policy matters into executive-level insights and highlight significant risks and opportunities.

⛳️ Requirements

• A Bachelor’s degree in health policy, health services research, economics, biostatistics, epidemiology, public administration, clinical research, or a related field, along with 15+ years of experience in the medical device or pharmaceutical industry focused on health policy or strategic reimbursement, including a minimum of 10 years in a managerial role (people or program). Alternatively, an advanced degree with 13+ years of pertinent industry experience, including 10+ years in a managerial role is acceptable.

• Proven experience in crafting and implementing Medicare reimbursement strategies, incorporating payment, coding, coverage, and patient access pathways.

• Proficiency in interpreting CMS regulations, Medicare payment systems, and developments in reimbursement policy.

• Track record of influencing senior executives and fostering alignment across intricate matrix organizations.

• Experience in converting reimbursement policy advancements into business strategies and actionable insights.

• Must possess unrestricted U.S. work authorization at the time of hire and throughout employment, unless eligible for sponsorship as per the stated Principal-level policy.

• For degrees obtained outside the United States, a qualification that meets 8 C.F.R. § 214.2(h)(4)(iii)(A) is required.

🏝️ Benefits

• Competitive salary and a flexible benefits package.

• Health, dental, and vision insurance.

• Health Savings Account.

• Healthcare Flexible Spending Account.

• Life insurance.

• Long-term disability leave.

• Dependent daycare spending account.

• Tuition assistance/reimbursement.

• Simple Steps (global well-being program).

• Incentive plans.

• 401(k) plan with employer contributions and matching.

• Short-term disability.

• Paid time off.

• Paid holidays.

• Employee Stock Purchase Plan.

• Employee Assistance Program.

• Non-qualified Retirement Plan Supplement.

• Capital Accumulation Plan.

• Short-term incentive known as the Medtronic Incentive Plan (MIP).