Senior Director, US Reimbursement Strategy

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

📋 Description

• Drive the U.S. Medicare reimbursement strategies for both existing and innovative technologies, focusing on payment, coding, coverage, and access pathways.

• Analyze proposed and finalized regulations from CMS, including payment methodologies and policy alterations, to assess business implications and strategic responses.

• Provide guidance to business leaders and cross-functional partners on reimbursement considerations pertaining to product development, launch strategies, commercial planning, and investment choices.

• Formulate strategies to tackle reimbursement and payment obstacles that influence patient access and the adoption of technology.

• Work closely with leadership in Health Economics, Policy, and Reimbursement to ensure reimbursement priorities are aligned with enterprise and portfolio goals.

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

• Oversee the creation of reimbursement policy positions, regulatory feedback, and advocacy initiatives supported by clinical, economic, and policy data.

• Simplify intricate reimbursement and policy challenges into recommendations suitable for executive-level discussions 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, focusing on health policy or strategic reimbursement, including 10+ years in a managerial role (either people or program); or an advanced degree and 13+ years of relevant experience with similar managerial experience.

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

• Proficient in interpreting CMS regulations, Medicare payment frameworks, and developments in reimbursement policy.

• Demonstrated capability in influencing senior leadership and fostering alignment within complex matrix organizations.

• Experience in translating reimbursement policy changes into business strategies and practical recommendations.

• Must possess unrestricted U.S. work authorization at the time of hiring and for the duration of employment for positions below the Principal level.

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

🏝️ 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 (available to Vice Presidents and above, or subject to IRS earning minimums).