Senior Manager – Health Policy and Government Reimbursement

This is a fully remote position, open to applicants in Minnesota.

📋 Description

• Collaborates with the Director of Government Affairs, Reimbursement, and Health Policy to develop and implement US reimbursement strategies aimed at combating the commoditization of DMEPOS products by influencing national and local coverage decisions and payment methodologies, engaging various stakeholders to advocate with payers on coding, coverage, and payment considerations.

• Manage, communicate, and execute US reimbursement strategies to ensure that Coloplast Chronic Care Products present strong value propositions within the Durable Medical Equipment, Prosthetics, Orthotics & Supplies (DMEPOS) product categories.

• Work alongside Public Affairs to create campaigns and initiatives that engage stakeholders in advocating with government payers regarding coding, coverage, and payment considerations.

• Collaborate with global and US cross-functional teams throughout the product lifecycle (including product charter/program management, clinical studies, and commercialization) to identify evidence needs and develop and implement US reimbursement strategies and tactics that reinforce the value propositions of Coloplast offerings.

• Analyze and provide insights on health policy issues impacting Coloplast's business by developing arguments backed by evidence and policy data analyses, along with advocacy materials such as comment letters aimed at influencing policy.

• Interpret clinical and economic evidence and effectively communicate the value propositions of Coloplast products, services, and digital solutions to payers and health technology agencies.

• Maintain up-to-date knowledge of the government payors landscape within DMEPOS markets.

• Partner with Downstream Market Access and Comfort Medical teams to create and implement access and reimbursement solutions that support Coloplast’s growth strategies.

• Analyze health policy regulations and provide appropriate commentary to mitigate negative effects.

• Create and deliver clear, concise communications and presentations that emphasize the most relevant information for both internal and external stakeholders to encourage action.

• Engage with government payors, physician advocates, and professional societies to convey Coloplast’s unique value propositions and secure suitable coverage, coding, and payment policies for Coloplast technologies.

• Develop, implement, and communicate government payor-focused value messaging regarding Coloplast products.

• Monitor and relay health policy changes to internal stakeholders.

• Maintain expert knowledge of government payor landscapes, trends, coverage issues, and payment methodologies relevant to Coloplast product lines, particularly within DMEPOS.

⛳️ Requirements

• At least 10 years of experience in the Medical Device, DME, managed care plan, or Medicare/Medicaid sectors.

• Proven ability to collaborate with organizational decision-makers, including medical directors and hospital administrators.

• Extensive understanding of various payment methodologies, including CPT and HCPCS coding systems.

• Familiarity with the managed care and/or insurance industries.

• Exceptional written and verbal communication skills.

• Strong oral, written, and presentation abilities, with experience creating customer/payer-facing PowerPoint presentations.

• Experience in developing payer advocacy campaigns and documents that detail the product, comparators, market characteristics, and clinical and economic evidence to support reimbursement and health technology assessment submissions.

• Demonstrated capability to successfully implement strategies within a matrixed organization.

• Strong relationship-building skills with global and US cross-functional internal and external audiences, including physician customers, DME suppliers, and payers or state-based government entities.

🏝️ Benefits

• Comprehensive medical, dental, and vision insurance plans to ensure the health of you and your family.

• Access to company-sponsored wellness programs and mental health resources.

• Paid leave of absence for qualifying events and generous paid parental leave for both birthing and non-birthing parents.

• A competitive 401(k) plan with an immediate company match.

• Financial planning services to assist you in securing your future.

• Corporate discount programs for various goods and services.

• Generous paid time off, flexible work hours, and potential flexible work arrangements to help balance your personal and professional life.

• Opportunities for ongoing 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 all individuals feel valued and possess a sense of belonging.

• Opportunities to participate in team-building activities, volunteer initiatives, and company-sponsored events.

• A sustainability strategy that outlines our ambitions for operating our company in a more sustainable manner.