Edwards Lifesciences

Director, Health Economics – Reimbursement

Edwards Lifesciences

full-time

Posted on:

Location Type: Remote

Location: North Carolina • South Carolina • United States

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Job Level

Lead

About the role

  • Ensure THV value messages are consistently developed and delivered, and customer feedback on value proposition is communicated to internal THV leadership.
  • Establish and maintain effective working relationships with key stakeholders at hospitals engaged in THV procedures, including hospital executives, cardiovascular administrators, quality, finance, documentation integrity, billing, and physicians (interventionists and surgeons), to support the site in establishing and maintaining a THV program through the development and implementation of reimbursement plans (coding, coverage, payment) unique to each provider.
  • Articulate a thorough understanding of the structural heart landscape, trends, and market insights.
  • A strong understanding of the commercial and government payor landscape including coverage policies and payment processes. This will include managing and addressing coverage policy issues with payors, as necessary.
  • Understand health economic and quality content: billing, coding, payment, coverage, policy, hospital finances, structural heart program innerworkings, cath lab and OR processes, clinic, and procedural expertise, etc.
  • Identify needed additional expertise and quickly assimilate information and communicate trends, clinical research, policies, etc. and how they will impact TAVR/Structural Heart business.
  • Identifies market trends and customer needs and supports development of strategies and resources for their customers and team.
  • Manage demands and needs of multiple programs and customers.
  • Provide high touch program support and build access to key leaders within each organization.
  • Build a strategic relationship and serve as a supporting role to our aligned business partners including sales, marketing, government affairs, and medical/clinical affairs.
  • Assist our Regional and Territory Sales Managers in the development, implementation, and management of strategic initiatives within geography.
  • Perform other duties and responsibilities as assigned.

Requirements

  • Bachelor's Degree or equivalent in a life science, health economics, health policy, or related field plus 12 years of experience in health policy, health economics, medical device reimbursement and technology assessment or master’s degree plus 10+ years of related experience, or equivalent work experience based on Edwards criteria.
  • Basic understanding of medical and clinical research methodologies, including the ability to interpret scientific publications and apply evidence to support product value propositions.
  • Demonstrated business acumen and analytical thinking, with experience collaborating cross-functionally with teams such as Sales, Marketing, Clinical, Regulatory, Legal, and Government Affairs to address economic and reimbursement considerations.
  • Foundational knowledge of health economics and reimbursement, including familiarity with billing, coding, payment systems, coverage policies, and hospital financial operations related to structural heart programs and procedures.
  • Ability to travel up to 50% domestically.
Benefits
  • COVID Vaccination Requirement: All patient-facing and in-hospital positions require COVID-19 vaccination.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
health economicshealth policymedical device reimbursementtechnology assessmentbillingcodingpayment systemscoverage policieshospital financial operationsclinical research methodologies
Soft Skills
business acumenanalytical thinkingcollaborationrelationship buildingcommunicationstrategic thinkingcustomer supportprogram managementstakeholder engagementtrend analysis
Certifications
Bachelor's DegreeMaster's Degree