Salary
💰 $248,000 - $372,000 per year
About the role
- Lead the enhancement, execution, and oversight of comprehensive commercial payer, managed care, and contracting strategies
- Translate business and product strategies into clear, specific, and actionable plans for payer engagement
- Develop tailored, actionable, evidence-based payer strategies at national and regional levels
- Monitor and analyze market trends, competitor activities, and regulatory changes to inform payer strategy
- Ensure compliance with all relevant laws, regulations, and company policies in payer and managed care activities
- Build and lead a high-functioning, geographically diverse team dedicated to payer strategy
- Partner with clinical & regulatory functions, legal and compliance partners, and commercial organizations
- Manage external relationships and contracts with consultants and service providers
- Represent the organization in internal and external settings, including payer advisory boards, policy work groups, and professional associations
- Lead a team to communicate directly with payers, key stakeholders, and physician groups to advocate for coverage
- Advocate skillfully for Medtronic therapies with commercial payers and engage physicians and opinion leaders for payer advocacy
- Oversee and manage the development and maintenance of the infrastructure for data tracking and reporting
- Lead the development of resources, tools, and collateral to promote the value proposition for payer messaging and education
- Prepare and present insights to senior leadership and leverage advanced analytics and market research to support strategies
Requirements
- Bachelor’s degree in business, healthcare administration, health policy, health economics, or a related field required
- Minimum 8 years of experience in the pharmaceutical, biotech, or medical device industry, with significant exposure to market access, payer relations, and reimbursement roles
- Minimum of 5 years in leadership roles managing payer negotiations and strategy
- Demonstrated track record of success in developing and executing payer strategies, including product launch experience
- Demonstrated expertise in the influencing clinical policies of health plans for medical devices in the hospital and outpatient environments
- Strong knowledge of fee-for-service payment systems, coding (HCPCS/CPT, ICD-10), and managed care contracting
- Established relationships with key decision-makers at commercial insurers, Medicaid, Medicare, and provider networks
- Preferred: MBA or master’s degree in healthcare administration, health policy, or related field
- Preferred: Market access experience with cardiovascular therapies
- Preferred: Market access experience with digital technologies
- Preferred: Experience with first-in-class therapies and medical technologies
- Preferred: Advanced knowledge of health economic methods (cost-effectiveness, budget impact analysis) and clinical evidence development strategy
- Leadership: Proven leadership and team management capabilities
- Communication: Excellent verbal and written communication skills
- Analytical Skills: Advanced analytical reasoning and ability to interpret data analyses and clinical evidence
- Relationship Management: Strong networking and relationship-building skills
- Technical: Expertise and comfort with Microsoft Office applications, Office 365, Teams, OneDrive, and Salesforce.com
- Travel: Expect 25% travel