As Manager of Market Access and Reimbursement Strategy in the Global Health Economics and Reimbursement (GHER) team, you will be responsible for developing and implementing reimbursement and market access strategies to support successful patient access to the exciting new transcatheter mitral and tricuspid valve technologies (TMTT) at Edwards Lifesciences. This includes development of the overarching global strategy for reimbursement and market access early in product development and providing key guidance to these programs on necessary evidence development and stakeholder needs that reflect global payer and economic decision-maker needs. This individual will possess an understanding of principles and concepts in reimbursement and health economics and be capable of articulating the current reimbursement and future market access landscape to functional leaders and staff. This individual acts as a business partner/consultant, applying influence management with cross functional leaders and staff within Edwards. This position is based at the corporate headquarters in Irvine, California.
Primary Responsibilities include:
Drive the development of global reimbursement and market access strategies for integration into the development, sales and marketing of the TMTT portfolio in early to late development.
Generate evidence through relevant clinical trial sub-studies and outcomes research to support evidence requirements for coverage and healthcare budget allocation for the TMTT portfolio.
Ensure patient-reported outcomes and economic endpoints are included in, or separate from, the trial to support economic value assessments and aspirational messages to support global market access.
Maintain a global strategic reimbursement plan for each product.
Support the US coding, coverage and payment strategy for various relevant products in the TMTT portfolio.
Collaborate with regional Market Access teams to develop and implement key components of the reimbursement and market access strategy
Create economic models, dossiers, presentations and other materials to articulate and enhance the value message associated with our TMTT portfolio.
Facilitate meetings with health care professionals and reimbursement and economic consultants as required to support strategic development or tactical implementation.
Use analytical skills and judgment to solve problems with limited information at hand.
Communicate complicated matters in a simple, structured way to internal and external customers.
Establish working relationships with related professional organizations, trade party associations and other key third parties to influence outcomes of critical market access issues.
The successful candidate will work across the organization and develop strong internal and external relationships to achieve health economics and reimbursement goals and objectives. Critical skills and experience for this position include:
Bachelor’s degree in a life science, health economics, health policy, or related field required. Advanced degree (e.g. MBA or MPH) is desirable.
A minimum of three years of Medtech related Health Economics, Reimbursement or Market Access expertise with demonstrated success.
Experience with OUS market access environment and ability to effectively communicate and incorporate regional requirements in overall strategic plans is required.
Ability to balance strategic thinking with intricate planning and strong tactical execution.
Influence management skills and ability to work effectively in a matrixed organization and between competing organizations.
Understanding of key public and private payer policy infrastructure, payment methodologies coding and coverage; health policy trends, and current business challenges.
Excellent interpersonal and communication skills, especially presentation development.
Strong project management skills.
Strong business acumen, analytical skills and experience working with various internal business partners (especially Sales, Marketing, Clinical, Regulatory, Legal, and Government Affairs staff) to provide insight into key market access issues.
Previous experience in or strong working knowledge of medical device industry, especially with functional responsibility in health economics and reimbursement planning and program implementation.
Formal training or experience in health economics and/or outcomes research a strong plus.
Edwards Lifesciences is the global leader in the science of heart valves and hemodynamic monitoring. Driven by a passion to help patients, the company partners with clinicians to develop innovative technologies in the areas of structural heart disease and critical care monitoring that enable them to save and enhance lives. Headquartered in Irvine, California, Edwards Lifesciences has extensive ope...rations in North America, Europe, Japan, Latin America and Asia and currently employs about 8,200 individuals worldwide.
For us, helping patients is not a slogan - it's our life's work. From developing devices that replace or repair a diseased heart valve to creating new technologies that monitor vital signs in the critical care setting, we focus on helping patients regain and improve the quality of their life. Edwards is an Equal Opportunity/Affirmative Action employer including Minorities, Females, Protected Veterans, and Individuals with Disabilities.