Associate Director, Health Economics & Reimbursement (HE&R)(on-site)
$129.3k - $258.7kAbbott
Associate Director, Health Economics & Reimbursement
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries.
The Opportunity
We are recruiting an Associate Director, Health Economics & Reimbursement professional to join our team on-site in Santa Clara, CA or Plymouth, MN. The Associate Director will be responsible for the proposals, development, and execution of value-focused economic and reimbursement strategies. This position will be a strategic business partner to the Abbott Structural Heart business, developing global health economic and reimbursement programs. The Associate Director is responsible for formulating and driving aligned health economics strategies and tactical plans throughout the Structural Heart business. This position will play a lead role in the development and communication/presentation of the value story and economic evidence for various technologies and will coordinate extensively both internally (with Marketing, Clinical Affairs, Regulatory, Medical Affairs, Sales and other functions) and externally (research partners) to develop and communicate these materials to internal and external stakeholders.
What You'll Work On
- Develop aspirational value story for new products in partnership with the Abbott Structural Heart business, including evidence gap analyses and presenting opportunities to generate meaningful evidence
- Inform and shape opinion regarding the value of company products within the health community.
- Manage deliverables such as reimbursement dossiers, tools/resources, reimbursement landscape analyses, consultant driven research projects.
- Proactively monitor external environment, customers and competitors to identify opportunities for protecting and improving value capture.
- Participates in regular, internal platform meetings to influence and provide recommendations.
- Develop and implement health economics and reimbursement strategies to support cross-functional teams.
- Communicate Abbott value messaging, reimbursement and coverage strategies, and holds a strong understanding of physicians, business/practice managers, payers, and their decision-making systems.
- Present to a diverse audience, including C-suite executives, physicians, and service line administrators regarding health economic and reimbursement issues.
- Develop health care economic and reimbursement education programs for internal (sales and sales management) and external (hospitals, physicians, payers, etc.) stakeholders.
- Keep commercial organization and other internal functions (e.g., Clinical, Regulatory Affairs, R&D, Commercial, Medical Affairs) informed about the potential impact of key health policy and macroeconomic changes; including, but not limited to, digital health initiatives, comparative effectiveness, and health technology assessment.
- Provide information on economic buyer and commercial payer issues related to reimbursement, coverage, prior authorization, benefit management companies, and medical policy analysis for the Abbott Structural Heart product portfolios.
- Monitor changes in the external environment (regulatory/reimbursement changes, managed care arrangements) and advise senior management on threats and opportunities with suggested action plans.
- Comply with U.S. Food and Drug Administration (FDA) regulations, other regulatory requirements, Company policies, operating procedures, processes, and task assignments. Maintains positive and cooperative communications and collaboration with all levels of employees, customers, contractors, and vendors.
Required Qualifications
- Bachelor's degree in a related field.
- Minimum 10 years' experience or 8 years with an advanced degree.
Preferred Qualifications
- Master's degree in a related field or an equivalent combination of education and work experience.
- Progressively advancing experience (8+ years) in the following categories: Service line administration, or C-suite experience in hospital, physician practice and/or payer setting; health economics and outcomes research; or prior industry reimbursement and health care economics experience.
- Thorough understanding of U.S. public and commercial payer models, reimbursement concepts (e.g., coverage, coding, and payment).
- Experience in health policy, health economics, medical device reimbursement, technology assessment, or health care research.
- Understanding of medical / clinical research methods and publication interpretation and ability to use evidence to support value proposition.
- Comfort with working independently and anticipating needs / projects before they formally arise.
- Relevant experience in medical devices reimbursement, with specific experience in structural heart or cardiovascular diseases
- Understanding of reimbursement and payment models for major OUS countries, especially Europe, Japan, China, and India.
- Strategic thinker with experience implementing programs outside of direct reporting relationships.
- Experience in collaboration working across a matrix organization with various stakeholders.
- Communication, and ability to distill complex information into concise, impactful communications to both internal and external customers/stakeholders.
- Action oriented, comfort with ambiguity, business acumen, and organizational and strategic agility.
- Problem solving of highly complex issues, which requires critical assessment of potential impact on multiple interested parties.
The base pay for this position is $129,300.00 $258,700.00. In specific locations, the pay range may vary from the range posted.
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