Senior Field Health Economics & Market Access (HEMA) Manager

Senior Field Health Economics & Market Access Manager

At Boston Scientific, we'll give you the opportunity to harness all that's within you by working in teams of diverse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we'll help you in advancing your skills and career. Here, you'll be supported in progressing – whatever your ambitions.

The Senior Field Health Economics & Market Access (HEMA) Manager is responsible for supporting and communicating the economic value of the Boston Scientific (BSC) Neuromodulation, Pain, and Brain Therapies portfolio of products. In collaboration with the Pain and Brain sales organization, the Senior Field HEMA Manager will differentiate BSC through direct interaction with clinical and economic customers that positively influences business objectives. The Senior Field HEMA Manager will provide field-based HEMA support to clinical and economic stakeholders, with a near-term focus of educating and supporting customers with a complex and evolving reimbursement environment.

Successful candidates will have expertise in the areas of facility and physician reimbursement and economic value messaging. Candidates will exhibit excellent communication skills with the ability to present complex information to a broad and diverse group of stakeholders.

This is a Field Based Position in the US and must be located near a major (hub) airport. This role will focus on Southcentral and Southeast based territories.

Your responsibilities will include:

• Execute on reimbursement, health economics and market access, and value selling strategies to promote growth of the Pain and Bain businesses.
• Work in partnership with sales and sales leadership to plan and prioritize customer visits to deliver value selling messages.
• Collaborate with HEMA colleagues to provide insight regarding market intelligence and reimbursement trends and inform the development of customer-facing tools, economic models, and other tactical elements of reimbursement to facilitate patient access to BSC technologies.
• Educate and train sales team on health economic tools and messaging via in-person and virtual meetings.
• Develop relationships with physician champions to support interactions with hospital and surgery center administrators and health plan decision-makers.
• Ensure health economic and value selling methodologies and messages are consistent and compliant with legal and regulatory guidance.
• Provide education and training to healthcare providers, office staff, and sales organization on reimbursement processes, coding requirements, and billing procedures.
• Assist healthcare providers to optimize reimbursement by ensuring accurate documentation and coding practices.
• Assist with appeal and denial management in cases where insurance claims are denied, or coverage is inadequate and help healthcare providers navigate the appeals process.

Required qualifications:

• 7+ years' experience with Neuromodulation, Pain, and Brain services (and the associated medical devices) guiding HEMA strategies.
• Knowledge of US health care policy and payment systems, including Medicare and commercial payers, physician, and hospital reimbursement, for inpatient and outpatient sites of service.
• Ability to use financial calculators, excel and PowerPoint to demonstrate how BSC products impact facility economics or healthcare system economically and financially.
• Ability to present complex health economic information to both large and small influential groups in a way that is credible, easy to understand and engages the audience.
• Bachelor's degree, preferably with a focus on health policy, health economics, healthcare administration, health services research or similar.
• Ability to communicate and train healthcare providers and sales organization on reimbursement process and provide denial support.
• Field based position with overnight travel estimated up to 50%.

Preferred qualifications:

• Experience educating clinicians and facilities on appropriate documentation and billing for medical technologies.
• Requires specialized depth and/or breadth of expertise within a job function or specialized field of knowledge.
• Contributes to best practices and functional/technical direction for the job function.
• Outstanding interpersonal skills with ability to develop relationships at all levels in an organization which impact organizational business goals.
• An advanced degree such as an MBA, MPH or MHA, including curriculum in health policy, health economics, healthcare administration, health services research or similar.

The anticipated compensation listed above and the value of core and optional employee benefits offered by Boston Scientific (BSC) will vary based on actual location of the position and other pertinent factors considered in determining actual compensation for the role. Compensation will be commensurate with demonstrable level of experience and training, pertinent education including licensure and certifications, among other relevant business or organizational needs.

Boston Scientific transforms lives through innovative medical technologies that improve the health of patients around the world. As a global medical technology leader for more than 45 years, we advance science for life by providing a broad range of high-performance solutions that address unmet patient needs and reduce the cost of healthcare. Our portfolio of devices and therapies helps physicians diagnose and treat complex cardiovascular, respiratory, digestive, oncological, neurological and urological diseases and conditions.

Boston Scientific Corporation has been and will continue to be an equal opportunity employer. To ensure full implementation of its equal employment policy, the Company will continue to take steps to assure that recruitment, hiring, assignment, promotion, compensation, and all other personnel decisions are made and administered without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, gender expression, veteran status, age, mental or physical disability, genetic information or any other protected class.