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Field HEMA Manager
4 months ago
Additional Location(s): N/A
Diversity - Innovation - Caring - Global Collaboration - Winning Spirit- High Performance
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.
About the role:
The Manager of Field Health Economics & Market Access (HEMA) is responsible for supporting and communicating the economic value of the Boston Scientific (BSC) Interventional Cardiology Therapies (ICTx) portfolio of products. In collaboration with the ICTx sales organization, the Field HEMA Manager will differentiate BSC through direct interaction with clinical and economic customers that positively influences business objectives.
The Field HEMA Manager will provide field-based HEMA support to clinical and economic stakeholders, with a near-term focus of educating and supporting customers during the launch of a first-to-US-market technology with a complex and evolving reimbursement environment.
Successful candidates will have expertise in the areas of facility and physician reimbursement and economic value messaging. They should be familiar with reimbursement programs such as NTAP/TPT and documentation requirements for products reported under Category III CPT codes. 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 west based territories including Las Vegas, Phoenix, Los Angeles, Seattle, Portland.
Your responsibilities will include:
- Execute on reimbursement, health economics and market access, and value selling strategies to promote growth of the ICTx business.
- 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 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:
- Minimum 3-5 years working in the medical industry, including experience guiding HEMA strategies for a medical device manufacturer.
- 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:
- 5-8 years' experience with Interventional Cardiology services and the associated medical devices
- Experience educating clinicians and facilities on appropriate documentation and billing for first-to-market medical technologies.
- Strong understanding of reimbursement programs such as NTAP/TPT and documentation requirements for products reported under Category III CPT codes.
- 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.
RSRBSC
Requisition ID:582717
As a leader in medical science for more than 40 years, we are committed to solving the challenges that matter most - united by a deep caring for human life. Our mission to advance science for life is about transforming lives through innovative medical solutions that improve patient lives, create value for our customers, and support our employees and the communities in which we operate. Now more than ever, we have a responsibility to apply those values to everything we do - as a global business and as a global corporate citizen.
So, choosing a career with Boston Scientific (NYSE: BSX) isn't just business, it's personal. And if you're a natural problem-solver with the imagination, determination, and spirit to make a meaningful difference to people worldwide, we encourage you to apply and look forward to connecting with you
At Boston Scientific, we recognize that nurturing a diverse and inclusive workplace helps us be more innovative and it is important in our work of advancing science for life and improving patient health. That is why we stand for inclusion, equality, and opportunity for all. By embracing the richness of our unique backgrounds and perspectives, we create a better, more rewarding place for our employees to work and reflect the patients, customers, and communities we serve. Boston Scientific is proud to be an equal opportunity and affirmative action employer.
Boston Scientific maintains a prohibited substance freeworkplace. Pursuant to Va. Code * , Boston Scientific is providing notification that the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance or marijuana is prohibited in the workplace and that violations will result in disciplinary action up to and including termination.
Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and/or health care centers, require acceptable proof of COVID-19 vaccination status. Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment. Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements. As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company's policies or protocols change with regard to COVID-19 vaccination.
Boston Scientific is an Equal Opportunity Employer – Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Disability, Veteran
