Strategic Reimbursement and Market Access Director
4 days ago
About the Role:
Pacira BioSciences, Inc. is seeking a highly skilled Director, Medical Device Reimbursement Strategy to join our team. As a key member of our organization, you will be responsible for creating and executing strategies to optimize coverage and reimbursement for our medical devices.
Key Responsibilities:
- Create a comprehensive strategy for reimbursement and market access, working closely with internal and external stakeholders.
- Identify clinical and evidence gaps related to emerging coverage requirements and develop plans to address them.
- Partner with clinical and medical colleagues to identify opportunities to create additional value collateral and ensure evidence generation activities are aligned with broader market access and reimbursement goals.
- Develop and maintain relationships with key payers, societies, and associations to understand their needs and preferences.
- Work closely with the Insights & Analytics team to stay abreast of key demographic, financial, and market access trends that impact medical devices, access, and reimbursement.
- Identify and implement opportunities to collaborate with payers and build relationships with high-level influencers.
- Provide input and collaborate with marketing and field teams on product value propositions and outcomes needed to support reimbursement and market access.
- Coordinate the development and oversight of reimbursement tools and support programs, including digital, social, collateral, support, customer hotlines, and educational programs.
Requirements:
- Proven ability to think strategically and succeed with indirect influence and independent direction.
- Current and relevant working relationships with executive-level decision makers at payers, societies, associations, and coalitions.
- An in-depth understanding of key payer processes and medical policy.
- Demonstrated understanding of CMS, commercial payment models, and trends.
- Understanding of medical billing, coding, appeals, denials, and single-case/procedure rates.
- Demonstrated ability to partner, communicate, and accomplish goals across an organization.
- Proven problem-solving, analytic, and negotiation skills with high-value contacts and partnerships.
- Excellent written and verbal English communication skills, including presentation skills to groups of all sizes at executive levels.
- Able to travel 50%+.
What We Offer:
- Competitive salary range: $160,000 - $220,000 per year.
- Flexible Spending Account & Health Savings Account with Company match.
- Employee Assistance Program.
- Mental Health Resources.
- Disability Coverage.
- Life insurance.
- Critical Illness and Accident Insurance.
- Legal and Identity Theft Protection.
- Pet Insurance.
- Fertility and Maternity Assistance.
- 401(k) with company match.
- Flexible Time Off (FTO) and 11 paid holidays.
- Paid Parental Leave.
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