Strategic Reimbursement and Market Access Director

4 days ago

San Francisco, California, United States Pacira BioSciences, Inc. Full time

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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