Strategic Reimbursement Director

4 weeks ago

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

Pacira BioSciences, Inc. is seeking a highly skilled Strategic Reimbursement Director to join our team. As a key member of our organization, you will be responsible for creating and executing the overarching strategy for Pacira's Reimbursement and Market Access for its medical devices.

Key Responsibilities
  • Create a strategy and tactics for optimizing coverage by working with internal and external partners to best package and position existing evidence and data.
  • Identify clinical and evidence gaps related to emerging coverage requirements for Pacira's medical devices.
  • Partner with clinical and medical colleagues to identify immediate opportunities to create additional value collateral.
  • Work closely with and provide guidance to clinical teams to ensure evidence generation activities/clinical studies are aligned to broader market access and reimbursement goals.
  • Ensure that organization can clearly deliver the medical device value message to the payer community: clearly understand the current reimbursement methodology and recommend changes needed to obtain best possible access for patients.
  • Help identify obstacles with respect to Coding, Coverage and Reimbursement that prevent patient access to Pacira's medical devices. Work cross-functional to remove those obstacles.
  • Work to gather voice of customer (VOC) feedback from external partners to understand real world impact and considerations.
  • Partner with various field-based teams to gather continuous insight on market dynamics affecting medical device/procedure product reimbursement and coverage.
  • Translate insights from VOC/payers/societies into actionable plans that shape value messages and tool development, including value dossiers, value briefs, and economics models.
  • Partner with the Insights & Analytics 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 where possible.
  • Build relationships with key major medical societies who help drive treatment guidelines. Understand how those guidelines influence payer decisions.
  • Work with various associations, third party consultants and other payer and provider networks to find opportunities to educate the payer community. Build and manage relationships with high level influencers with key national and regional payers as well as their networks, including ACOs, ASC Chains, HOPD's and targeted Consulting Groups.
  • Provide input and closely collaborate with marketing/field on product value propositions and outcomes needed to support reimbursement/market access for our medical devices/procedures.
  • Coordinate with marketing and other functions on the development and oversight of reimbursement tools and support programs including digital, social, collateral, support, customer hotlines and educational programs, etc.
  • Serve as a resource to coordinate the material development and communication of HEMA/HEOR related materials/data to the field/customers.
  • Work closely with internal partners on pull-through opportunities with Payer customers on messaging and resources required to maximize patient access.
  • Partner with field teams to help drive market access activities/tactics, which include executing tactics to optimize market access, reimbursement and commercial success.
  • Closely partner with Market Access, Strategic Customer, National Accounts, teams to drive two-way understanding of requirements, provide data, collaterals and programs.
  • Be the internal 'go-to' resource for medical device reimbursement.
About Pacira BioSciences, Inc.

Pacira BioSciences, Inc. is a leading provider of non-opioid pain management and regenerative health solutions dedicated to improving outcomes for healthcare practitioners and their patients. Our in-depth knowledge of non-opioid pain management, coupled with our passion for advancing patient care, drives our commitment to providing solutions that address unmet medical needs and improve clinical results.

What We Offer
  • Medical, Prescription, Dental, Vision Coverage
  • 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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