Director, Payer Relations

Director, Payer Relations

Marlborough, MA, United States

As a leading innovator of women's health, Hologic is empowering people to live healthier lives everywhere, every day. Our business is dedicated to impacting the lives of people across the globe through the early detection of disease, improved diagnosis and less invasive treatments.

Hologic is seeking a Director, Payer Relations within the market access team to drive the payer engagement strategy and execution for our breast surgery portfolio in the United States. This role will be instrumental in optimizing reimbursement pathways, expanding coverage, and ensuring access across various sites of care.

This role will work in close partnership with the broader market access team and will involve cross-functional coordination with teams including Commercial Marketing, Sales, Medical Relations, Health Economics & Outcomes Research, and Government Affairs.

Successful candidates will have experience advocating for coverage and reimbursement with national and regional health plans in the U.S., ideally with a background in medical device, drug, radiopharmaceuticals, radiology or breast surgery. Candidates should possess strong communication skills, as well as an ability to analyze, interpret, and influence complex reimbursement landscapes.

Duties & Responsibilities

• Manage a network of key relationships with health plans across Commercial, Medicare and Medicaid

• Develop and execute payer strategies to optimize access of target technologies and procedures.

• Build out materials, tools, and messaging in partnership with internal teams to support payer objectives with medical directors and other key stakeholders

• Educate key stakeholders on the clinical and economic benefits of the product portfolio

• Monitor reimbursement trends and policies across assigned geography and accounts

• Support hospitals and offices with billing and reimbursement inquiries

Qualifications and Experience:

• Bachelor's degree required, Advanced degree(s) preferred

• 7+ years of experience in market access, payer relations, reimbursement, or a related field.

• 5+ years of experience working with commercial payers

• Demonstrated knowledge of U.S. national and regional payer landscape

• Established relationships with national and regional payer accounts and highly skilled in relationship development

• Hands-on experience with Medicare Part B reimbursement, hospital outpatient departments and physician office-based reimbursement

• Experience presenting clinical and health economic data to payer and provider audiences

• Collaborates with Hologic team members and physician champions to achieve desired outcomes.

• Excellent organization and communication skills; demonstrated responsiveness to meet the needs of internal and external customers

• Strong decision-making skills; ability to take initiative and act independently

• Strong analytical thinking; ability to understand and synthesize complex information

• Experience working with and managing external vendors

• Preferred knowledge of drug-device combination products, radiopharmaceuticals, and innovative payment pathways (such as transitional pass-through payment)

Why join Hologic?

We are committed to making Hologic the destination for top talent. For you to succeed, we want to enable you with the tools and knowledge required and so we provide comprehensive training when you join as well as continued development and training throughout your career.

The annualized base salary range for this role is $150,300 to $267,200 and is bonus eligible. Final compensation packages will ultimately depend on factors including relevant experience, skillset, knowledge, geography, education, business needs and market demand.

Agency and Third-Party Recruiter Notice: Agencies that submit a resume to Hologic must have a current executed Hologic Agency Agreement executed by a member of the Human Resource Department. In addition, Agencies may only submit candidates to positions for which they have been invited to do so by a Hologic Recruiter. All resumes must be sent to the Hologic Recruiter under these terms or they will not be considered.

Hologic, Inc. is proud to be an Equal Opportunity Employer inclusive of disability and veterans.

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