Director, Market Access and Reimbursement

ConvaTec; Memphis (TN); Remote; USD 90,000 - 150,000; Full time

Job summary

Join a pioneering global medical products company as the Director of Market Access and Reimbursement. This remote role focuses on optimizing reimbursement pathways to support the growth of advanced wound care solutions. Collaborate with cross-functional teams, including clinical and commercial departments, to enhance product coverage across various channels. You'll play a pivotal role in shaping strategic decisions in a dynamic healthcare landscape, ensuring that innovative solutions reach those in need. This is an exciting opportunity to make a significant impact in the lives of patients while driving business success.

Qualifications

• Experience in global Market Access within the MedTech industry.
• Strong understanding of US healthcare systems and policies.

Responsibilities

• Support rapid growth of the ATT business by optimizing reimbursement pathways.
• Cultivate relationships with industry bodies and lobbyists.

Skills

Market Access

Health Economics

Strategic Relationships

Project Management

Communication Skills

Business Acumen

Education

Master’s degree in Health Economics / Market Access

MBA

Job description

Pioneering trusted medical solutions to improve the lives we touch : Convatec is a global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in advanced wound care, ostomy care, continence care, and infusion care. With around 10,000 colleagues, we provide our products and services in almost 100 countries, united by a promise to be forever caring. Our solutions provide a range of benefits, from infection prevention and protection of at-risk skin, to improved patient outcomes and reduced care costs. Convatec’s revenues in 2023 were over $2 billion. The company is a constituent of the FTSE 100 Index (LSE : CTEC). To learn more about Convatec, please visit

At Convatec, we’re transforming our business for the better. Better products. Better ways of working. And better ways of delivering for our customers and each other. We’re aiming for nothing short of excellence. Join us on our journey to #ForeverCaring as the Director, Market Access and Reimbursement, and you’ll do the same.

Please note this is a remote-based role and the ideal candidate will reside in the Eastern or Central coast of the United States; Memphis, TN preferred.

About the Role :

Market Access & Reimbursement is a newly created function within Convatec. This role did exist as an independent role within the acquired Triad Lifesciences business which is now known as the Advanced Tissue Technologies (ATT) business unit - which is part of the North America Advanced Wound Care Business Unit.

This role will now be part of the newly formed Market Access COE and report into the Vice President, Market Access and Reimbursement.

The key objective of the role is to support the rapid growth of the ATT business by optimizing reimbursement pathways in the different sales channels within the US. This will involve focus on key strategic decisions as reimbursement changes within the US are planned and ongoing.

Working across the different reimbursement channels within the US will be key to ensure we maximize coverage of our portfolio across all channels. This includes but is not limited to expanding our coverage in the private payor segment – a key strategic goal for the future - as well as maximizing coverage in existing channels such as Physician Office site of care, HOPD and Acute, and future channels such as home based care.

It will also involve day to day support for the commercial teams as they work with customers to ensure reimbursement is at the appropriate levels. This will be done through working and supporting the in-house Insurance Verification team – predominantly based in Memphis.

This will be a pivotal role in driving our ATT business strategy within the evolving US market access and reimbursement landscape.

It will also include working closely with our Medical and Clinical Affairs (MACA) team to recommend clinical and health economic studies and health economic data analysis. As well as our Research and Development teams as we develop new products within the Innovamatrix platform.

Key Roles and Responsibilities

• Work with ATT General Manager and AWC Strategy lead to predict and shape future reimbursement options and implications for ATT US.
• Cultivate and manage strategic relationships, fostering collaboration and growth.
• Immediately support active Market Access initiatives within ATT by focusing on Market Access, Value Demonstration, Pricing and Strategy, Landscape and Opportunity Assessment, Innovation adoption.
• Maintain relationships with industry bodies and lobbyists to track development of market dynamics and trends
• Proactively drive coverage for Innovamatrix across the different reimbursement channels served by ATT.
• Resolve customer-specific reimbursement issues in partnership with the commercial and in house support teams.
• Maintain the Red Book file for ATT on a quarterly basis.
• Review and respond to proposed changes to the CMS fee schedules.
• Review and respond to any Local coverage decision changes by Medicare Administrators
• Engage with the Medical and Clinical team on study design to ensure it is optimized to secure product reimbursement coverage.
• Work closely with finance and commercial to resolve reimbursement disputes and expedite physician payment.
• Secure HCPCS codes for new Innovamatrix versions.
• Work with legal and external partners to ensure pricing and rebate program compliance.

Role Relevant Experience and Skills :

• Demonstrable experience in similar global position within the MedTech industry with, extensive experience in global and regional Market Access
• Master’s degree in Health Economics / Market Access, MBA, or equivalent level of experience
• Excellent knowledge and understanding of US healthcare systems and policies and a broad network of relevant experts and stakeholders
• Strong business acumen and track record of developing and implementing meaningful strategic and operational Market Access initiatives successfully and with clear business results
• Excellent communication skills, including the ability to understand and communicate scientific data
• Prior success in working as a business partner with strong collaboration skills
• Experience in working in highly matrixed, fast-paced organizations
• Experience managing complex projects with cross-functional team members in multiple locations
• Excellent stakeholder and project management skills
• Experience managing internal resources and external contractors / vendors
• Strong leadership skills, ability to develop high-performing teams and grow team members
• Demonstrates all Convatec Company Values

Key stakeholders and primary contacts :

• Key internal customers may include Commercial teams, education teams new product planning teams, R&D, clinical science and operations, medical affairs.
• Business Development and Legal Teams
• Key external customers may include provider customers (hospital economic buyers and physicians), private payers, government agencies, physician societies and industry trade associations.

Travel Requirements

• US travel will be required.

Working conditions :

• Hybrid working – number of days per week in the office to be driven by business requirements as Convatec has a flexible approach to office working .

Our ambitions will bring the very best out in you. You’ll be pushed toaim higher and really own your work. You’ll be encouraged andsupported to make things happen, too. It can be challenging. But, asthe progress you make will help improve the lives of millions, it’ll beworth it.

This is stepping up to a challenge.

This is work that’ll move you.

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Equal opportunities

Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law.