
HEMA Manager - IO&E
- Maple Grove, MN
- $122,100 per year
- Permanent
- Full-time
- Lead development and execution of comprehensive reimbursement, market access and health economic activities within the interventional oncology and embolization portfolio, aligning with enterprise priorities to optimize patient access and commercial outcomes
- Act as a subject matter expert on interventional oncology and embolization reimbursement, coding, and policy trends relevant to IO&E procedures. Guide internal teams on coding pathways and serve as the lead advisor on payer policy shifts impacting the portfolio
- Represent the HEMA function externally in engagements with clinical key opinion leaders, advisory boards, payer organizations and medical societies. Actively contribute to shaping external policy and reimbursement environments through dialogue and advocacy
- Partner with multiple cross functional partners to develop product and economic value propositions (eg, tools, publications) early in the product development lifecycle.
- Lead identification of evidence gaps and development of payer-relevant evidence generation strategies, including real world data, real world evidence, economic models and targeted publications. Collaborate with HEOR and clinical teams to ensure outcomes resonate with payers and guideline bodies.
- Maintain deep expertise in current and emerging oncology reimbursement policy, clinical guidelines (i.e. NCCN), and coding updates to proactively adjust HEMA strategy and inform business risk management
- Partner with global regional HEMA teams to ensure strategic alignment and leverage regional insights that support global launch readiness and sustained market growth
- Bachelor’s degree or equivalent work experience in health-related discipline including HEMA, healthcare administration, health policy, public health, or similar discipline
- Minimum 5 working years in biotech, pharmaceutical or medtech industry, delivery and/or administration of healthcare, or with healthcare payer
- Prior experience with oncology, preferably interventional oncology
- Experience with Medicare payment and coverage policies and processes including experience establishing new technology payment in the U.S. and major geographic regions globally
- Conversationally fluent with medical coding and site-of-service specific reimbursement
- Working knowledge of answering challenging utilization and health economic questions using large datasets
- Working knowledge of hospital financial systems and revenue cycle management practices
- Able to overnight travel up to 30%
- An advanced degree such as an MBA, MPH, MHA, MS, MSc in health policy, health economics, healthcare administration, health services research, public health or similar discipline is highly desired.
- Outstanding people skills including developing relationships at all levels in an organization and directly influencing business objectives.
- Ability to present complex health economic information to both large and small influential groups in a way that is both easy to understand, credible, and engages the audience.
- Effectively operate analytics for analysis and presentation, including economic tools in order to demonstrate to customers how Boston Scientific products will impact their facility or healthcare system economically and financially.
- Ability to train sales team members both individually and in groups in the use of economic tools such as calculators, presentations, and messaging in a compliant manner.
- Ability to illicit and interpret customers’ goals, needs, and priorities and creatively address them with Boston Scientific products and programs.
- Demonstrated responsiveness and sense of urgency when pursuing goals and completing tasks.
- Demonstrated skills in managing multiple projects, prioritization
- Ability to work with ambiguity and continuously adapt in a rapidly changing atmosphere.
- Experience working as part of both functional and cross-functional teams.