HEMA Manager - AFS - Strategic Downstream
- Arden Hills, MN
- $122,100 per year
- Permanent
- Full-time
This Health Economics & Market Access Manager will work in close collaboration with stakeholders in WATCHMAN and EP (AF Solutions) divisions and at Corporate to lead and execute market access strategy. The HEMA manager (strategic downstream) will partner with internal stakeholders (marketing, clinical, sales training, etc) to consult and create economic tools and messaging that aligns with the business strategy and HEMA strategic initiatives (coverage, coding, payment). This role with also partner closely with the field HEMA organization and sales organization for AFS (AF Solutions).Successful candidates will have excellent technical expertise in the areas of healthcare administration and delivery, facility and physician reimbursement, and health economic value messaging. Candidates will exhibit outstanding communication skills with the ability to present complex information to a broad and diverse group of key stakeholders and will have the ability to convey the unique capabilities that Boston Scientific has in this market. The role is ideal for high performing team leaders who excel at both strategy and execution.Work ModeThis position follows a hybrid work model, requiring employees to work onsite at a local BSC office at least three days per week. Available office locations include Arden Hills and Maple Grove in Minnesota, as well as Marlborough, Massachusetts.Visa SponsorshipBoston Scientific will not offer sponsorship or take over sponsorship of an employment visa for this position.Your responsibilities will include:
- Serve as AFS HEMA lead in the economic messaging and tool creation for both the field sales organization and the field HEMA teams that support AFS. The role will also create customer-facing presentations to educate around updates in coverage, coding, payment (CMS, Commercial Payers)
- Participate in the review and analysis of annual CMS rulemaking for IPPS, OPPS, ASC and PFS. Collaborate with HEMA Analysts to prepare internal and external communications aligning with the strategic guidance from the HEMA Senior Director and upstream HEMA Manager leads.
- Serve as technical expert for EP and WM on cardiovascular coding topics.
- Develop and deliver educational content on health policy, reimbursement, and documentation topics for HEMA colleagues, cross-functional colleagues and sales team representatives. Prepare FAQs related to reimbursement and documentation topics of importance to our customers. Support HEMA Analysts in reviewing customer inquiries and assisting with responses as needed.
- Align with and collaborate closely with Associate Director of HEMA Field team, providing resources to educate key hospitals, physicians, other HCPs on product coding, coverage and reimbursement driving acceptance and utilization.
- Track regional reimbursement methods and trends to inform and improve strategic and tactical planning and execution.
- Monitor policy developments that impact the reimbursement of BSC products and communicate to HEMA team and senior leaders as appropriate.
- Maintain proficiency in current and evolving health policy topics to inform HEMA strategies and landscape assessments, especially for emerging markets. Serve as content expert for the divisional HEMA team and the liaison to Payer Relations and Global Health Policy team at Corporate.
- Present complex information to a broad and diverse group of stakeholders.
- Bachelor's degree
- 5+ years working in the delivery and/or administration of healthcare or the medical device industry, including cardiovascular experience
- Strong understanding and application of principles and concepts in health economics, reimbursement and/or market access and be capable of articulating the current and future market access landscape
- Knowledge of CPT codes, relative value units (RVUs), HCPCS codes, Ambulatory Payment Categories (APCs), and ICD-10 codes diagnosis and procedure codes and MS-DRGs
- 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
- 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
- Strong business acumen, attention to detail and experience working with various internal business partners (especially Sales, Sales Training, Marketing, and Clinical)
- Ability to directly influence business objectives and to work effectively in a matrixed organization
- Knowledge of US health care policy and payment systems, including Medicare and commercial payer device reimbursement in the hospital inpatient, outpatient, ASC and physician office sites of service
- Understanding of hospital financial systems and management practices
- Ability to work well independently as well as collaboratively; self-motivated and disciplined to meet deadlines in the context of competing priorities and projects; lead and work effectively with cross-functional teams
- Proven ability in working with commercial organizations, ensuring timely engagement and customer support of internal and external customers
- Analytical experience utilizing large data sets to draw conclusions about market size, targeting, opportunity assessment
- Computer literacy (Microsoft Office Suite), including high level of competency in Excel and PowerPoint
- 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 appreciated
- Coding certifications are preferred, but not mandatory