[Hiring] Director, Health Economics & Reimbursement @Edwards Lifesciences

Role Description

The Director, Global Health Economics and Reimbursement is a field-based role responsible for working directly with hospital executives, cardiovascular service line leaders, and physicians to ensure they recognize the economic and clinical value of the transcatheter heart valve (THV) therapy. They will work directly with hospital leaders and physicians to deliver hospital economic analyses customized to each provider. This individual will also support health care providers in obtaining optimal reimbursement by serving as a knowledgeable resource in coding, coverage, and payment, as well as an intermediary to payers including Center for Medicare Services (CMS), Medicare Administrative Contractors (MAC), Medicaid, Veteran Affairs (VA), and commercial payers.

The Director will reside in either Minnesota or Michigan and support field activity in the MN, WI, and MI markets. The role will report to the Sr. Director West, Global Health Economics and Reimbursement.

How you’ll make an impact:

• Ensure THV value messages are consistently developed and delivered, and customer feedback on value proposition is communicated to internal THV leadership.
• Establish and maintain effective working relationships with key stakeholders at hospitals engaged in THV procedures.
• Articulate a thorough understanding of the structural heart landscape, trends, and market insights.
• Understand health economic and quality content: billing, coding, payment, coverage, policy, hospital finances, etc.
• Identify needed additional expertise and quickly assimilate information and communicate trends, clinical research, policies, etc.
• Manage demands and needs of multiple programs and customers.
• Build a strategic relationship and serve as a supporting role to aligned business partners.
• Assist Regional and Territory Sales Managers in the development, implementation, and management of strategic initiatives.
• Perform other duties and responsibilities as assigned.

Qualifications

• Bachelor's Degree or equivalent in a life science, health economics, health policy, or related field plus 12 years of experience in health policy, health economics, medical device reimbursement, and technology assessment.
• Basic understanding of medical and clinical research methodologies.
• Demonstrated business acumen and analytical thinking.
• Foundational knowledge of health economics and reimbursement.
• Ability to travel up to 50% domestically.

Requirements

• Minimum of 5 years of work experience in a field-based, consultative, or administrative role within the healthcare industry.
• Reimbursement and/or sales experience.
• Strong understanding of the commercial insurance landscape and relevant reimbursement processes.
• Ability to build and maintain strong relationships with hospital leaders and physician customers.
• Proficient in Microsoft Office Suite (i.e., Excel, PowerPoint, Word, Outlook).
• Excellent interpersonal skills, written and verbal communication skills.

Benefits

• Competitive salaries.
• Performance-based incentives.
• A wide variety of benefits programs to address the diverse individual needs of employees and their families.

Company Description

Edwards is an Equal Opportunity/Affirmative Action employer including protected Veterans and individuals with disabilities.