Responsibilities Include
Pricing Strategy
- Lead development of U.S. pricing strategy aligned with product value, market dynamics, and access goals.
Medicare & Medicaid Strategy
- Lead Medicare billing, coding development, and submission processes.
- Oversee Medicaid strategy and execution across states.
Provider Reimbursement
- Develop and implement provider reimbursement strategies, including coding and payment pathways.
HEOR & Value Evidence
- Lead Health Economics and Outcomes Research (HEOR) strategy.
- Partner with Medical Affairs to generate evidence supporting payer value propositions.
Market Research & Insights
- Oversee payer and hospital market research to inform pricing, access strategy, and evidence needs.
Government Affairs & Policy
- Monitor and shape healthcare policy impacting reimbursement and access.
- Engage with external stakeholders and industry groups.
Payer Tools & Communications
- Lead development of payer-focused materials and promotional tools to communicate value effectively.
Advisory Boards & Stakeholder Alignment
- Co-lead payer and hospital advisory boards to refine strategy and gather insights.
Pipeline & Business Development Support
- Partner with New Product Planning (NPP) on future indications and business development opportunities.