Senior HEMA Manager - Urology
This role follows a hybrid work model, requiring employees to be in our Marlborough, MA office at least three days per week.
Your responsibilities will include :
- Talent management
- You will have 2-5 direct reports, develop key initiatives and prioritize HEMA projects for the Urology division
- Accountable for people development, succession planning and talent review
- Adhere to Boston Scientific philosophy of talent management
- Data analytics
- Responsible for analysis of and reporting from available data assets (e.g., Medicare and commercial claims data, CMS, Definitive, IQVIA, others) in support of business unit objectives.
- Support development and maintenance of health economic and reimbursement resources, including but not limited to coding guides, reimbursement calculators and sales enablement tools.
- Provide appropriate training to cross-functional partners such as clinical, sales, marketing, regulatory, and legal, to increase awareness and understanding of health economics and reimbursement.
- Collaborate with and support global HEMA leaders on strategic initiatives related to health economic research and health policy.
- Payor policy
- Support monitoring and assessment of reimbursement and health policies impacting the business' commercially marketed products and emerging technologies.
- Highly engaged in supporting annual Medicare rule making processes by developing data insights and communicating to relevant internal and external stakeholders.
- Address reimbursement, coding and documentation inquiries from divisional sales force and key external stakeholders (e.g., hospitals, clinicians, investigator sites, professional societies).
- Support Field HEMA organizations with data, tools, and insights.
- Preferred CMS work experience or related consultant work experience
- Business development
- Support business development (BD) teams with reimbursement, coding, data insights in a timely fashion.
- Working with outside consultants to develop critical recommendations on guidance and recommendations.
Required qualifications :
Bachelor's degree7+ years of experience in a healthcare related role4+ years of experience in data analytics, modeling, forecasting, and reporting3+ years of experience in Medicare reimbursement systems (outpatient / physician / ASC), including but not limited to annual policy determinations and rulesProven analytical skills with working knowledge of IQVIA, Definitive Health Care Data, or Administrative Claims Databases such as Medicare and Private InsuranceIn-depth knowledge of private insurance reimbursement and payment policy trends and codingEffective communication skills with both internal and external audiences and dissemination of insights, tools, and researchSolution oriented and ability to work autonomously with a sense of purpose and agilityAbility to work collaboratively, as well as advance initiatives independently in a fast-paced, matrix environmentProficient computer literacy (Microsoft Office Suite), including high level of competency in ExcelPreferred qualifications :
Master's degree, PhD, MD, or PharmD3+ years of people management experienceCertifications in clinical codingSignificant experience in health economics and outcomes research, public health, biostatistics, epidemiology, nursing, or related disciplineScientific peer-reviewed publicationsKOL interactionsFamiliarity with Urology procedures and products