Manager, Health Economics & Reimbursement (HE&R)

The Opportunity

We are recruiting a Manager, Health Economics & Reimbursement professional to join our team. You are responsible for the development and execution of value-focused economic and reimbursement strategies.

This includes supporting customers seeking reimbursement for Abbott therapies by having an in-depth understanding of US coding, coverage, and payment systems.

This position will be a strategic business partner to the Abbott Neuromodulation business, primarily in the U.S. but will also be trained in support of our outside of the US teams.

The Manager is responsible for helping formulate and drive health economics strategies and tactical plans throughout the Neuromodulation business.

This position will play a lead role in the development and communication / presentation of economic models for various technologies and will coordinate extensively with Marketing, Clinical Affairs, Regulatory, Sales and other functions to develop and communicate these materials to internal and external stakeholders.

What You’ll Work On

• Develop and implement health economics and reimbursement strategies to support cross-functional teams.
• Communicate Abbott value messaging, reimbursement and coverage strategies, and holds a strong understanding of physicians, business / practice managers, payers, and their decision-making systems.
• Present to a diverse audience, including C-suite executives, physicians, and service line administrators regarding health economic and reimbursement issues.
• Develop health care economic and reimbursement education programs for internal (sales and sales management) and external (hospitals, physicians, payers, etc.) stakeholders.
• Keep commercial organization and other internal functions (e.g., Clinical, Regulatory Affairs, R&D) informed about the potential impact of key health policy and macroeconomic changes;

including, but not limited to, digital health initiatives, comparative effectiveness, and health technology assessment.

• Provide information on economic buyer and commercial payer issues related to reimbursement, coverage, prior authorization, benefit management companies, and medical policy analysis for the Abbott Neuromodulation product portfolios.
• Participate in cross-departmental meetings and conference calls for the purpose of providing input and guidance regarding economic evidence, quality of life / patient reported outcomes, value messaging and reimbursement.
• Act as a primary liaison for internal Abbott organization with respect to Health Economics and Reimbursement issues and questions.
• Monitor changes in the external environment (regulatory / reimbursement changes, managed care arrangements) and advise senior management on threats and opportunities with suggested action plans.
• Work with HE&R leadership, sales and marketing to develop health economics and cost effectiveness arguments into interactive computer programs and other reimbursement tools for sales representative use in the field
• Support all Company initiatives as identified by management and in support of Quality Management Systems (QMS), Environmental Management Systems (EMS), and other regulatory requirements.
• Comply with U.S. Food and Drug Administration (FDA) regulations, other regulatory requirements, Company policies, operating procedures, processes, and task assignments.

Maintains positive and cooperative communications and collaboration with all levels of employees, customers, contractors, and vendors.

Performs other related duties and responsibilities, on occasion, as assigned.

Required Qualifications

• Bachelor’s degree from accredited college in relevant area.
• Minimum 5-7 years of progressively advancing experience in the following categories : Service line administration, or C-suite experience in hospital, physician practice and / or payer setting;

or prior industry reimbursement and health care economics experience; or advanced degree in relevant area with less than 4-6 years of relevant work experience.

• Thorough understanding of U.S. public and commercial payer models, reimbursement concepts (e.g., coverage, coding, and payment).
• Experience in health policy, health economics, medical device reimbursement, technology assessment, or health care research.
• Understanding of medical / clinical research methods and publication interpretation and ability to use evidence to support value proposition.
• Strategic thinker with experience implementing programs outside of direct reporting relationships.
• Experience in collaboration working across a matrix organization with various stakeholders.
• Communication, and ability to distill complex information into concise, impactful communications to both internal and external customers / stakeholders.
• Action oriented, comfort with ambiguity, business acumen, and organizational and strategic agility.
• Problem solving of highly complex issues, which requires critical assessment of potential impact on multiple interested parties.

Preferred Qualifications CAN ADD / CHANGE

• Advanced degree preferred (MHA, MBA, MS, Etc.).
• Relevant experience in reimbursement medical devices, with specific experience in Neuromodulation
1 day ago