Field HEMA Manager - Northeast

About the role :

The Manager of Field Health Economics & Market Access (HEMA) is responsible for supporting and communicating the economic value of the Boston Scientific (BSC) Interventional Cardiology Therapies (ICTx) portfolio of products.

In collaboration with the ICTx sales organization, the Field HEMA Manager will differentiate BSC through direct interaction with clinical and economic customers that positively influences business objectives.

The Field HEMA Manager will provide field-based HEMA support to clinical and economic stakeholders, with a near-term focus of educating and supporting customers during the launch of a first-to-US-market technology with a complex and evolving reimbursement environment.

Successful candidates will have expertise in the areas of facility and physician reimbursement and economic value messaging.

They should be familiar with reimbursement programs such as NTAP / TPT and documentation requirements for products reported under Category III CPT codes.

Candidates will exhibit excellent communication skills with the ability to present complex information to a broad and diverse group of stakeholders.

This is a Field Based Position in the US and must be located near a major (hub) airport. This role will focus on northeast territories including NYC, Boston, Columbus, Philadelphia, Baltimore.

Your responsibilities will include :

• Execute on reimbursement, health economics and market access, and value selling strategies to promote growth of the ICTx business.
• Work in partnership with sales and sales leadership to plan and prioritize customer visits to deliver value selling messages.
• Collaborate with HEMA colleagues to provide insight regarding market intelligence and reimbursement trends and inform the development of customer-facing tools, economic models, and other tactical elements of reimbursement to facilitate patient access to BSC technologies.
• Educate and train sales team on health economic tools and messaging via in-person and virtual meetings.
• Develop relationships with physician champions to support interactions with hospital administrators and health plan decision-makers.
• Ensure health economic and value selling methodologies and messages are consistent and compliant with legal and regulatory guidance.
• Provide education and training to healthcare providers, office staff, and sales organization on reimbursement processes, coding requirements, and billing procedures.
• Assist healthcare providers to optimize reimbursement by ensuring accurate documentation and coding practices.
• Assist with appeal and denial management in cases where insurance claims are denied, or coverage is inadequate and help healthcare providers navigate the appeals process.

Required qualifications :

• Minimum 3-5 years working in the medical industry, including experience guiding HEMA strategies for a medical device manufacturer.
• Knowledge of US health care policy and payment systems, including Medicare and commercial payers, physician, and hospital reimbursement, for inpatient and outpatient sites of service.
• Ability to use financial calculators, excel and PowerPoint to demonstrate how BSC products impact facility economics or healthcare system economically and financially.
• Ability to present complex health economic information to both large and small influential groups in a way that is credible, easy to understand and engages the audience.
• Bachelor’s degree, preferably with a focus on health policy, health economics, healthcare administration, health services research or similar.
• Ability to communicate and train healthcare providers and sales organization on reimbursement process and provide denial support.
• Field based position with overnight travel estimated up to 50%.

Preferred qualifications :

• 5-8 years’ experience with Interventional Cardiology services and the associated medical devices
• Experience educating clinicians and facilities on appropriate documentation and billing for first-to-market medical technologies.
• Strong understanding of reimbursement programs such as NTAP / TPT and documentation requirements for products reported under Category III CPT codes.
• Outstanding interpersonal skills with ability to develop relationships at all levels in an organization which impact organizational business goals.
• An advanced degree such as an MBA, MPH or MHA, including curriculum in health policy, health economics, healthcare administration, health services research or similar.

RSRBSC

Requisition ID : 582721

Boston Scientific maintains a prohibited substance free workplace. Pursuant to Va. Code 2.2-4312 (2000), Boston Scientific is providing notification that the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance or marijuana is prohibited in the workplace and that violations will result in disciplinary action up to and including termination.

Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and / or health care centers, require acceptable proof of COVID-19 vaccination status.

Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment.

Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements.

As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company’s policies or protocols change with regard to COVID-19 vaccination.