Director, Health Economics
Location Marlborough, MA, US
Department Name 106270 CORPORATE - MANAGED CARE
Shift Information
Summary of Duties and Responsibilities
The Health Economics Director will develop effective strategies to optimize reimbursement and coverage for all the Hologic Businees Units.
The Core Competencies for the Health Economics Director
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Excel at interpreting and assessing the reimbursement environment and developing effective strategies to optimize reimbursement and coverage for all business units, Diagnostics, Surgical Products, Bone and Breast Health.
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Communicate clearly with internal teams, such as each business unit’s sales and marketing teams, clinical affairs team and advocacy/managed care team.
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Serve as an acknowledged expert on company’s products and related competitive products in all areas relevant to internal and external customers: clinical, scientific, technical and health economics.
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Possess excellent oral and written communication skills as well as presentation skills and have the ability to effectively advocate Hologic’s position to different stakeholders.
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Gather intelligence and report on the reimbursement environment and strategies for Hologic’s products as well as that of the competition.
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Drive for outstanding results incorporating sense of urgency when pursuing goals.
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Inspires trust and integrity in all internal and external communications, builds confidence and trust of others and acts consistently with values, ethics and respect. Is proficient in political savvy.
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Demonstrated ability to think strategically, set and manage priorities, manage multiple projects, and allocate and reallocate resources as required
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Works collaboratively across functional areas to achieve common goals and is approachable to all individuals regardless of their role.
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Challenges status quo thinking and champions new ideas and initiatives that are in the best interest of the business. Promotes ideas persuasively; shaping the opinions of others to achieve win/win solutions; support changes to achieve desired outcome and demonstrate flexibility
Primary Responsibilities
* Responsible for development and communication of the strategy in collaboration with the National Director to ensure optimized coverage and reimbursement for Hologic products and future acquired products are used in collaboration with the managed care field team.
* The Manager, Health Economics will collaborate with the managed care and advocacy department, and product specific business unit marketing teams, to develop reimbursement strategies and programs specific to the product marketplace.
* Monitor and proactively impact policy developments, coding changes and Medicare Fee Schedule changes specific to Hologic products
* Maintain positive relationships with influential users, CMS, and key payer decision makers
* Design and implement reimbursement and communicate strategies to proactively leverage data to negotiate favorable policies with government (Medicare, Medicaid) and private payers on a regional level.
* Collaborate withthe Women’s Health/Managed Care, Clinical Affairs, and Marketing teams to develop government reimbursement strategies specific to the products and the product marketplace and to influence positive public policy and reimbursement decisions
* Work with the payer community on a national and regional level (Medicare, Medicaid,) and with key stakeholders in the medical community to guide implementation of externally focused strategies and programs when applicable.
* Provide education and consultation to business units on reimbursement trends and issues with recommendations for action.
* Develop, implement and managed tactical planning activities required to achieve reimbursement expectations (e.g. Technology Assessment Dossier, customer billing guides, site of service contracting payment support, promotional material to support positive coverage decisions)
* Direct and manage the development of tools to be utilized by the managed care team as well as by the field sales teams.
* Participate in corporate meetings to develop strategies for products along with other in house parties and consultants.
* Identify key outcomes planning needs for Hologic products as they relate to managed care, and engage the internal and external resources to develop plan.
* Provide reimbursement support to Managed Care team, sales force and customers
* Develop and deliver training sessions and materials for new hire sales classes
* May perform other duties assigned.
Principal Contacts Inside the Company
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VP, Women’s Health & Professional Relations
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Medical Officers, Chief Counsel
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Regional Business Directors and Managers for product lines
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Managers and directors of product Marketing teams, Clinical Affairs and additional staff as needed
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the basic knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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BS/BA degree
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2 to 5 years of experience in working with health care/medical professionals
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Experience developing and delivering economic analysis and understanding health policy
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Proven strong interpersonal skills
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Excellent oral and written communication skills
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Computer skills to include Power Point, Excel and Outlook
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Strong organizational skills with the ability to multi-task
Education
* BS/BA degree
Experience
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2 to 5 years of experience in working with health care/medical professionals
Specialized Knowledge
There will be significant travel in this role
This position can be based in Marlborough or Washington DC area from home office
