Director, Payer Relations

🕒 6 dias atrás

❄️ Minnesota – Remoto

❄️ Minnesota – Remote

💵 $180.000 - $240.000 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

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• Aberta há 6 dias.
• As vagas desta empresa costumam ser preenchidas em 21 dias.

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Inspire Medical Systems

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2007

🏥 Saúde

🏭 Manufatura

🔧 Hardware

💰 $133.400.000 Post-IPO Equity - Inspire Medical Systems em 2020-04

Healthcare • Manufacturing • Hardware

A Inspire Medical Systems é uma empresa de tecnologia médica que desenvolve e comercializa um sistema proprietário de neuroestimulação implantável (Inspire Therapy) para o tratamento de apneia obstrutiva do sono de moderada a grave. A empresa foca em soluções minimamente invasivas com aprovação da FDA, dados clínicos e cobertura por convênios para alcançar pacientes por meio de profissionais de saúde e operadoras de saúde.

Descrição

• Develop and execute U.S. payer engagement strategies to secure, expand, and sustain appropriate coding, coverage, payment, and patient access • Build strategic relationships with commercial health plans, Medicare stakeholders, Medicaid programs, Medicare Administrative Contractors, integrated delivery networks, and other payer decision makers • Develop payer account plans aligned with portfolio, launch, and lifecycle priorities • Lead engagements addressing medical policy, utilization management, coding, reimbursement, payment adequacy, network considerations, and patient-access barriers • Negotiate and implement payer agreements or value-based arrangements with Legal, Finance, Compliance, and senior leadership • Monitor payer policies, coverage criteria, claims experience, reimbursement pathways, policy-review cycles, and federal and state developments • Create action plans to obtain favorable, evidence-based coverage and appropriate payment • Provide payer insights for clinical development, real-world evidence, HEOR, outcomes research, and evidence-generation priorities • Collaborate on payer value propositions, evidence dossiers, payer presentations, budget-impact and cost-effectiveness materials, coding and billing resources, and access tools • Organize payer advisory boards, medical-director discussions, executive account meetings, and clinical-expert engagements • Communicate field intelligence, policy trends, competitive access developments, and account risks to cross-functional leadership • Partner with cross-functional teams to execute integrated market-access plans • Coordinate launch-readiness and lifecycle initiatives against milestones, dependencies, budgets, and performance measures • Train internal stakeholders on payer policy, reimbursement pathways, value messaging, and compliant payer engagement • May lead employees, consultants, or project teams, including coaching, performance guidance, resource planning, and budget oversight • Complete required training and competency confirmations • Document product- and therapy-related field reports and provide follow-up information • Comply with quality-system, privacy, legal, regulatory, and compliance requirements

🎯 Requisitos

• Bachelor’s degree in business, health sciences, public health, economics, engineering, or a related field • 10 or more years of experience in medical technology, healthcare, payer relations, market access, reimbursement, managed care, or a related field • At least 3 years of direct experience influencing payer coverage, medical policy, reimbursement, contracting, or access strategy • Demonstrated knowledge of U.S. commercial insurance, Medicare, Medicaid, medical policy, coding, coverage, and payment pathways for medical technologies • Experience developing strategic account plans and leading complex engagements with health-plan medical directors, policy leaders, or senior payer executives • Strong executive communication, presentation, negotiation, consultative, analytical, and project-management skills • Ability to work independently, exercise sound business judgment, and lead broad cross-functional initiatives in a matrixed environment • Ability to travel up to 75%, including occasional overnight travel

🏖️ Benefícios

• Excellent benefits package • Multiple health insurance plan options • Employer contributions to Health Savings Account • Dental, Vision, Life and Disability benefits • 401k plan + employer match • Identity Protection • Flexible time off • Tuition Reimbursement • Employee Assistance program • Equity awards • Employee Stock Purchase Program

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