Director, Payer Relations

Emploi pas sur LinkedIn

🔥 il y a 2 heures

❄️ Minnesota – Distant

❄️ Minnesota – Remote

💵 $180 000 - $240 000 / an

⏰ Temps Plein

🔴 Expert

👔 Directeur

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que personne ne recrute vraiment pour cette offre.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Inspire Medical Systems

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 2007

🏥 Santé

🏭 Fabrication

🔧 Matériel

💰 €133 400 000 Post-IPO Equity - Inspire Medical Systems en 2020-04

Healthcare • Manufacturing • Hardware

Inspire Medical Systems est une entreprise de technologie médicale qui développe et commercialise un système de neurostimulation implantable propriétaire (Inspire Therapy) pour le traitement de l'apnée obstructive du sommeil modérée à sévère. L'entreprise se concentre sur des solutions peu invasives, soutenues par une approbation de la FDA, des données cliniques et une couverture par les payeurs pour atteindre les patients via les prestataires de soins de santé et les payeurs.

Description

• Develop and execute U.S. payer engagement strategies securing, expanding, and sustaining appropriate coding, coverage, payment, and patient access for current and future medical technologies • Build strategic relationships with national and regional 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 payer engagements addressing medical policy, utilization-management criteria, 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 • Partner on Medicare, commercial, Medicaid, facility, and physician payment strategies • Support engagement with government, payer, and assessment bodies • Provide payer insights shaping 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 and facilitate 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 Medical Affairs, Clinical Affairs, Regulatory, HEOR, Marketing, Sales, Patient Access, Legal, Compliance, and Finance • 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

🎯 Exigences

• 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 • Participate in E-Verify

🏖️ Avantages

• Excellent benefits • 401k matching • Employee Stock Purchase Program (ESPP) • Flexible time off (FTO) • Tuition reimbursement • Multiple health insurance plan options • Employer contributions to Health Savings Account • Dental, Vision, Life and Disability benefits • 401k plan + employer match • Identity Protection • Employee Assistance program • Equity awards • Opportunity to participate in the ownership and success of Inspire

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