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Pioneering trusted medical solutions to improve the lives we touch: Convatec is a global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in advanced wound care, ostomy care, continence care, and infusion care. With around 10,000 colleagues, we provide our products and services in almost 100 countries, united by a promise to be forever caring. Our solutions provide a range of benefits, from infection prevention and protection of at-risk skin, to improved patient outcomes and reduced care costs. Convatec’s revenues in 2023 were over $2 billion. The company is a constituent of the FTSE 100 Index (LSE:CTEC). To learn more about Convatec, please visit http://www.convatecgroup.com
At Convatec, we’re transforming our business for the better. Better products. Better ways of working. And better ways of delivering for our customers and each other. We’re aiming for nothing short of excellence. Join us on our journey to #ForeverCaring as the Director, Market Access and Reimbursement, and you’ll do the same.
Please note this is a remote-based role and the ideal candidate will reside in the Eastern or Central coast of the United States; Memphis, TN preferred.
About the Role:
Market Access & Reimbursement is a newly created function within Convatec. This role did exist as an independent role within the acquired Triad Lifesciences business which is now known as the Advanced Tissue Technologies (ATT) business unit - which is part of the North America Advanced Wound Care Business Unit.
This role will now be part of the newly formed Market Access COE and report into the Vice President, Market Access and Reimbursement.
The key objective of the role is to support the rapid growth of the ATT business by optimizing reimbursement pathways in the different sales channels within the US. This will involve focus on key strategic decisions as reimbursement changes within the US are planned and ongoing.
Working across the different reimbursement channels within the US will be key to ensure we maximize coverage of our portfolio across all channels. This includes but is not limited to expanding our coverage in the private payor segment – a key strategic goal for the future - as well as maximizing coverage in existing channels such as Physician Office site of care, HOPD and Acute, and future channels such as home based care.
It will also involve day to day support for the commercial teams as they work with customers to ensure reimbursement is at the appropriate levels. This will be done through working and supporting the in-house Insurance Verification team – predominantly based in Memphis.
This will be a pivotal role in driving our ATT business strategy within the evolving US market access and reimbursement landscape.
It will also include working closely with our Medical and Clinical Affairs (MACA) team to recommend clinical and health economic studies and health economic data analysis. As well as our Research and Development teams as we develop new products within the Innovamatrix platform.
Key Roles and Responsibilities
Work with ATT General Manager and AWC Strategy lead to predict and shape future reimbursement options and implications for ATT US.
Cultivate and manage strategic relationships, fostering collaboration and growth.
Immediately support active Market Access initiatives within ATT by focusing on Market Access, Value Demonstration, Pricing and Strategy, Landscape and Opportunity Assessment, Innovation adoption.
Maintain relationships with industry bodies and lobbyists to track development of market dynamics and trends
Proactively drive coverage for Innovamatrix across the different reimbursement channels served by ATT.
Resolve customer-specific reimbursement issues in partnership with the commercial and in house support teams.
Maintain the Red Book file for ATT on a quarterly basis.
Review and respond to proposed changes to the CMS fee schedules.
Review and respond to any Local coverage decision changes by Medicare Administrators
Engage with the Medical and Clinical team on study design to ensure it is optimized to secure product reimbursement coverage.
Work closely with finance and commercial to resolve reimbursement disputes and expedite physician payment.
Secure HCPCS codes for new Innovamatrix versions.
Work with legal and external partners to ensure pricing and rebate program compliance.
Role Relevant Experience and Skills :
Demonstrable experience in similar global position within the MedTech industry with, extensive experience in global and regional Market Access
Master’s degree in Health Economics/Market Access, MBA, or equivalent level of experience
Excellent knowledge and understanding of US healthcare systems and policies and a broad network of relevant experts and stakeholders
Strong business acumen and track record of developing and implementing meaningful strategic and operational Market Access initiatives successfully and with clear business results
Excellent communication skills, including the ability to understand and communicate scientific data
Prior success in working as a business partner with strong collaboration skills
Experience in working in highly matrixed, fast-paced organizations
Experience managing complex projects with cross-functional team members in multiple locations
Excellent stakeholder and project management skills
Experience managing internal resources and external contractors/vendors
Strong leadership skills, ability to develop high-performing teams and grow team members
Demonstrates all Convatec Company Values
Key stakeholders and primary contacts:
Key internal customers may include Commercial teams, education teams new product planning teams, R&D, clinical science and operations, medical affairs.
Business Development and Legal Teams
Key external customers may include provider customers (hospital economic buyers and physicians), private payers, government agencies, physician societies and industry trade associations.
Travel Requirements
Working conditions:
Our ambitions will bring the very best out in you. You’ll be pushed to aim higher and really own your work. You’ll be encouraged and supported to make things happen, too. It can be challenging. But, as the progress you make will help improve the lives of millions, it’ll be worth it.
This is stepping up to a challenge.
This is work that’ll move you.
#LI-TG1
#LI-Remote
Beware of scams online or from individuals claiming to represent Convatec
A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address.
If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you’re unsure, please contact us at careers@Convatec.com .
Equal opportunities
Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law.
Notice to Agency and Search Firm Representatives
Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you.
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