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Director of Health Policy

Naples, FL, USA | NRHA

  • Industry:
    Non-Profit / Social Enterprise
  • Position Type:
  • Functions:
    Scientific Research
  • Experience:
    10-12 years
Job Description:
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Triaging internal requests for coding, coverage, reimbursement and market intelligence information.

Working collaboratively with the requestor, the Director of Health Policy will develop a plan and timeline to fulfill all requests for information, such as Coding and Reimbursement SnapShots for Product Management; Reimbursement Risk Assessments for Business Development; Coding Sell-sheets for customers; and Market Intelligence reports for Product Management. 

Closely monitoring the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS) and leading payer postings for any new and emerging changes that would impact the Company’s device-dependent procedures.

Composing strategic reimbursement briefs with recommendations in response to any changes related to AMA, CMS and leading payers proposals.

Establishing a working relationship with key professional societies, specifically the staffers and members of society Health Policy Committees, such as Coding and Nomenclature, New Technology and Practice Guidelines.

Supervising third-party reimbursement consultants as they complete project requests in a timely manner. 

Representing the Company and its strategic reimbursement needs by attending important policy meetings taking place across the country and throughout the year, such as Society Scientific Conferences, American Medical Association Current Procedural Terminology (AMA CPT) Editorial Panel meetings, and CMS Town Hall meetings.

Scheduling and presenting to leading U.S. payers, as need arises

Up to 15% travel

Incidental Duties

The above statements describe the general nature and level of work being performed in this job. They are not intended to be an exhaustive list of all duties, and indeed additional responsibilities may be assigned, as required, by management.

Education and Experience

Bachelor’s Degree is required. A Ph.D. or Master’s Degree in Health Policy, Health Economics and/or Biostatistics is preferred. 

10 years’ of relevant experience is required.

3 years’ experience within the Healthy Policy, Health Economics, Health reimbursement or similar area within a U.S. medical device manufacturer; preferably as a Strategic Planner or Director. Experience in orthopedics is a plus.

Proven track record in medical device strategic reimbursement planning required.

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