Edwards Lifesciences Senior Manager, Market Access & Reimbursement Strategy – Transcatheter Mitral and Tricuspid Technologies (TMTT) in Irvine, California
As Senior Manager of Market Access and Reimbursement Strategy in the Global Health Economics and Reimbursement (GHER) team, you will be responsible for developing and implementing reimbursement and market access strategies to support successful patient access to the exciting new transcatheter mitral and tricuspid valve technologies (TMTT) at Edwards Lifesciences. This individual will possess a strong understanding and application of principles and concepts in health economics, reimbursement and/or healthcare finance and be capable of articulating the current and future market access landscape to functional leaders and staff. This individual acts as a business partner/consultant, applying influence management with cross functional leaders and staff within Edwards, in order to achieve business goals and objectives. This position is based at the Edwards’ corporate headquarters in Irvine, California.
Primary Responsibilities include:
Drive the development of global reimbursement and market access strategies for integration into the development, sales and marketing of the TMTT portfolio in all phases of development.
Develop, design, and deliver on health economic modeling and simulation projects such as cost-comparison, cost-offset, budget impact models, etc., to support the clinical and economic value proposition messaging for hospitals and health systems. Develop presentations, abstracts/publications and other materials to articulate and disseminate this evidence.
Develop evidence-based tools to support field-based, key account value communication.
Lead the strategy, implementation of key patient-centered outcome evidence generation approaches in TMTT clinical trials.
Ensure patient-reported outcomes, economic endpoints and other evidence are included in, or separate from, the trial to support economic modeling, economic value assessments and patient-focused value proposition.
Develop and/or contribute to a global strategic reimbursement plan for each product.
Facilitate meetings with health care professionals and reimbursement and economic consultants as required to support strategic development or tactical implementation.
Use analytical skills and judgment to solve problems with limited information at hand.
Communicate complicated matters in a simple, structured way to internal and external customers.
Establish working relationships with related professional organizations, trade party associations and other key third parties to influence outcomes of critical market access issues.
Bachelor’s degree in a life science, health economics, health policy, healthcare finance or related field required.
The individual must have a minimum of 12 years of experience in healthcare finance and/or medical device market access.
Formal training or experience in health economics is required.
Experience with OUS market access and the ability to effectively communicate and incorporate regional requirements in overall strategic plans is required.
Demonstrated success and experience in reimbursement and/or health economics in the support of product strategies.
Exceptional project management skills.
Excellent interpersonal and communication skills, especially presentation development.
Ability to balance strategic thinking with intricate planning and strong tactical execution.
Strong business acumen, analytical skills and experience working with various internal business partners (especially Sales, Marketing, Clinical, Regulatory, Legal, and Government Affairs staff) Influence management skills and ability to work effectively in a matrixed organization and between competing organizations.
Understanding of key public and private payer policy infrastructure, payment methodologies coding and coverage; health policy trends, and current business challenges.
Previous experience in, or strong working knowledge of the medical device industry, especially with functional responsibility in health economics and reimbursement planning and program implementation.
Experience working with external stakeholders such as payers, hospitals, physicians, trade associations, professional and medical organizations to develop mutually beneficial health economics and reimbursement strategies and tactics to support portfolio planning, commercialization, and sales/marketing objectives.
Domestic and international travel up to 25%.
Advanced degree (e.g. MPH, Ms.C. Ph.D.) is highly desirable.
10 years of experience with a Master’s degree preferably in MedTech related Health Economics, Reimbursement or Market Access with demonstrated success.
Edwards is an Equal Opportunity/Affirmative Action employer including protected Veterans and individuals with disabilities.
Edwards Lifesciences is the global leader in patient-focused medical innovations for structural heart disease, as well as critical care and surgical monitoring. Driven by a passion to help patients, the company collaborates with the world's leading clinicians and researchers to address unmet healthcare needs, working to improve patient outcomes and enhance lives. Headquartered in Irvine, California, Edwards Lifesciences has extensive operations in North America, Europe, Japan, Latin America and Asia and currently employs over 15,000 individuals worldwide.
For us, helping patients is not a slogan - it's our life's work. From developing devices that replace or repair a diseased heart valve to creating new technologies that monitor vital signs in the critical care setting, we focus on helping patients regain and improve the quality of their life.