Vice President, Payors & Evidence

Vice President, Payors & Evidence

Location:

Minneapolis, MN, US

Job Family:
Marketing

Country/Region:
United States

The VP of Payors and Evidence will be a foundational Commercial Leader for the Chronic Care North America business, responsible for developing and executing reimbursement strategies with public and private healthcare plans to ensure broadest possible access to Coloplast's products in North America. This role will be a key member of the North America leadership team and work closely with leaders responsible for Marketing, Sales, Consumer Sales and DME arm of the organization.

They will be aided in these responsibilities by a staff comprising payor Sales Executives, Government Affairs, HEOR and Reimbursement managers.

• Lead development of evidence-based economic value messages to communicate the value story for Coloplast's chronic care products to payers, healthcare providers and other decision-makers
• Develop and implement Market Access strategies for new and existing products, with Government and Commercial Payors, including value proposition, pricing, reimbursement, coding and contracting
• Lead contracting and negotiations with Payors to optimize patient access to Coloplast products
• Create, build, and manage a Payor Sales team to ensure appropriate access, contracting, and placement of Coloplast products in key Payer and Provider accounts
• Develop standard operating procedures to integrate and streamline reimbursement services and product distribution in an effective and compliant manner
• Collaborate with marketing, regulatory affairs, KOLs and professional societies to develop a coding strategy to maximize reimbursement support among key stakeholders
• Collaborate with the National Accounts and Marketing teams on GPOs, IDNs and similar entities where value analysis committees are involved in market access for our products
• Monitor and influence national medical device reimbursement trends to obtain and ensure the best coverage-coding-payment combination.
• Participate in Coloplast Global Market Access Forum providing input on US reimbursement feasibility, clinical evidence / health economic evidence requirements to product management to ensure that US market needs are met in the development of value dossiers/packages for Payors
• Adapt or develop US specific value argumentation (health economic publications and tools) to facilitate fast and effective market access across the product portfolio
• Represent Coloplast at industry association Market Access relevant activities
• Ensure the Coloplast products are correct registered at all relevant payer entities (PDAC, Medi-Cal) and update reimbursement rates
• Develop and train the organization in reimbursement and product value argumentation.
• Support Coloplast business partners (medical suppliers) on billing of our products
• Coloplast employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.
• Other job duties as assigned

• Bachelor's or Masters degree in Business, Finance, Health Science, Management or Health Economics required; MBA preferred.
• 12+ years of experience - including specific experience with DME/medical supplies reimbursement.
• Minimum of 5 years successful management experience, leading senior level management, professionals and highly skilled employees
• Proactive style and a strategic business sense that will allow him/her to develop creditability across the organization
• Ability to consistently work, manage and lead with ethical integrity
• Willingness and ability to travel
  -30%, some international travel expected.

• Proven experience in developing reimbursement strategies and obtaining reimbursement codes (HCPCs, or CPT codes)
• Experience developing value dossiers and developing HEOR from a broad range of therapy areas to ensure value proposition achieve objectives among payer relationships
• In-depth understanding of clinical development as well as the regulatory, legal environment of the medtech industry, demonstrated integrity on work-related compliance considerations, and solid ethics
• Strong strategic thinking skills, ability to scenario plan, craft strategic options, prioritize and problem solve
• Strong negotiation / influence skills and the ability to work at a peer-level with experienced technical and commercial experts in other functions
• Ability to communicate complex information in a convincing way to non-technical audiences
• Experience in building and leading teams and driving high standards for individual and team accomplishments and talent development

• Health and Wellness
  :
  Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy. Plus, access to company sponsored wellness programs and mental health resources, paid leave of absence for qualifying events and generous paid parental leave for both…