Senior Manager, Payor Relations Manager

• The Senior Manager Payor Relations is responsible for forging relationships with payors and industry stakeholders to protect and expand access, as well as gain payor preference for Coloplast Products.
• This includes but is not limited to developing and implementing tools and value propositions for payors, healthcare providers (HCPs), Durable medical Equipment (DME) providers, GPOs, etc.
• These tools may include evidence dossiers, budget impact models, whitepapers etc.
• The ideal candidate will have expertise in interpreting and communicating clinical and economic evidence and Transparency in Coverage data as part of commercial support activities, such as field reimbursement and in-house sales and marketing functions as well as experience developing and implementing tools within medical devices and/or DME industry.

Major Areas of Accountability:

• Articulate the clinical and economic value proposition of Coloplast products and services, to advocate to payors, hospital administrators and other healthcare decision makers
• Synthesize internal and external data sources, including Transparency in Coverage data, to create messaging, tools, and metrics to support engagements with payors, healthcare organizations (e.g., ACOs, IDNs), DME providers, GPOs, patient advocacy groups, etc.
• Develop materials based on published clinical and economic evidence and internal data demonstrating the nature and quality of services and resulting patient outcomes
• Develop materials and execute patient engagement and advocacy campaigns with payors, DME providers and HCPs
• Partner with Care Advising and Comfort Medical for patient and payor advocacy campaigns
• Develop and maintain a current knowledge of the incentives and performance measures critical for healthcare and DME providers
• Other duties and responsibilities as assigned

Basic Qualifications

• A Bachelor's degree in healthcare administration, business or a related field is required
• Eight (8) or more years of experience in the medical device and/or DME industry or related field
• Experience advocating for higher reimbursement and or medical policy coverage with health plans (Commercial, Medicare Advantage, and Medicaid programs) and provider/member organizations (ACOs, IDNs, GPOs)
• Demonstrated excellence in building networks and relationships, clear thinking and problem solving
• Ability to interpret clinical and economic evidence and Transparency in Coverage data to articulate value proposition of Coloplast products and services to payors
• Strong organizational capabilities with the ability to structure complex problems creatively and strategically
• Understanding of coding, coverage and payment constructs for medical devices and associated services across all healthcare settings
• Ability to prioritize and successfully influence stakeholders in a matrixed organization
• Excellent oral, written and presentation communication skills
• Up to 25% overnight travel
• 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.

Preferred Qualifications

• MBA, MPH or other relevant graduate education preferred
• Recent experience with HCP and/or DME providers related to Transparency in Coverage data, value-based care initiatives and population health management
• Experience managing and implementing innovative healthcare programs with a good grasp of financial and statistical data and modelling alternative care model designs
• Experience with development of payor and HCP/DME providers focused budget impact models

At Coloplast, we believe in recognizing and rewarding the contributions of our employees. Our total rewards package is designed to support your well-being, foster your professional growth, and ensure a healthy work-life balance. Here is some of what you can expect:

• 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 birthing and non-birthing parents.
• Financial Security:A competitive 401(k) plan with company match that vest immediately, financial planning services to help you secure your future, and corporate discount programs for goods and services.
• Work-Life Balance:Generous paid time off, flexible work hours, and flexible work arrangement options to help you balance your personal and professional life may be available.
• Professional Development:Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement.
• Recognition and Rewards:Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events.
• Community and Culture:A supportive and inclusive work environment where everyone feels valued, and diversity is celebrated. Participate in team-building activities, volunteer opportunities, and company-sponsored events. Employee Resource Groups that support Women, Minorities, Veterans and LGBTQ+ Community. Sustainability strategy that outlines our ambitions for how to run our company in a more sustainable way.
• Competitive Compensation: The compensation range for this position is $128,529 to $192,793. Actual compensation is influenced by a variety of factors including but not limited to skills, experience, qualifications, and geographic location. Hired candidates may be eligible to receive additional compensation in the form of bonuses and/or incentives.