Description
Overview: The Senior Payor Relations and Reimbursement Liaison is responsible for supporting Sight Sciences' products and portfolio to assigned geographic areas, including hospitals, ASCs, surgeons, and payers, under the Guidance of a Sr. Director - Market Access. This position will also be responsible for supporting field sales representatives by educating and communicating with a variety of customers, including payers, physicians, nurses, billing staff, hospital outpatient departments, and ASCs. The Senior Payor Relations and Reimbursement Liaison will also collaborate with Marketing, Medical Affairs, R&D, and Clinical teams to ensure market access and competitive advantage of Sight Sciences products, by developing and executing strategies that integrate health economics, outcomes research, and market access solutions across all stages of the product lifecycle Responsibilities:
- Appropriately support healthcare providers with their coverage, coding, and reimbursement needs. Network with regional, and state providers, patient, and healthcare systems advocacy organizations
- Work closely with Sales, lead customer-facing reimbursement and market access needs for assigned geography or products
- Work closely with Regional & National Sales field representatives to support and educate on Market Access and commercial strategy
- Evaluate incoming requests from the field and ensure each request is properly evaluated for feasibility, technical risk, cost and time constraints, compliance, and other relevant considerations
- Promote reimbursement support and represent the company to external customers by writing, phoning, visiting, hosting, and participating in events
- Serve as Market Access content specialist when representing the company with internal and external customers
- Provide support to building payer and reimbursement programs to engage economic stakeholders, including payers and providers, expanding access to care
- Support engagement with key payers within geographic regions to ensure correct coverage and reimbursement of company technologies
- Help build partnerships with internal and external stakeholders to ensure patient-reported outcomes, economic endpoints, and other evidence are included in, or separate from, trials to support economic modeling, economic value assessments, patient preference, and patient-focused value proposition
- Develop relationships and collaborate cross-functionally to support the continued growth of current and future products
Skills/Qualifications:
- Bachelor's degree in a HEMA related discipline in health economics, outcomes research or healthcare-related field or equivalent experience required
- A minimum of 5 years experience in a highly regulated field and a minimum of 2 years of commercial medical device, pharma or consulting business is preferred
- Strong business acumen, analytical skills, and experience working with various internal business partners (especially Sales, Marketing, Clinical, Regulatory, Legal, and Government Affairs staff)
- Understanding of key public and private payer policy infrastructure, payment methodologies, coding, and coverage; health policy trends, and current business challenges
- Previous experience working with hospital accounts, ASC or equivalent to educate on proper coding, payment and revenue cycle
- Experience working with payor stakeholders such as medical directors, policy makers, and pricing committees
- Previous experience in, or strong working knowledge of the medical device industry, especially with functional responsibility in health economics and reimbursement planning
- Experience working with external stakeholders such as payers, hospitals, physicians
- Strong understanding of the US reimbursement systems and market access trends
- Ability to communicate clearly and concisely to large audiences; detail-oriented, self-motivated and ability to work independently
- Ability to take evidence and other complex data and package it into easy-to-understand deliverables that can support commercial use
- Intellectual interest in keeping abreast of market access and reimbursement trends
- Solution-oriented, with the ability to offer creative options for problem solving
- Work closely with multiple cross-functional partners, including Sales, Strategic Marketing, Business Development, Medical Affairs, Clinical Research, US Commercial Marketing, Regulatory Affairs, R&D and Legal
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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
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