Director Market Access - Reimbursement Strategy

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Director, Market Access - Reimbursement strategy
The candidate will provide subject-matter knowledge on Medicare, Medicaid and private commercial coverage, coding and payment policy, and other market access-related issues impacting healthcare sectors including diagnostic laboratories, medical devices, pharmaceuticals and biologicals. Work with the market access team to solve complex client problems and engage clients with novel solutions and ideas. Lead market access project work, including create long- and short-term plans, including setting targets for milestones and adhering to deadlines. Create strategic and tactical recommendations for clients to ensure optimal market access for client products. Monitor, digest, and inform team members of relevant health policy changes (e.g. with Medicare payment rules). Understand analyses and insights of other entities (e.g., CMS, MEDPAC, OIG, ICER, benefit management companies). Present qualitative and quantitative results to both technical and nontechnical audiences in formats such as PowerPoint. Directly interact with clients and other stakeholders, either in person, via teleconference or email. Participate in firm business development and marketing activities including proposal and pitch writing, product development, relationship building, drafting of articles, and other activities as requested. Work with other the firm Plus staff as part of a cross-functional team to deliver results to clients. Should have 3-5 years of reimbursement specific experience. Should preferably have 2+ years of consulting experience; experience as project lead is preferred. Knowledge of existing claims and coding systems such as CPT, HCPCS, and ICD-10 is required.

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