Director, Medical Device Reimbursement Strategy

About Pacira

u00A0 Pacira BioSciences, Inc. is a leading provider of non-opioid pain management and regenerative health solutions dedicated to improving outcomes for health care practitioners and their patients. Our in-depth knowledge of non-opioid pain management, coupled with our passion for advancing patient care, drives our commitment to providing solutions that address unmet medical needs and improve clinical results.u00A0u00A0u00A0u00A0u00A0u00A0u00A0

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Why work with us?

u00A0 Rarely do you have an opportunity to do work that really matters. What drives us is our mission. What makes us successful are our people.u00A0 At Pacira, you are part of an inclusive culture that fosters collaboration, growth, and innovative thinking - a place where you can make an impact and help change the standard of care in non-opioid pain management. Be part of our movement, letu2019s pursue excellence together.u00A0u00A0 u00A0

Summary:

This role is responsible for creating the overarching strategy for Pacirau2019s Reimbursement and Market Access for itsu2019 medical devices and is both internal and external facing. u00A0This role will work across the various cross-functional stakeholders to coordinate execution of tactics that will result in the creation of the value and clinical story of Pacirau2019s medical devices for the market, particularly payers.u00A0 Building internal and external relationships and finding collaboration opportunities is essential to execute Pacirau2019s broader medical device initiatives.u00A0 u00A0

Essential Duties and Responsibilities:u00A0

Create a strategy/ tactics for optimizing coverage by working with internal and external partners to best package and position existing evidence and data.Identify clinical and evidence gaps related to emerging coverage requirements for Pacirau2019s medical devices.Partner with clinical and medical colleagues to identify immediate opportunities to create additional value collateral.Work closely with and provide guidance to clinical teams to ensure evidence generation activities/ clinical studies are aligned to broader market access and reimbursement goals.Ensure that organization can clearly deliver the medical device value message to the payer community: clearly understand the current reimbursement methodology and recommend changes needed to obtain best possible access for patients.Help identify obstacles with respect to Coding, Coverage and Reimbursement that prevent patient access to Pacirau2019s medical devices.u00A0 Work cross-functional to remove those obstacles.Work to gather voice of customer (VOC) feedback from external partners to understand real world impact and considerations.Partner with various field-based teams to gather continuous insight on market dynamics affecting medical device/ procedure product reimbursement and coverage.u00A0Translate insights from VOC/ payers/ societies into actional plans that shape value messages and tool development, including value dossiers, values briefs, and economics modelsPartner with the Insights & Analytics to stay abreast of key demographic, financial and market access trends that impact medical devices, access and reimbursement.Identify and implement opportunities to collaborate with Payers where possible.Build relationships with key major medical societies who help drive treatment guidelines. Understand how those guidelines influence payer decisions.Work with various associations, third party consultants and other payer and provider networks to find opportunities to educate the payer community. Build and manage relationships with high level influencers with key national and regional payers as well as their networks, including ACOs, ASC Chains, HOPDu2019s and targeted Consulting Groups.Provide input and closely collaborate with marketing / field on product value propositions and outcomes needed to support reimbursement/ market access for our medical devices/ procedures.Coordinate with marketing and other functions on the development and oversight of reimbursement tools and support programs including digital, social, collateral, support, customer hotlines and educational programs, etc.Serve as a resource to coordinate the material development and communication of HEMA/ HEOR related materials/data to the field/ customers.Work closely with internal partners on pull-through opportunities with Payer customers on messaging and resources required to maximize patient access.Partner with field teams to help drive market access activities/ tactics, which include executing tactics to optimize market access, reimbursement and commercial success.Closely partner with Market Access, Strategic Customer, National Accounts, teams to drive two-way understanding of requirements, provide data, collaterals and programs.Be the internal u201Cgo-tou201D resource for medical device reimbursement.u00A0

Interaction:

This position will work closely with many internal departments, in particular with Clinical and HEMA/ HEOR partners, Field Market Access, Market Access Marketing, and multiple other cross-functional partners, including Medical Affairs, Commercial Marketing & Sales, Professional Education, Regulatory Affairs, and Legal; and with external consultants.u00A0 u00A0

Qualifications:u00A0

Proven ability to think strategically and succeed with indirect influence and independent directionCurrent and relevant working relationships with executive level decision makers at payers, societies, associations and CoalitionsAn in-depth understanding of key payeru2019s process & medical policyDemonstrated understanding of CMS, Commercial payment models and trends.Understanding medical billing, coding, appeals, denials and single case / procedure ratesDemonstrated ability to partner, communicate, and accomplish goals across an organizationProven problem-solving, analytic and negotiation skills with high value contacts and partnershipsExcellent written and verbal English communication skills including presentation skills to groups of all sizes at executive levelsAble to travel 50%+u00A0

Supervisory Responsibilities:u00A0

This role may have supervisory responsibilities.u00A0 u00A0

Education and Experience:

Bacheloru2019s degree required; Health Policy, Finance, Business or related field a plusMinimum of 8 years related experience in the healthcare industry requiredMinimum of 5 years of relevant experience in reimbursement, market access or payer relations requiredExperience bringing medical device coverage from strategy development to execution and value creation in a dynamic organization is requiredPrevious US market experience with a strong understanding of medical delivery systems, reimbursement, market access conditions and health policy trends that impact medical device and procedural coverage in the US is requiredSolid knowledge of evidence needed to drive favorable US reimbursement and market access for medical devices is requiredu00A0

Physical Demands:

While performing the duties of this job, the employee is regularly required to sit, talk, move between spaces, reach with hands and arms, and stoop.u00A0 Close vision and the need to focus on computer screen, use of hands, fingers and wrist to type on keyboard and manipulate mouse. u00A0

Work Environment:

The role may include work from home or remote locations.u00A0 This position may or may not be a typical office setting, staff in cubicles.u00A0 Noise level is moderate such as consistent printer, telephone ringing, conversation, airport paging and airplane noise.u00A0 u00A0

Benefits: u00A0u00A0u00A0u00A0u00A0 u00A0

Medical, Prescription, Dental, Vision CoverageFlexible Spending Account & Health Savings Account with Company matchEmployee Assistance ProgramMental Health ResourcesDisability CoverageLife insuranceCritical Illness and Accident InsuranceLegal and Identity Theft ProtectionPet InsuranceFertility and Maternity Assistance401(k) with company matchFlexible Time Off (FTO) and 11 paid holidaysPaid Parental Leaveu00A0 The base pay range for this role in California is $160,000 per year to $220,000 per year. u00A0 The range is what we reasonably expect to pay for this role. The range considers a wide range of factors that are considered in making compensation decisions, including but not limited to: geographic markets, business or organizational needs, skill sets, experience, training, licensure, and certifications.u00A0#J-18808-Ljbffr