Sr. Reimbursement Strategist

Danaher New York , NY 10007

Posted 2 months ago

The Sr. Reimbursement Strategist will conduct research, design and provide pre and post market access strategy/guidance, including a reimbursement plan encompassing pre/post market studies for coding, payer coverage and reimbursement for Cepheid molecular assays in the US.

The candidate must understand government and third party payer reimbursement mechanisms for various market channels including but not limited to Physician Office Laboratories, Hospital Systems, Urgent Care Systems and Accountable Care Organizations. The successful candidate will work collaboratively with cross-functional teams from concept through post launch stages. Candidates will coordinate with regional field-based commercial teams to provide reimbursement assistance and education for customers.

The position will report to the Director, US Reimbursement Strategy in the Government Affairs Department and engage in coding, coverage, payment and pay-for-performance policy development activities with third party payers, Medicare and Medicaid.

  • Conduct coding, coverage, payment, and policy research to assess and inform market access risks and opportunities for Cepheid molecular assays

  • Assess clinical evidence and gaps impacting payer determinations

  • Draft market access protocols to support payer adoption of Cepheid assays

  • Develop and implement market access and reimbursement strategic plans based on research

  • Evaluate market access trends and prepare/present forecasts

  • Lead collaborative efforts on post market health economic and clinical utility studies that support payer coverage and reimbursement of Cepheid assays

  • Construct reimbursement related collateral and conduct training presentations to support field sales and distributor representatives

  • Collaborate with internal and external collaborators on strategic reimbursement projects

  • Prepare payer dossiers for Cepheid products

  • Address field sales and Cepheid customer reimbursement, coding, and coverage inquiries

  • Coordinate and lead meetings internally to support market access for Cepheid's assays

  • Utilize Danaher Business System tools for tracking and managing business responsibilities

  • Deliver presentations to internal and external customers

  • Attend required meetings and trainings in accordance with company policies

MINIMUM REQUIREMENTS:

Education and Experience (in years):

  • Bachelor's Degree
  • 3 years direct related experience

Knowledge and skills:

  • Ability to conduct payer research (policy and evidence) and identify gaps

  • Understands public and private sector coverage and reimbursement mechanisms for molecular and/or laboratory diagnostics

  • Ability to communicate technical and non-technical information to scientific and non-scientific colleagues/customers

  • Capable of handling multiple projects and inquiries through product lifecycle

  • Aptitude to work independently and remotely

  • Proficiency in Microsoft Office: Word, Excel, PowerPoint and Outlook

  • Ability to travel to company meetings and/or customers for in person meetings

PREFERRED REQUIREMENTS:

Experience working with laboratories, diagnostics, or medical device manufacturers preferred

#LI-JC2

Danaher Corporation and all Danaher Companies are equal opportunity employers that evaluate qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender identity, or other characteristics protected by law. The "EEO is the Law" poster is available here.


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Sr. Reimbursement Strategist

Danaher