Director, Health Policy and Reimbursement
The Director, Health Policy and Reimbursement is a member of Stryker’s Corporate Government Affairs team and will have responsibilities related to US payment policy with direct focus on CMS. This Health Policy executive will serve as the resident expert on payment policy and reform that pertain to the company’s current and future portfolio of products. In collaboration with others, this professional will identify and interpret relevant elements of payment policy and reform for the divisions to use in the management of their businesses. This person should be viewed as a known expert in US Payment policy and payment reform and understand US commercial payer policies.
Essential Duties & Responsibilities:
Provide Partnership and Collaboration:
- Partner across decentralized and geographically dispersed organizational structures.
- Become a trusted colleague to divisional leadership teams by taking an active interest in their business to understand the risks and opportunities related to how payment policy and reform could impact product adoption.
- Serve the key contact point for health policy strategy and questions.
- Provide strategic and tactical direction to the business based on existing and proposed coverage, coding, and payment policies by governments and private entities.
- Identify emerging reimbursement issues, and areas of government focus.
- Develop key messaging for communication as well as recommend appropriate action plans to best represent the Company’s interests among public and private sector audiences.
- Will play a material role in the US Centers for Medicare & Medicaid Services (CMS), notice and comment process on all annual comment opportunities working closely with the businesses to ensure our comments represent the full portfolio affected.
- Possess the influence to also shape the comments of other stakeholders to align with our position.
Inform and Guide:
- Clearly communicate key policies and regulations in our ever changing U.S. health care environment i.e., fee-for-service, shift to ACOs & Bundled payment programs, federal/state health care reform risk, shift from payer to provider, Medicare and Medicaid Managed Care.
- Develop relationships with key staff at CMS and CMMI to allow Stryker to be influential and credible in in advancing new payment models that support our portfolio.
- Develop and deliver training programs that explain the risks and opportunities in this environment that can impact specific Stryker businesses.
- Work closely with Corporate Health Economic Lead to collaborate and develop value propositions supporting portfolio items that target employers, payers, and providers.
- Monitor, influence and communicate proposed and implemented product specific market access threats and opportunities (such as reimbursement, payment, etc.) for Medicare and private payers.
- Work with other senior health policy experts within relevant trade associations, e.g. AdvaMed working with colleagues from other member companies to weigh in on Stryker’s behalf as principles, policy and advocacy positions are developed to address the bandwidth of items these associations will seek to develop on behalf of industry.
- Communicate changes within the health care environment i.e., fee-for-service, shift to ACOs, federal/state health care reform risk, shift from payor to provider, Medicare and Medicaid Managed Care.
- Experience in contributing to growth through securing favorable reimbursement status for key products in medical/pharmaceutical/biotech companies.
- Comprehensive knowledge of Managed Markets/Market Access and how the various mechanisms of reimbursement affect customer buying decisions.
- Demonstrate the capability and experience to educating others on how health policy, e.g. payment reform, will impact Stryker businesses and how they can proactively turn this into an opportunity and/or defensive planning.
Physical & Mental Requirements:
- Must be able to operate common office equipment (e.g. computer, printer, copy machine, calculator, telephone, etc.).
- Must be able to review printed and handwritten materials.
- Must be able to communicate telephonically and with large groups of people.
Learn more here
Job posted: 2021-10-09