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MiMedx · 2 months ago

Director, Health Policy

Marietta, Georgia, United States

Full-time

Hybrid

Director/Executive

$195K/yr - $235K/yr

8+ years exp

MiMedx is dedicated to helping humans heal through regenerative biologics. The Director, Health Policy will support legislative and regulatory initiatives, manage payer relationships, and drive business development opportunities to ensure favorable coverage decisions for company products.

BiotechnologyHealth CareMarketingMedicalMedical DeviceWellness

Comp. & Benefits

Responsibilities

Create and implement strategies that influence a positive coverage decision for company products from payers; establish health policy coverage and awareness through negotiations with medical directors and/or medical policy committees

Identify and monitor changes in medical policy, trends in the US Healthcare system, and regulations that impact providers; seek legal guidance and/or team input as applicable

Participate in market access expansion efforts in the U.S. and global markets by completing product coverage requests, and submitting medical summaries and assessments to payers for review

Communicate with payer contacts to clarify coverage and reimbursement issues

Direct the education of the team members in product coding and medical coverage decisions of all payers and provide guidance on how to communicate new or existing information to affected departments

Communicate with key medical providers and sales team to proactively plan, implement, and strategize on market expansion of our products

Provide guidance to junior team members on prioritizing payer coverage policy initiatives; , define annual performance goals, conduct annual reviews and one-on-one team member meetings

Prepare assigned territory business plans, monthly activity reports, and other reports as requested

Qualification

Health policy experiencePayer relationsNegotiation skillsPharmaceutical reimbursementMedical coding certificationAnalytical skillsResearch skillsMicrosoft Office proficiencyCommunication skillsTeam leadership

Required

BS/BA in related discipline

8+ years of experience in a directly related field including several years in a management/supervisory capacity, or verifiable ability. Certification is required in some areas

Experience with pharmaceutical, biotechnology and/or device health policy and reimbursement

Demonstrated knowledge in securing coverage, coding and payment for medical products with government and commercial payers

Excellent oral, written, and interpersonal communication skills

Ability to interact with all levels of management, both internal and external, third party payers, and customers

Ability to lead and inspire a team to meet organizational deliverables

Proficient in Microsoft Office (Excel, Word, etc.)

Organized, flexible, and able to multi-task while maintaining a high level of efficiency and attention to detail

Strong analytical and negotiating skills, clinical interests, strategic and technical analysis and problem solving skills

Ability to influence others to achieve desired results using tenacity and diplomacy

Strong research and presentation skills