Coloplast
Vice President, Payors & Evidence
Location: Minneapolis, MN, US
Job Family: Marketing
Country/Region: United States
The VP of Payors and Evidence will be a foundational Commercial Leader for the Chronic Care North America business, responsible for developing and executing reimbursement strategies with public and private healthcare plans to ensure broadest possible access to Coloplast's products in North America. This role will be a key member of the North America leadership team and work closely with leaders responsible for Marketing, Sales, Consumer Sales and DME arm of the organization. They will be aided in these responsibilities by a staff comprising payor Sales Executives, Government Affairs, HEOR and Reimbursement managers.
Major Areas of Accountability
Lead development of evidence-based economic value messages to communicate the value story for Coloplast's chronic care products to payers, healthcare providers and other decision-makers
Develop and implement Market Access strategies for new and existing products, with Government and Commercial Payors, including value proposition, pricing, reimbursement, coding and contracting
Lead contracting and negotiations with Payors to optimize patient access to Coloplast products
Create, build, and manage a Payor Sales team to ensure appropriate access, contracting, and placement of Coloplast products in key Payer and Provider accounts
Develop standard operating procedures to integrate and streamline reimbursement services and product distribution in an effective and compliant manner
Collaborate with marketing, regulatory affairs, KOLs and professional societies to develop a coding strategy to maximize reimbursement support among key stakeholders
Collaborate with the National Accounts and Marketing teams on GPOs, IDNs and similar entities where value analysis committees are involved in market access for our products
Monitor and influence national medical device reimbursement trends to obtain and ensure the best coverage-coding-payment combination.
Participate in Coloplast Global Market Access Forum providing input on US reimbursement feasibility, clinical evidence / health economic evidence requirements to product management to ensure that US market needs are met in the development of value dossiers/packages for Payors
Adapt or develop US specific value argumentation (health economic publications and tools) to facilitate fast and effective market access across the product portfolio
Represent Coloplast at industry association Market Access relevant activities
Ensure the Coloplast products are correct registered at all relevant payer entities (PDAC, Medi-Cal) and update reimbursement rates
Develop and train the organization in reimbursement and product value argumentation.
Support Coloplast business partners (medical suppliers) on billing of our products
Coloplast employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.
Other job duties as assigned
Basic Qualifications
Bachelor's or Masters degree in Business, Finance, Health Science, Management or Health Economics required; MBA preferred.
12+ years of experience - including specific experience with DME/medical supplies reimbursement.
Minimum of 5 years successful management experience, leading senior level management, professionals and highly skilled employees
Proactive style and a strategic business sense that will allow him/her to develop creditability across the organization
Ability to consistently work, manage and lead with ethical integrity
Willingness and ability to travel -30%, some international travel expected.
Preferred Qualifications
Proven experience in developing reimbursement strategies and obtaining reimbursement codes (HCPCs, or CPT codes)
Experience developing value dossiers and developing HEOR from a broad range of therapy areas to ensure value proposition achieve objectives among payer relationships
In-depth understanding of clinical development as well as the regulatory, legal environment of the medtech industry, demonstrated integrity on work-related compliance considerations, and solid ethics
Strong strategic thinking skills, ability to scenario plan, craft strategic options, prioritize and problem solve
Strong negotiation / influence skills and the ability to work at a peer-level with experienced technical and commercial experts in other functions
Ability to communicate complex information in a convincing way to non-technical audiences
Experience in building and leading teams and driving high standards for individual and team accomplishments and talent development
Benefits
Health and Wellness : Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy. Plus, access to company sponsored wellness programs and mental health resources, paid leave of absence for qualifying events and generous paid parental leave for both birthing and non-birthing parents.
Financial Security : A competitive 401(k) plan with company match that vest immediately, financial planning services to help you secure your future, and corporate discount programs for goods and services.
Work-Life Balance : Generous paid time off, flexible work hours, and flexible work arrangement options to help you balance your personal and professional life may be available.
Professional Development : Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement.
Recognition and Rewards : Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events.
Community and Culture : A supportive work environment where everyone feels valued, and has a sense of belonging. Participate in team-building activities, volunteer opportunities, and company-sponsored events. Sustainability strategy that outlines our ambitions for how to run our company in a more sustainable way.
Competitive Compensation : The compensation range for this position is $232,000 - $320,000. Actual compensation is influenced by a variety of factors including but not limited to skills, experience, qualifications, and geographic location. Hired candidates may be eligible to receive additional compensation in the form of bonuses and/or incentives.
Coloplast employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.
Coloplast is committed to a policy of Equal Employment Opportunity (EEO) which means we employ and promote individuals based on their merits, regardless of race, color, religion, sex, national origin, age, disability, veteran status, pregnancy, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, status with regards to public assistance or any other protected classification.
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Job Family: Marketing
Country/Region: United States
The VP of Payors and Evidence will be a foundational Commercial Leader for the Chronic Care North America business, responsible for developing and executing reimbursement strategies with public and private healthcare plans to ensure broadest possible access to Coloplast's products in North America. This role will be a key member of the North America leadership team and work closely with leaders responsible for Marketing, Sales, Consumer Sales and DME arm of the organization. They will be aided in these responsibilities by a staff comprising payor Sales Executives, Government Affairs, HEOR and Reimbursement managers.
Major Areas of Accountability
Lead development of evidence-based economic value messages to communicate the value story for Coloplast's chronic care products to payers, healthcare providers and other decision-makers
Develop and implement Market Access strategies for new and existing products, with Government and Commercial Payors, including value proposition, pricing, reimbursement, coding and contracting
Lead contracting and negotiations with Payors to optimize patient access to Coloplast products
Create, build, and manage a Payor Sales team to ensure appropriate access, contracting, and placement of Coloplast products in key Payer and Provider accounts
Develop standard operating procedures to integrate and streamline reimbursement services and product distribution in an effective and compliant manner
Collaborate with marketing, regulatory affairs, KOLs and professional societies to develop a coding strategy to maximize reimbursement support among key stakeholders
Collaborate with the National Accounts and Marketing teams on GPOs, IDNs and similar entities where value analysis committees are involved in market access for our products
Monitor and influence national medical device reimbursement trends to obtain and ensure the best coverage-coding-payment combination.
Participate in Coloplast Global Market Access Forum providing input on US reimbursement feasibility, clinical evidence / health economic evidence requirements to product management to ensure that US market needs are met in the development of value dossiers/packages for Payors
Adapt or develop US specific value argumentation (health economic publications and tools) to facilitate fast and effective market access across the product portfolio
Represent Coloplast at industry association Market Access relevant activities
Ensure the Coloplast products are correct registered at all relevant payer entities (PDAC, Medi-Cal) and update reimbursement rates
Develop and train the organization in reimbursement and product value argumentation.
Support Coloplast business partners (medical suppliers) on billing of our products
Coloplast employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.
Other job duties as assigned
Basic Qualifications
Bachelor's or Masters degree in Business, Finance, Health Science, Management or Health Economics required; MBA preferred.
12+ years of experience - including specific experience with DME/medical supplies reimbursement.
Minimum of 5 years successful management experience, leading senior level management, professionals and highly skilled employees
Proactive style and a strategic business sense that will allow him/her to develop creditability across the organization
Ability to consistently work, manage and lead with ethical integrity
Willingness and ability to travel -30%, some international travel expected.
Preferred Qualifications
Proven experience in developing reimbursement strategies and obtaining reimbursement codes (HCPCs, or CPT codes)
Experience developing value dossiers and developing HEOR from a broad range of therapy areas to ensure value proposition achieve objectives among payer relationships
In-depth understanding of clinical development as well as the regulatory, legal environment of the medtech industry, demonstrated integrity on work-related compliance considerations, and solid ethics
Strong strategic thinking skills, ability to scenario plan, craft strategic options, prioritize and problem solve
Strong negotiation / influence skills and the ability to work at a peer-level with experienced technical and commercial experts in other functions
Ability to communicate complex information in a convincing way to non-technical audiences
Experience in building and leading teams and driving high standards for individual and team accomplishments and talent development
Benefits
Health and Wellness : Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy. Plus, access to company sponsored wellness programs and mental health resources, paid leave of absence for qualifying events and generous paid parental leave for both birthing and non-birthing parents.
Financial Security : A competitive 401(k) plan with company match that vest immediately, financial planning services to help you secure your future, and corporate discount programs for goods and services.
Work-Life Balance : Generous paid time off, flexible work hours, and flexible work arrangement options to help you balance your personal and professional life may be available.
Professional Development : Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement.
Recognition and Rewards : Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events.
Community and Culture : A supportive work environment where everyone feels valued, and has a sense of belonging. Participate in team-building activities, volunteer opportunities, and company-sponsored events. Sustainability strategy that outlines our ambitions for how to run our company in a more sustainable way.
Competitive Compensation : The compensation range for this position is $232,000 - $320,000. Actual compensation is influenced by a variety of factors including but not limited to skills, experience, qualifications, and geographic location. Hired candidates may be eligible to receive additional compensation in the form of bonuses and/or incentives.
Coloplast employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.
Coloplast is committed to a policy of Equal Employment Opportunity (EEO) which means we employ and promote individuals based on their merits, regardless of race, color, religion, sex, national origin, age, disability, veteran status, pregnancy, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, status with regards to public assistance or any other protected classification.
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