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Boston Scientific Senior Manager Payer Relations & Value-Based Offerings 
United States, Massachusetts, Marlborough 
605077582

29.11.2024

Your responsibilities will include:

  • Managing and leading the development and implementation of national and regional payer activities for BSC Endoscopy’s Endobariatrics franchise working with corporate and divisional staff and key internal and external stakeholders.
  • Actively participating in development and execution of practical strategies to secure optimal coverage for BSC products and procedures.
  • Executing strategies and tactics for reimbursement and access within targeted local and regional plans for key technologies.
  • Leading implementation of tactical planning activities required to achieve strategic coverage objectives including payer team tools, provider access tools, sales team messaging, etc.
  • Identifying key health coverage needs for BSC platform products, working with divisional counterparts and health economics and outcomes research colleagues to determine actions required.
  • Assessing coverage opportunities and challenges facing the division’s emerging technologies and commercially marketed products.
  • Collaborating with leader of national Payer Relations and Corporate Accounts team to leverage partnership discussions whenever possible to support coverage activities and to share contacts and best practices.
  • Monitoring policy developments that impact the coverage of BSC products.

Required qualifications:

  • A bachelor’s degree (B.A. or B.S.) is required; advanced degree is preferred.
  • A minimum of 5 years of experience working in coverage determination and utilization management within a commercial payer organization.
  • Established network of Medical Directors and health insurance plans (AHIP, NAMCP, etc.)
  • Experience with Medicare and Medicaid coverage strategy.
  • Deep knowledge of healthcare, managed care strategy, pricing and the medical reimbursement environment required.
  • Prior strategic account management responsibilities or equivalent relationship development or consulting experience with one of the following: payers, government agencies, IDNs, Accountable Care Organizations (ACOs).
  • Proven ability to successfully interact with the C-suite.
  • Platform presentation skills that make this individual a desired speaker at industry events in front of large groups.
  • Proven track record of influence management within a matrix environment.
  • Proven ability of successfully managing complexity, solving problems, and building strong relationships.
  • Ability to work well independently as well as collaboratively; self-motivated and disciplined to meet deadlines in the context of competing priorities and projects; lead and work effectively with cross-functional teams.
  • Ability to maintain and effectively deal with highly confidential matters.
  • Proven ability in working with commercial organizations, ensuring timely engagement and customer support of internal and external customers.
  • Computer literacy (Microsoft Office Suite), including high level of competency in Excel.

Preferred qualifications:

  • Experience with metabolic and bariatric diseases.
  • Highly organized with ability to effectively manage multiple priorities in a fast-paced environment.
  • Must be able to travel (75% travel) as dictated by business need.
  • Strong written and oral communication skills.
  • Well-developed strategic and analytical skills.
  • Ability to model and live BSC’s corporate values.

Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and/or health care centers, require acceptable proof of COVID-19 vaccination status. Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment. Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements. As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company’s policies or protocols change with regard to COVID-19 vaccination.