Boston Scientific Field HEMA Manager - Urology East Central 

United States, Illinois, Chicago 

455860750

Your responsibilities will include:

• Develop, implement and deliver independently or in partnership with commercial colleagues, customized reimbursement, health economics, market access, and value education on products within the Urology portfolio.
• Work in partnership with sales and sales leadership to plan and prioritize customer meetings, delivering economic and value messages in support of BSC priorities.
• Develop relationships with physician champions to provide appropriate value propositions and education for impactful interactions with healthcare administrators and decision-makers.
• Effectively educate and train the sales team on streamlined health economic insights, tools, and messaging.
• Collaborate with cross-functional stakeholders to anticipate market needs and inform the development of customer-facing tools, economic models, and other tactical elements of reimbursement to optimize patient access to BSC technologies.
• Contribute to the continuous update of market insights and payer landscape tools based on changes in market dynamics such as new product introductions, changes in therapeutic needs, and competitive landscape.
• Ensure health economic and value selling methodologies and messages are consistent and compliant with legal and regulatory guidance.
• Provide education and training to healthcare providers, office staff, and sales organization on reimbursement processes, coding requirements, and billing procedures.
• Assist with appeal and denial management in cases where insurance claims are denied, or coverage is inadequate and help healthcare providers navigate the appeals process while strictly adhering to HIPAA compliant policies and procedures.
• Troubleshoot national and local payer reimbursement and policy issues and advocate directly with payers on policy advocacy in the interest of maximizing patient access to care.

Required qualifications:

• 5+ years of experience working in the medical device or healthcare industries.
• Bachelor’s degree, preferably with a focus on health policy, health economics, healthcare administration, health services research or similar.
• Knowledge of US health care policy and payment systems, including Medicare and commercial payers, physician, and hospital reimbursement, for inpatient and outpatient sites of service.
• Ability to use financial calculators, MS Excel and PowerPoint to demonstrate how BSC products impact facility economics or healthcare system economically and financially.
• Strong ability to present complex health economic information to both large and small influential groups in a way that is credible, easy to understand and engages the audience.
• Field based position with overnight travel estimated up to 40%.
• Reside within 45-minutes of a major airport.

Preferred qualifications:

• 7+ years of experience with Urology services and the associated medical devices
• An advanced degree such as an MBA, MPH, MHA, MS, MSc in health policy, health economics, healthcare administration, health services research, public health or similar discipline is highly desired
• In-depth experience with AI systems, processes and solutions, payer database analyses and reporting are highly desirable
• Outstanding interpersonal skills with ability to develop relationships at all levels in an organization which impact organizational business goals.
• Conversationally fluent with medical coding and site-of-service specific reimbursement

Compensation fornon-exempt (hourly), non-sales rolesmay also include variable compensation from time to time (e.g., any overtime and shift differential) and annual bonus target (subject to plan eligibility and other requirements).

Compensation forexempt, non-sales rolesmay also include variable compensation, i.e., annual bonus target and long-term incentives (subject to plan eligibility and other requirements).

For MA positions:It is unlawful to require or administer a lie detector test for employment. Violators are subject to criminal penalties and civil liability.

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.