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Director, Reimbursement & Payor Policy

Director, Reimbursement & Payor Policy

NovocureBirmingham, AL, US
30+ days ago
Job type
  • Full-time
Job description

ESSENTIAL DUTIES AND RESPONSIBILITIES :

  • Develop and implement strategies to enhance coverage and reimbursement of Novocure’s products in commercial insurance plans.
  • Work closely with the Payer Contracting, Medical, Commercial, and Revenue Operations teams to align on and execute coverage and pricing strategies, ensuring consistent and comprehensive market access for Novocure’s products.
  • Monitor and analyze health policy developments, with a focus on those affecting commercial insurance, including Medicare Advantage. Develop and advocate for policies that support the inclusion and reimbursement of Novocure’s products, especially in commercial plans.
  • Establish and maintain relationships with key commercial payors, industry groups, and other stakeholders to support Novocure’s market access and reimbursement goals.
  • Collaborate with global value, clinical, and research teams to generate and present data supporting the value proposition of Novocure’s products to commercial payors.
  • Employ strong project management skills by prioritizing and leading multiple tasks concurrently
  • Assist in the analysis and response to regulatory and payment proposals, including those from CMS and other relevant agencies.
  • Collaborate with US Government Affairs team to identify and develop policy priorities related to commercial market access.

QUALIFICATIONS / KNOWLEDGE :

  • Bachelor’s Degree required; advanced degree in Health Policy, Business, or related field preferred.
  • Minimum of 10 years of experience in health policy, market access, and reimbursement, including comprehensive knowledge of commercial payment systems and the healthcare regulatory environment.
  • Experience working at a medical device (preferred) or pharmaceutical company.
  • Proven track record in managing complex payer relationships.
  • In-depth understanding of the commercial healthcare market, insurance operations, policy implications, and the coding, coverage, and reimbursement processes for medical devices or pharmaceuticals.
  • Strong leadership, strategic thinking, and project management skills, capable of leading cross-functional initiatives.
  • Excellent communication, negotiation, and interpersonal skills, with the ability to influence and advocate for policy positions to a variety of stakeholders.
  • Ability to address customer concerns effectively and work collaboratively with external and internal stakeholders.
  • Comprehensive knowledge of customer relations, product promotion, and the ability to interpret complex information and provide analysis to stakeholders.
  • Ability to work independently and perform timely follow-ups.
  • Proficiency in Microsoft Office products.
  • Knowledge of Protected Health Information and HIPAA Privacy and Security guidelines preferred.

    • This position is crucial for ensuring that Novocure’s innovative therapies are accessible to patients, contributing significantly to the company’s mission and success in the healthcare landscape.

    OTHER :

  • Up to 25% travel
  • Ability to lift up to 20 pounds

    • Novocure is an Equal Opportunity Employer, including Veterans / Disabled.