Director, Health Economics, Policy & Reimbursement

Work Flexibility: Hybrid or Onsite

This role will build and drive Stryker Sage’s health economic competency, policy initiatives and re-imbursement strategies in order to deliver enhanced clinical and financial value to our customers across the continuum of care.

Key responsibilities are as follows:

• Drive and enhance our commercial health economic competency in collaboration with sales training and marketing in an effort to drive a strong, data driven, health economic story for our customers

• Drive our policy / advocacy initiatives within all sectors of policy (CMS, CDC, Joint Commission and Congress) in an effort to drive greater clinical and financial value across the continuum of care

• Survey payers, payer policies and data including Medicare for coding, coverage and reimbursement in order to drive opportunities and to establish new codes leading to positive reimbursement for clinical indications for Stryker Sage’s interventions in the hospital and home care setting.

This position will lead a team that works within the Stryker Sage business unit to perform the responsibilities in this job description.  Responsible for talent selection, engagement, development, performance, etc.

• Lead our team of data analysts to align our data competencies and capabilities with best in class data centered around the value based purchasing HAC penalty program

• Build a team structure to best support our goals as it relates to driving our health economic story with senior hospital leadership teams

• Build our commercial (sales and marketing) health economic competency in order to empower our organization to deliver more clinical and financial value to our customers

• Drive collaboration with our customer solutions team to ensure our health economic value story is being told across all channels and decision making functions

• Aid in the development of enhancing our data capabilities in order to articulate a strong health economic story  

• Interface with KOL clinicians, payer organizations, medical societies and patient advocacy groups to garner resource and support for policy and support of reimbursement objectives.

• Proactively define, lead and execute HEOR research and project plans and reimbursement initiatives to ensure reimbursement opportunities for Stryker Sage’s products to develop advanced knowledge of the clinical-economic impact of said products and to develop advanced sales and marketing tools.

• In concert with marketing leaders, develop and define a clinical-health economics plan, with precise value messaging and tactics to support these strategies.

• Provide input to clinical and marketing teams regarding opportunities to execute strategies that impact the economic value proposition for Stryker Sage’s products.

• Collaborate with clinical affairs to conduct observational studies, cost effectiveness research, and meta-analyses to support policy and reimbursement initiatives

• Advise senior leadership on the implications of government and private payor payment policies and legislative changes that may impact access to Stryker products.

• Deliver and create clear and concise communications and presentations using approaches that highlight the most pertinent information for internal and external stakeholders and spur stakeholder actions.

• Provide training for internal and external audiences.

• Establish and maintain relationships with senior CMS personnel and ensure appropriate representation at significant meetings with CMS.

• Work with customers and professional associations to develop advocacy campaigns that support coverage and payment strategies.

• Work with payors, clinical champions, and professional societies to secure appropriate coverage, coding and payment policies for our products in the hospital and home care setting.

• Establish and execute payer and provider focused communications regarding the value of Stryker products.

• Serve as Stryker Sage’s liaison to Stryker Corporate’s Government Affairs and Health Policy and Reimbursement Group to ensure Sage’s products and clinical applications are well understood and positioned for policy change and reimbursement.

• Develop and advocate policy positions on payment for technology in areas of payment policy of interest to Stryker.

Education/Training:

• Bachelor’s degree (B.S.) in a scientific or analytics field- epidemiology preferred; business, finance or related field will be considered in conjunction with experience. Masters degree preferred.

• 10+ years of work experience in health economics, public health policy, reimbursement or related field req