Director, Government Affairs - U.S. Reimbursement

Company Description

About AbbVie

AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on LinkedIn, Facebook, Instagram, X and YouTube.

Job Description

The Director, Government Affairs - U.S. Reimbursement,  is responsible for monitoring and tracking reimbursement policy developments, developing comprehensive product coverage and reimbursement strategies for Medicare, and identifying Medicare Part B policy threats and opportunities that impact AbbVie’s portfolio. The Director will represent AbbVie’s interests before the Centers for Medicare & Medicaid Services (CMS) and other relevant federal departments and agencies.  As part of the U.S. Therapeutic Area Strategies (TAS) and Reimbursement team, the Director will also work in close collaboration with Government Affairs colleagues to develop comprehensive advocacy strategies to advance favorable public policies that are both aligned with enterprise goals and support product specific reimbursement strategies.

Responsibilities:

• Grow and refine a deep understanding of the company’s on-market products and pipeline assets, business strategies and channel-specific goals, and develop robust product-specific Medicare reimbursement strategies that aim to achieve optimal access.
• Develop educational resources and provide reimbursement guidance to inform launch planning and label changes for AbbVie products. Provide national reimbursement policy research related to Medicare to inform and support AbbVie commercial objectives.
• Establish, enhance, and maintain relationships with business leaders and garnering trust with cross functional partners as an expert and strategic advisor on the Medicare reimbursement process and CMS engagement, coupled with deep understanding of how it relates to the broader federal policy landscape. Lead the execution of Medicare reimbursement tactics and CMS engagement strategies, as appropriate.
• Work closely with the U.S. Policy & Analytics team to track legislative and regulatory developments with a product-specific lens and align with Government Affairs colleagues to develop a position. Lead cross functional teams to develop and execute advocacy strategies to optimize, mitigate, or enhance policy changes related to Medicare Part B.

Qualifications

• Deep knowledge of the U.S. federal reimbursement environment with knowledge of the commercial payer market
• 10+ years of experience in related role. Government Affairs experience preferred.
• Bachelor’s degree in related field such as health care administration, political science, public administration, or public policy required. Advance degree preferred (MPH, MBA, JD, MPP). 
• Expertise in coding, coverage, reimbursement, and Average Sales Price (ASP) methodology, with previous experience launching physician-administered drugs.  Experience working on reimbursement issues in the oncology and neuroscience areas preferred.
• Knowledge of the Medicare and Medicaid programs, with a focus on Medicare Part A/B, the discarded drug refund policy, and the Inflation Reduction Act.
• Experience working with medical and provider societies on reimbursement and policy issues.
• Ability to identify reimbursement and policy opportunities and challenges, and to develop clear reimbursement related recommendations that take into account the broader political environment.
• Exceptional communicator (verbal, written, presentations). Ability to effectively communicate information and positions to internal and external stakeholders.
• Demonstrated success in working in a team environment and working in a collegial, yet highly demanding culture.  Must be able to work collaboratively with business leaders and other internal stakeholders.
• Possess advanced analytical, critical thinking and interpersonal skills, the ability to speak and write persuasively and with clarity.
• Demonstrates advanced organizational skills with flexibility