Ambu
  • - Health Economics - Columbia
  • COLUMBIA, MD, USA
  • Full Time

Reports to: Director of Health Economics & Market Access

Location of position: Columbia, MD

POSITION SUMMARY:

The Market Access and Reimbursement Specialist will be responsible for supporting the integration of market access strategies across Ambu's visualization portfolio. This position will work closely with the HEOR team to identify, evaluate, and summarize clinical and economic evidence for the creation of key market access materials including, but not limited to, HTA/VAC & tendering submissions, value dossiers, and evidence creation initiatives. Ultimately, these tools will be used to demonstrate value and economic impact of our products with health care providers, payers, patients, and policy makers. Additionally, this position will be responsible for market access initiatives (e.g. coding, coverage, billing, and reimbursement) with both field (sales) and external stakeholder groups. If you are organized and thrive in a dynamic, fast-paced environment, then this role is for you.  

Essential Functions and Responsibilities:

  • Support the development of the payer value propositions for our products/solutions and perform gap analyses in order to support the development of value stories and health economic models
  • Collaborate with the Health Economics team as they lead Ambu's development of real-world evidence and health economics and outcomes research in order to enhance medical and economic claims needed for the value proposition/story
  • Summarize findings and create value propositions and messaging based on peer reviewed publications related to the clinical and economic performance of Ambu
  • Put together presentations for management with recommendations
  • Answers technical reimbursement questions for internal and external stakeholders, including sales representatives.
  • Support the development of marketing materials that help payers recognize the value of Ambu products
  • Develop and maintain strategic relationships with CMS, MedPAC, commercial payers, patient and provider stakeholders, trade associations, and other strategic KOLs.
  • Conduct systematic analyses of the reimbursement potential for our products/solutions in order to inform strategic decision-making in close collaboration with all relevant internal stakeholders
  • Review and edit complex technical documents for clarity, grammar, spelling, punctuation and consistency
  • Travel as needed (up to 50%)

 Qualifications:

  • Master's degree or PhD in health-related field including, but not limited to, Health Economics, health services research, Biostatistics, or Public Health, with a strong focus on market access and reimbursement
  • 5+ years of experience in market access and reimbursement in the U.S.
  • Knowledge of health insurance coding, coverage, billing, and reimbursement, inclusive of private commercial coverage and Medicare coverage
  • In-depth understanding of payers and their value drivers in major markets as well as trends in pricing & reimbursement
  • Knowledge of Health Economics
  • Medical device industry experience strongly preferred
  • Professional coding certification by a national organization (i.e., AAPC or AHIMA)
  • Knowledge of various advocacy groups (e.g. Medicare MACS, Hospital GPO's, Health Systems)
  • Previous coding and billing experience in the office, hospital, ASC, IDN settings
  • Successful track record of receiving additional reimbursement as well as successful changes to coding and coverage decisions
  • Experience collaborating and working with payers, existing relationships is preferred
  • Demonstrated ability to work collaboratively with Sales and Marketing to promote product growth
  • Strong clinical focus, business acumen, and ability to develop and build upon existing relationships
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