HEMA Manager - Strategic Downstream - WATCHMAN

bostonscientific•Maple Grove, MN

21h•$125,800 - $239,000

About The Position

This Health Economics & Market Access (HEMA) Manager works in close collaboration with stakeholders in the WATCHMAN™ division within the broader Atrial Fibrillation Solutions (AFS) business and with Corporate HEMA to develop and execute strategies that support sustainable patient access and appropriate reimbursement for established, in-market products in the US. The HEMA Manager—Strategic Downstream partners cross-functionally (e.g., marketing, clinical, sales training, field HEMA) to develop training and education resources for customers as well as consult and create economic tools/messaging that aligns with the business strategy and HEMA strategic initiatives (coverage, coding, payment). Successful candidates will have excellent technical expertise in the areas of healthcare administration and delivery, US healthcare policy, facility and physician reimbursement, and health economic value messaging. Candidates will exhibit outstanding communication skills with the ability to present complex information to a broad and diverse group of key stakeholders and will have the ability to convey the unique capabilities that Boston Scientific has in this market. This role is well suited for experienced professionals who demonstrate strong ownership and matrix leadership, translating access strategies into effective execution through cross-functional and field partnerships.

Requirements

Bachelor’s degree in economics, healthcare administration, health policy, public health, or similar discipline.
5+ years working in the delivery and/or administration of healthcare or the medical device industry, including cardiovascular experience.
Strong understanding and practical application of health economics, reimbursement, and/or market access principles, with the ability to articulate the current and evolving market access landscape.
Knowledge of US medical coding and payment systems, including CPT® and HCPCS codes, Relative Value Units (RVUs), ICD-10 diagnosis and procedure codes, Ambulatory Payment Classifications (APCs), and Medicare Severity Diagnosis Related Groups (MS-DRGs).
Ability to present complex health economic information to both large and small influential groups in a way that is easy to understand, credible, and engages the audience
Ability to train sales team members both individually and in groups in the use of economic tools such as calculators, presentations, and messaging in a compliant manner
Strong business acumen, attention to detail and experience working with various internal business partners (especially Sales, Sales Training, field HEMA, Marketing, and Clinical)
Ability to directly influence business objectives by working effectively in a matrixed organization
Knowledge of US health care policy and payment systems, including Medicare and commercial payer device reimbursement in the hospital inpatient, outpatient, ASC and physician office sites of service
Understanding of hospital financial systems and management practices
Ability to work well independently as well as collaboratively; self-motivated and disciplined to meet deadlines in the context of competing priorities and projects; lead and work effectively across functions
Demonstrated ability to partner effectively with commercial teams to support timely, compliant engagement and customer education
Analytical experience using large real-world data sets to assess market size, targeting, and opportunity
Computer literacy (Microsoft Office Suite), including high level of competency in Excel and PowerPoint

Nice To Haves

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
Coding certification(s) (e.g., Certified Professional Coder)

Responsibilities

Serve as WATCHMAN HEMA lead in the economic messaging and tool creation for both the field sales organization and the field HEMA teams that support AFS.
Proactively assess education and training needs and lead the development and delivery of internal and customer-facing materials related to coverage, coding, and payment updates.
Analyze and interpret annual CMS rulemaking across IPPS, OPPS, ASC, and PFS to understand implications for market access and reimbursement.
Collaborate with HEMA analysts to prepare internal and external communications aligning with strategic guidance from the HEMA Senior Director and upstream HEMA Manager leads.
Serve as a technical expert on cardiovascular coding topics.
Develop educational content on health policy, reimbursement, and documentation topics for HEMA colleagues, cross-functional colleagues and sales team representatives.
Prepare FAQs related to reimbursement and documentation topics of importance to our customers.
Support HEMA analysts in reviewing customer inquiries and assisting with responses as needed.
Align and collaborate with the HEMA field organization to provide resources that support education on product coding, coverage, and reimbursement for hospitals, physicians, and other HCPs.
Track regional reimbursement methods and trends—including variation across payers and geographies—to inform market access strategy and field support.
Monitor payer and policy developments that impact the reimbursement of BSC products and communicate to HEMA team and senior leaders as appropriate.
Maintain proficiency in current and evolving health policy topics to inform HEMA strategies and landscape assessments.
Serve as content expert for the divisional HEMA team and the liaison to Payer Relations and Global Health Policy team at Corporate.
Monitor competitive evidence and external benchmarks to inform patient access strategy adjustments.
Present complex information to a broad and diverse group of stakeholders.