BD is one of the largest global medical technology companies in the world. Advancing the world of health™ is our Purpose, and it’s no small feat. It takes the imagination and passion of all of us—from design and engineering to the manufacturing and marketing of our billions of MedTech products per year—to look at the impossible and find transformative solutions that turn dreams into possibilities.
We believe that the human element, across our global teams, is what allows us to continually evolve. Join us and discover an environment in which you’ll be supported to learn, grow and become your best self. Become a maker of possible with us.
Position purpose
The National Director of Payor Strategy and Market Access and Payer Strategy, reports to the General Manager of LMS, and is responsible for the establishment, development and execution of the payor, managed care, and payer contracting medical policy initiatives in collaboration with BD’s market access and payment policy senior leadership team reimbursement strategy to ensure optimal coverage and maximize reimbursement from Commercial, Medicaid and Medicare plans. The individual will also have direct supervision of the contract administration staff and lead all aspects of vendor management.
Leads the development and execution of the commercial reimbursement strategy including Medicaid and Managed Medicare plans.
Responsible and accountable for optimizing the Company’s position and profitability in the insured patient market, aligned to LMS’ goals and initiatives.
Translates the broad corporate strategy into clear, specific, and actionable plans within National and Regional Plans.
Negotiates with payers to secure favorable pricing and product coverage, preferred networking, and operational terms (i.e. timely filing limits).
Develops and promotes the value proposition for LMS products and services to gain market coverage with payers..
Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best possible reimbursement for products and services including new product introductions in conjunction with BD’s market access and commercial teams.
Conduct strategic business reviews at least quarterly with Key Accounts defining gap coverages, including the development of the strategy, and gathering marketing materials & data to support the priority objectives.
Subject matter expert in all areas of payer relations and is highly-skilled in payer-related communications.
Oversees appropriate coordination of companywide initiatives related to payer and provider activities and operational efficiency.
Works cross-functionally to develop the market access and reimbursement strategy for new products.
Works with the market access and marketing team in the development of tools and collateral on payeor messaging for various segments, as well as support in education tools and resources for non-market access teams.
Responsible for short- and long-term pricing, contracting, account strategies, and developing strategic roadmaps and plans for all targeted accounts.
Responsible for Vendor Management including contract negotiations, business reviews, growth opportunities, and new product launches.
Performs other duties and tasks as assigned.
Bachelor’s Degree required; Master’s Degree preferred.
Five years’ executive-level experience managing National Account, Payer negotiations, and/or like activities.
Proven ability to work in a matrix environment, collaborate with and influence peers, sales teams and management.
Strong results orientation with a keen bias for action.
Strong analytical competence and the ability to interpret large data sets. Existing relationships with key decision makers and influencers. Knowledge of fee-for-service and rental reimbursement methodology as applicable to manage care contracting, various market rates and tactics for securing fee for service reimbursement in traditional environments.
Travel: Ability to travel up to 50% and at times may require greater travel.
Language: Ability to read, analyze, and interpret medical supply publications, technical procedures, and/or training tools. Ability to write internal and external business correspondence. Ability to effectively communicate and present information and respond to questions from management, team members, and/or customers.
Math: Ability to calculate figures and amounts such as interest, commissions, proportions, and percentages. Ability to apply intermediate math skills.
Reasoning: Ability to solve practical problems. Ability to manage and address multiple, complex and interdependent variables. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Advanced analytical reasoning to include ability to forecast probabilities within workflow processes and reason against outside factors.
Computer: Expertise in common Microsoft Office Applications. Ability to learn new applications and increase competency within applications as needed.
Telecommunications: Ability to utilize or knowledge of call center telecommunications software.
A career at BD means being part of a team that values your opinions and contributions and that encourages you to bring your authentic self to work. It’s also a place where we help each other be great, we do what’s right, we hold each other accountable, and learn and improve every day.
You will learn and work alongside inspirational leaders and colleagues who are equally passionate and committed to fostering an inclusive, growth-centered, and rewarding culture. You will have the opportunity to help shape the trajectory of BD while leaving a legacy at the same time. And through the organization’s investment in BD University, you will continually level up your tech skills and expertise.
To find purpose in the possibilities, we need people who can see the bigger picture, who understand the human story that underpins everything we do. We welcome people with the imagination and drive to help us reinvent the future of health. At BD, you’ll discover a culture in which you can learn, grow and thrive. And find satisfaction in doing your part to make the world a better place.
Becton, Dickinson and Company is an Equal Opportunity Employer. We evaluate applicants without regard to race, color, religion, age, sex, creed, national origin, ancestry, citizenship status, marital or domestic or civil union status, familial status, affectional or sexual orientation, gender identity or expression, genetics, disability, military eligibility or veteran status, and other legally-protected characteristics.
investment in BD University, you will continually level up your tech skills and expertise.
To find purpose in the possibilities, we need people who can see the bigger picture, who understand the human story that underpins everything we do. We welcome people with the imagination and drive to help us reinvent the future of health. At BD, you’ll discover a culture in which you can learn, grow and thrive. And find satisfaction in doing your part to make the world a better place.
Becton, Dickinson and Company is an Equal Opportunity Employer. We evaluate applicants without regard to race, color, religion, age, sex, creed, national origin, ancestry, citizenship status, marital or domestic or civil union status, familial status, affectional or sexual orientation, gender identity or expression, genetics, disability, military eligibility or veteran status, and other legally-protected characteristics.
Required Skills
Optional Skills
.
Jerry
UNFI
Synapticure
Accede Solutions Inc (accedesol.com)
Guardant Health