Vice President, Payors & Evidence
Location:
Minneapolis, MN, US
Country/Region:
United States
Job Function Summary: The Vice President, Payors and Evidence, is a key member of the U.S. leadership team responsible for defining and driving Coloplast's integrated strategy for reimbursement, market access, and medical affairs. This executive defines the company's clinical and health policy ambition in US - ensuring that Coloplast's products achieve sustainable reimbursement, broad patient access, and endorsement of the medical community. This role leads a high-impact team that requires a leader who can operate effectively at a strategic level and engage hands-on when needed to advance critical initiatives. The ideal candidate brings a proven ability to balance executive leadership with tactical delivery in a dynamic, fast-moving environment. Major Areas of Accountability: Reimbursement including Government and Public Affairs
- Empower the Director of Reimbursement and Government Affairs to develop and execute the U.S. reimbursement strategy to ensure adequate coding, coverage, and payment by Medicare.
- Enable the team to anticipate, influence, and respond to legislative and regulatory developments affecting patient access, reimbursement, and pricing frameworks.
- Support the Government Affairs initiatives and resulting strategic alliances with policymakers, CMS, Congress, patient advocacy groups, industry associations, and clinical societies to protect and expand reimbursement pathways.
- Support Public Affairs initiatives that strengthen the policy advocacy messages by incorporating authentic patient voices and real-world experiences.
Market Access
- Empower the Director of Market Access to strengthen Medicaid, managed care and commercial payor relationships to influence coverage and payment decisions.
- Provide strategic oversight of payor engagement strategies that expand and sustain access to Coloplast products across payors.
- Support implementation of Medicare coding, coverage and payment with Medicaid, managed care and commercial payors.
- Leverage payor insights to inform commercial strategy, including targeting, product positioning, and pricing to ensure patient access and maximize business impact.
Medical Affairs
- Empower the Director of US Medical Affairs to lead evidence generation, medical education and clinical engagement activities that strengthen Coloplast's scientific credibility and advance business goals.
- Enable team's initiatives that create clinical arguments in support of US product claims, reimbursement objectives, and inclusion in US professional guidelines.
- Ensure integration of U.S. Medical Affairs priorities with global initiatives to leverage data, insights, and best practices that enhance market impact.
- Provide oversight of strategic health care provider relationships to support reimbursement, evidence generation, and marketing objectives.
Regulatory Compliance:
- Ensure all Payors and Evidence functions operate in compliance with applicable federal, state, and global regulations while maintaining the highest ethical standards.
- Foster a culture of compliance, transparency, and scientific integrity across all functions.
Organizational Leadership:
- Lead and develop a high impact team across Reimbursement, Market Access, and Medical Affairs, fostering collaboration, accountability, and agility.
- Set bold strategic direction while engaging hands-on as needed to drive execution and ensure delivery of critical priorities.
- Champion cross-functional integration with Marketing, Sales, Regulatory, and Global Medical Affairs to align access and evidence strategies with business goals.
- Demonstrate adaptability and pragmatic leadership-balancing long-term vision with operational problem-solving in a dynamic, fast-paced environment.
- Coloplast employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the AdvaMed Code of Ethics on Interactions with Healthcare Professionals, and company policies.
- Other job duties as assigned
Basic Qualifications:
- Bachelor's or Masters degree in Business, Health Sciences, Management or Health Policy required.
- 12+ years of experience - including specific experience with medical devices and/or health policy.
- Proven experience to develop Medicare coding, coverage, payment strategies for medical products reimbursed in inpatient, outpatient or in the community settings
- Track record of cross functional collaboration with clinical or medical affairs teams in US and/or Europe in support of reimbursement and commercial success
- Minimum of 5 years of successful management experience, leading senior level management, professionals and highly skilled employees
- Proactive style and a strategic business sense that will allow them to develop creditability across the organization
- Ability to consistently work, manage and lead with ethical integrity
- Willingness and ability to travel -30%, some international travel expected.
Preferred Qualifications
- Experience with DME reimbursement.
- Understanding of clinical evidence development and dissemination process
- Working knowledge of how to leverage evidence to demonstrate "value proposition" as well as coding and coverage criteria, such as "clinical utility", "reasonable and necessary"
- Experience supporting commercial teams through deployment of field-based reimbursement, medical science liaison and/or clinical education specialists
- Experience in negotiations with commercial payors and Medicaid plans
- Strong strategic thinking skills, ability to scenario plan, craft strategic options, prioritize and problem solve
- Strong negotiation / influence skills and the ability to work at a peer-level with experienced technical and commercial experts in other functions
- Ability to communicate complex information in a convincing way to non-technical audiences
- Experience in building and leading teams and driving high standards for individual and team accomplishments and talent development
At Coloplast, we believe in recognizing and rewarding the contributions of our employees. Our total rewards package is designed to support your well-being, foster your professional growth, and ensure a healthy work-life balance. Here is some of what you can expect:
- Health and Wellness: Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy. Plus, access to company sponsored wellness programs and mental health resources, paid leave of absence for qualifying events and generous paid parental leave for both birthing and non-birthing parents.
- Financial Security: A competitive 401(k) plan with company match that vest immediately, financial planning services to help you secure your future, and corporate discount programs for goods and services.
- Work-Life Balance: Generous paid time off, flexible work hours, and flexible work arrangement options to help you balance your personal and professional life may be available.
- Professional Development: Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement.
- Recognition and Rewards: Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events.
- Community and Culture: A supportive work environment where everyone feels valued, and has a sense of belonging. Participate in team-building activities, volunteer opportunities, and company-sponsored events. Sustainability strategy that outlines our ambitions for how to run our company in a more sustainable way.
- Competitive Compensation: The compensation range for this position is $232,000 - $320,000. Actual compensation is influenced by a variety of factors including but not limited to skills, experience, qualifications, and geographic location. Hired candidates may be eligible to receive additional compensation in the form of bonuses and/or incentives.
Pursuing an ambitious growth agenda, Coloplast develops and markets products and services that make life easier for people with intimate healthcare needs. Employing about 16,000 people and with products available in more than 143 countries, we are one of the world s leading medical device companies. We are constantly growing our business and always looking for new ways to move forward - we explore, learn and look for new ways of doing things. Visit us on Coloplast.com. Watch the film. Follow us on LinkedIn. Like us on Facebook. Coloplast employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies. Coloplast is committed to a policy of Equal Employment Opportunity (EEO) which means we employ and promote individuals based on their merits, regardless of race, color, religion, sex, national origin, age, disability, veteran status, pregnancy, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, status with regards to public assistance or any other protected classification. 59759 #LI-CO #LI-HYBRID
Nearest Major Market: Minneapolis
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