Sr. Payor Relations And Reimbursement Liaison

Overview: The Senior Payor Relations and Reimbursement Liaison is responsible for supporting Sight Sciences' products and portfolio to assigned geographic area including hospitals, ASC's, surgeons and payers under the Guidance of a Sr. Director - Market Access.
This position will also be responsible for supporting field sales representatives by educating and communicating with a variety of customers to include payers, physicians, nurses, billing staff, hospital outpatient departments, and ASCs.
The Senior Payor Relations and Reimbursement Liaison will also collaborate with Marketing, Medical Affairs, R&D, and Clinical teams to ensure market access and competitive advantage of Sight Sciences products, by developing and executing strategies that integrate health economics, outcomes research and market access solutions across all stages of the product lifecycle.

Responsibilities:

• Appropriately support health care providers with their coverage, coding and
  reimbursement needs. Network with regional, state providers, patient, and healthcare
  systems advocacy organizations.
• Work closely with Sales, lead customer-facing reimbursement and market access needs
  for assigned geography or products.
• Work closely with Regional & National Sales field representatives to support and educate
  on Market Access and commercial strategy.
• Evaluate incoming requests from the field and ensure each request is properly evaluated
  for feasibility, technical risk, cost and time constraints, compliance, and other relevant
  considerations.
• Promote reimbursement support and represent the company to external customers by
  writing, phoning, visiting, hosting, and participating in events.
• Serve as Market Access content specialist when representing the company with internal
  and external customers.
• Provide support to building payer and reimbursement programs to engage economic
  stakeholders, including payers and providers, expanding access to care.
• Support engagement with key payers within geographic region to ensure correct
  coverage and reimbursement of company technologies.
• Help build partnerships with internal and external stakeholders to ensure patient-reported
  outcomes, economic endpoints and other evidence are included in, or separate from,
  trials to support economic modeling, economic value assessments, patient preference
  and patient-focused value proposition.
• Develop relationships and collaborate cross functionally to support continued growth of
  current and future products.

Education Requirements:
Bachelor's degree in a HEMA related discipline in health economics, outcomes research or healthcare related field or equivalent experience required.

Experience Requirements:
* A minimum of 5 years' experience in a highly regulated field and a minimum of 2 years of commercial medical device, pharma or consulting business is preferred.
* Strong business acumen, analytical skills and experience working with various internal business partners (especially Sales, Marketing, Clinical, Regulatory, Legal, and Government Affairs staff)
* Understanding of key public and private payer policy infrastructure, payment methodologies, coding, and coverage; health policy trends, and current business challenges.
* Previous experience working with hospital accounts, ASC or equivalent to educate on proper coding, payment and revenue cycle.
* Experience working with payor stakeholders such as medical directors, policy makers, and pricing committees.
* Previous experience in, or strong working knowledge of the medical device industry, especially with functional responsibility in health economics and reimbursement planning.
* Experience working with external stakeholders such as payers, hospitals, physicians.

Other Qualifications:
* Strong understanding of the US reimbursement systems and market access trends.
* Ability to communicate clearly and concisely to large audiences; detail-oriented, self-motivated and ability to work independently.
* Ability to take evidence and other complex data and package it into easy-to-understand deliverables that can support commercial use.
* Intellectual interest in keeping abreast of market access and reimbursement trends.
* Solution-oriented, with the ability to offer creative options for problem solving.
* Work closely with multiple cross-functional partners, including Sales, Strategic Marketing, Business Development, Medical Affairs, Clinical Research, US Commercial Marketing, Regulatory Affairs, R&D and Legal.

Physical Demands:
* Sitting for extended periods of time, the employee regularly works in an office environment as well as meetings at physician offices or hospitals and payers as required.
* Position interacts periodically with external customers such as physician providers and economic decision makers in the hospital and payers to assist with describing the value proposition of the company's technology. Position will interact with the US government payer (CMS), commercial payers and medical societies on reimbursement and market access topics related to use of company technology.

Travel Requirements:
The percentage of expected travel for domestic, international, or both is estimated to be 20%.

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