VP, Global Health Economics, Reimbursement & Policy

Job Summary of the VP, Global Health Economics, Reimbursement & Policy

Given the aims of Axogen’s mission and business purpose, the VP, Healthcare Economics, Reimbursement, and Policy (HER) is a critically important member of the executive leadership team, responsible for the development of the coverage and reimbursement-related strategies and organizational design required for fulfillment of Axogen’s strategic operating plan objectives.  Effective Healthcare Economics, Reimbursement & Policy (HER) is a critical success factor and assumption for Axogen in both the near and long-term. Considering the novelty of our therapies and the present lack of formal standard of care status in the various societal and coverage guidelines, the primary task of the HER leader is to develop in collaboration with their relevant peers, the short and long-term plans required to secure payment for our nerve restoration therapies in support of our mission to establish restoration of peripheral nerve function an expected standard of care. Based on our superior benefit versus risk profile compared to existing standards of care, we believe we have the right to win. The device, biologics, and drug markets are dynamic with evolving regulations and patients often taking a greater role in driving their treatment decisions. To deliver the highest value to their customers, Axogen is committed to the continuous pursuit of economic value, evidence generation, the patient-centric value proposition of our products, and reimbursement policies (coverage, coding, and payment) that support patient and provider access. Consistent with these responsibilities, the VP, Healthcare Economics, Reimbursement, and Policy will report directly to the CEO and be part of the Executive Leadership team.

Requirements of the VP, Global Health Economics, Reimbursement & Policy

• Minimum of a master’s degree in economics /or in a related field.
• 10 plus years of industry experience in health economics and outcomes research or other related function working in the medical device/biotechnology/pharmaceutical industry.
• Previous track record of working in Health Economics & Reimbursement for medical devices, biologics, and drugs.
• A minimum of 6+ years of progressive leadership/management experience in Health Economics and Market Access.
• Willing and able to travel domestically, up to 50% of the time to respond to the needs of the customers and organization.
• Experience leading health economics and outcomes research and overseeing the delivery of research outcomes (e.g., budgetary impact, cost-effectiveness, cost-utility analyses, prospective studies, real-world evidence studies, and claims database analysis).
• Experience in evaluation of the economic value of products and therapies with the clinical and quality of life outcomes data from clinical trials and/or epidemiology studies.
• Experience in the development and execution of lifecycle economic evidence and market access strategies enabling market access and commercial success.
• Experience in representing the voice of external, non-clinical stakeholders, such as payers and providers.
• Experience in scientific evidence generation (real-world evidence HEOR, Phase II, III, and IV trials) and scientific information exchange with all key stakeholders.
• Experience with Commercial Insurance Providers with a successful history of influencing commercial payor policy.
• Experience working with or for the Centers for Medicare and Medicaid Services (CMS) and/or other government healthcare agencies.
• Able to make decisions in the face of imperfect data and create performance measures to “course correct.”
• as the market moves and enroll others in a vision and strategic plan, influence, and effectively implement.
• Orientation towards delivering on goals and being part of a fast-moving, collaborative team in a dynamic matrix environment.
• Must demonstrate excellent interpersonal and communication skills with various levels of management and demonstrate the ability to manage differences and needs between multiple stakeholders.
• Demonstrated leadership capabilities focused on hiring, developing, and retaining a world-class team as well as success in driving results.
• Ideally has existing relationships with medical directors through strong networking.
• Has created health economics models to show compelling cost information to payers worldwide.
• Able to make decisions in the face of imperfect data and create performance measures to “course correct.”
• as the market moves
• Able to enroll others in a vision and strategic plan, influence, and effectively implement.
• Orientation towards delivering on goals and being part of a fast-moving, collaborative team.
• Ability to manage multiple priorities in a fast-paced environment.
• Must demonstrate strong interpersonal and communication skills with various levels of management and demonstrate the ability to manage differences and needs between multiple stakeholders.

Responsibilities of the VP, Global Health Economics, Reimbursement & Policy

The specific duties of the VP, Global Health Economics, Reimbursement & Policy include but are not limited to:

• Sets the vision and the strategy for the global HER function in the US and across the global markets, and the Axogen product portfolio.
• Advises and drives innovative HER initiatives and priorities to advance the success of Axogen products across the global markets.
• Fosters capabilities and skills development within the function to support innovation and anticipation of local market trends that inform new and effective market access strategies.
• Develops and manages HER resourcing, budgets, and portfolio.
• Collaborates with Market Development Directors, Clinical, and Medical Affairs to align on key business needs and priorities for HER.
• Leads the development of strategic economic value proposition of Axogen products demonstrating the differentiated economic value of Axogen technologies and providing competitive advantage.
• Advises and informs market access approaches and payor strategies based on evidence-based insights, trends, and developments.
• Promotes innovative global health economics/outcomes research for the Axogen portfolio inclusive of clinical evidence strategy to address policy decision-makers' needs aligned with the evidence-based medicine framework.
• Ensures ongoing assessment of HER strategies and clinical and economic evidence opportunities to strengthen and advance market access.
• Advise business development opportunities with respect to HER considerations.
• Fosters the development of innovative real-world evidence (RWE) and outcomes research techniques to generate novel evidence of value (e.g., cost-benefit and budget impact models, retrospective claims database, clinical comparative effectiveness, etc.).
• Works closely with key stakeholders to ensure awareness of market access policy insights, positions, and areas of focus to advance access and enable/shape external advocacy efforts.
• Defines a reimbursement pathway (coding, coverage, payment) for future products and life cycle management of existing by identifying potential risks and mitigation strategies.
• Delivers effective, robust, and credible presentations to reimbursement stakeholders, agencies and/or payors
• Support field sales organization with effective training and tools on reimbursement and coverage as well as health economic value proposition for the Axogen portfolio.
• Support field sales organization with presentations to important provider stakeholders e.g. meetings with IDN leadership (clinical, supply chain, finance).
• Monitors U.S. federal policies, guidance, and regulations relating to policy and reimbursement issues, and effectively communicates complex matters to internal and external stakeholders.
• Ensures records of filings and approvals are maintained.
• Manages reimbursement programs to ensure compliance with legal and regulatory requirements.
• Familiar with the principles of Health Technology Assessment (HTA) and Management (HTM), conducts ongoing surveillance and leads responses to inquiries regarding technology assessment committees driving the value of products.
• Accesses appropriate expertise and guidance when addressing external reimbursement inquiries.
• Promotes exchange and dissemination of evidence-based information with all relevant external stakeholders.
• Develops and cultivates an external network of policy stakeholders, market access experts, and advisors to advance access policy objectives and inform on US and global/regional specific trends/topics of importance to Axogen.

Location

111 West Oak Ave., Tampa, FL  33602

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Benefits/Compensation