Reimbursement and Health Policy SpecialistYou will be responsible for reimbursement monitoring and analysis related to coding, coverage, payment and overall market access trends for our Philips portfolio. You will provide analysis to internal stakeholders about reimbursement challenges and opportunities and work on potential reimbursement pathways to secure or optimize reimbursement and will assist in conducting reimbursement research globally. Your role will also contribute to the development of tools and programs to educate internal stakeholders on market access and reimbursement considerations.Your role:
Supports the analysis of reimbursement trends and reviews/analyzes regulations including CPT/HCPCS coding changes, payment amounts, fees schedules, coverage status, and Medicare rules and legislation, impacting Philips products and solutions. This will include providing research for internal audiences on evolving global reimbursement trends and implications for our Philips portfolio.
Independently develops reimbursement collateral and training materials on reimbursement topics and trends to support successful market access education. Analyzes secondary data for US payers related to reimbursement changes and trends and organizes data from international market as required.
Conduct reimbursement research to guide strategic decision-making and develops and manages the reimbursement database that allows tracking of important reimbursement trends as well updating and presenting to business units changes in Medicare payment or coverage in proposed and final payment rules and review and analyze CMS claims, cost, and payment data.
Participate and monitor results of CMS meetings and advisory panels.
You're the right fit if:
You’ve acquired 3+ years’ experience working with a medical device company or healthcare entity with a reimbursement focus and/or other financial areas or master’s degree in health or policy-related field.
Your skills include understanding of health care systems; strong analytical and data management skills including advanced experience in Microsoft Excel and ACCESS database programs; and other Microsoft applications including PowerPoint, Excel, Forms, Teams, and OneDrive.
You have a Bachelor’s degree, required and a concentration in health policy or business is preferred.
You must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without accommodation for this position.
You’re a strong communicator with the ability to synthesize complex reimbursement and market access data. You also should have the ability to work independently conducting and managing projects with minimal guidance. This may include 10% travel as needed.
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If you’re interested in this role and have many, but not all, of the experiences needed, we encourage you to apply. You may still be the right candidate for this or other opportunities at Philips. Learn more about our commitment to diversity and inclusion here.Additional InformationUS work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa, now or in the future.Company relocation benefits will not be provided for this position. For this position, you must reside in or within commuting distance to Cambridge, MA.It is the policy of Philips to provide equal employment and advancement opportunities to all colleagues and applicants for employment without regard to race, color, ethnicity, religion, gender, pregnancy/childbirth, age, national origin, sexual orientation, gender identity or expression, disability or perceived disability, genetic information, citizenship, veteran or military status or a person’s relationship or association with a protected veteran, including spouses and other family members, marital or domestic partner status, or any other category protected by federal, state and/or local laws.As an equal opportunity employer, Philips is committed to a diverse workforce. In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veterans' Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants that require accommodation in the job application process may contact 888-367-7223, option 5, for assistance.Equal Employment and Opportunity Employer/Disabled/Veteran
Full-time- ID: #52101883
- State: Massachusetts Cambridge 02138 Cambridge USA
- City: Cambridge
- Salary: USD TBD TBD
- Showed: 2024-07-15
- Deadline: 2024-09-14
- Category: Et cetera