Vice President, Payors & Evidence

The VP of Payors and Evidence will be a foundational Commercial Leader for the Chronic Care North America business, responsible for developing and executing reimbursement strategies with public and private healthcare plans to ensure broadest possible access to Coloplast’s products in North America. This role will be a key member of the North America leadership team and work closely with leaders responsible for Marketing, Sales, Consumer Sales and DME arm of the organization. They will be aided in these responsibilities by a staff comprising payor Sales Executives, Government Affairs, HEOR and Reimbursement managers.

Major Areas of Accountability

• Lead development of evidence-based economic value messages to communicate the value story for Coloplast’s chronic care products to payers, healthcare providers and other decision-makers
• Develop and implement Market Access strategies for new and existing products, with Government and Commercial Payors, including value proposition, pricing, reimbursement, coding and contracting
• Lead contracting and negotiations with Payors to optimize patient access to Coloplast products
• Create, build, and manage a Payor Sales team to ensure appropriate access, contracting, and placement of Coloplast products in key Payer and Provider accounts
• Develop standard operating procedures to integrate and streamline reimbursement services and product distribution in an effective and compliant manner
• Collaborate with marketing, regulatory affairs, KOLs and professional societies to develop a coding strategy to maximize reimbursement support among key stakeholders
• Collaborate with the National Accounts and Marketing teams on GPOs, IDNs and similar entities where value analysis committees are involved in market access for our products
• Monitor and influence national medical device reimbursement trends to obtain and ensure the best coverage-coding-payment combination.
• Participate in Coloplast Global Market Access Forum providing input on US reimbursement feasibility, clinical evidence / health economic evidence requirements to product management to ensure that US market needs are met in the development of value dossiers/packages for Payors
• Adapt or develop US specific value argumentation (health economic publications and tools) to facilitate fast and effective market access across the product portfolio
• Represent Coloplast at industry association Market Access relevant activities
• Ensure the Coloplast products are correct registered at all relevant payer entities (PDAC, Medi-Cal) and update reimbursement rates
• Develop and train the organization in reimbursement and product value argumentation.
• Support Coloplast business partners (medical suppliers) on billing of our products
• 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 Master´s degree in Business, Finance, Health Science, Management or Health Economics required; MBA preferred.
• 12 years of experience – including specific experience with DME/medical supplies reimbursement.
• Minimum of 5 years successful management experience, leading senior level management, professionals and highly skilled employees
• Proactive style and a strategic business sense that will allow him/her 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

• Proven experience in developing reimbursement strategies and obtaining reimbursement codes (HCPCs, or CPT codes)
• Experience developing value dossiers and developing HEOR from a broad range of therapy areas to ensure value proposition achieve objectives among payer relationships
• In-depth understanding of clinical development as well as the regulatory, legal environment of the medtech industry, demonstrated integrity on work-related compliance considerations, and solid ethics
• 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.

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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.

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