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Senior HEMA Manager - Urology
Senior HEMA Manager - UrologyBoston Scientific • Marlborough, MA, US
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Senior HEMA Manager - Urology

Senior HEMA Manager - Urology

Boston Scientific • Marlborough, MA, US
25 days ago
Job type
  • Full-time
Job description

Senior HEMA Manager - Urology

This role follows a hybrid work model, requiring employees to be in our Marlborough, MA office at least three days per week.

Your responsibilities will include :

  • Talent management
  • You will have 2-5 direct reports, develop key initiatives and prioritize HEMA projects for the Urology division
  • Accountable for people development, succession planning and talent review
  • Adhere to Boston Scientific philosophy of talent management
  • Data analytics
  • Responsible for analysis of and reporting from available data assets (e.g., Medicare and commercial claims data, CMS, Definitive, IQVIA, others) in support of business unit objectives.
  • Support development and maintenance of health economic and reimbursement resources, including but not limited to coding guides, reimbursement calculators and sales enablement tools.
  • Provide appropriate training to cross-functional partners such as clinical, sales, marketing, regulatory, and legal, to increase awareness and understanding of health economics and reimbursement.
  • Collaborate with and support global HEMA leaders on strategic initiatives related to health economic research and health policy.
  • Payor policy
  • Support monitoring and assessment of reimbursement and health policies impacting the business' commercially marketed products and emerging technologies.
  • Highly engaged in supporting annual Medicare rule making processes by developing data insights and communicating to relevant internal and external stakeholders.
  • Address reimbursement, coding and documentation inquiries from divisional sales force and key external stakeholders (e.g., hospitals, clinicians, investigator sites, professional societies).
  • Support Field HEMA organizations with data, tools, and insights.
  • Preferred CMS work experience or related consultant work experience
  • Business development
  • Support business development (BD) teams with reimbursement, coding, data insights in a timely fashion.
  • Working with outside consultants to develop critical recommendations on guidance and recommendations.

Required qualifications :

  • Bachelor's degree
  • 7+ years of experience in a healthcare related role
  • 4+ years of experience in data analytics, modeling, forecasting, and reporting
  • 3+ years of experience in Medicare reimbursement systems (outpatient / physician / ASC), including but not limited to annual policy determinations and rules
  • Proven analytical skills with working knowledge of IQVIA, Definitive Health Care Data, or Administrative Claims Databases such as Medicare and Private Insurance
  • In-depth knowledge of private insurance reimbursement and payment policy trends and coding
  • Effective communication skills with both internal and external audiences and dissemination of insights, tools, and research
  • Solution oriented and ability to work autonomously with a sense of purpose and agility
  • Ability to work collaboratively, as well as advance initiatives independently in a fast-paced, matrix environment
  • Proficient computer literacy (Microsoft Office Suite), including high level of competency in Excel
  • Preferred qualifications :

  • Master's degree, PhD, MD, or PharmD
  • 3+ years of people management experience
  • Certifications in clinical coding
  • Significant experience in health economics and outcomes research, public health, biostatistics, epidemiology, nursing, or related discipline
  • Scientific peer-reviewed publications
  • KOL interactions
  • Familiarity with Urology procedures and products
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    Urology • Marlborough, MA, US