This role involves leading payer engagement strategies, supporting payer programs, managing payer relationships, and ensuring compliance with policies, while mentoring junior staff.
MCRA, an IQVIA business, is a leading medical device advisory firm and clinical research organization (CRO). MCRA's value contribution rests within its industry experience at integrating five business value creators—regulatory, clinical research, reimbursement, healthcare compliance, and quality assurance—to provide a dynamic, market-leading effort from concept to commercialization. MCRA's integrated application of these key value-creating functions provides unparalleled expertise for its clients. MCRA has offices in Washington, DC, Manchester, CT, New York, NY, and a global presence in Japan and Europe and serves more than 1500 clients globally. Its core focus areas of therapeutic experience include orthopedics, spine, cardiovascular, neurology, digital health, diagnostic imaging, wound care, dental, general healthcare, robotics, and in vitro diagnostic (IVD) devices.
The Manager, Payer Engagement will be a critical member of MCRA's Reimbursement, Health Economics & Market Access (RHEMA) team. This role will be focused on leading efforts in payer engagement & relations, coverage, payment, and commercial market access.
Responsibilites
- Develop payer outreach strategy and onboard new clients
- Support business development of new Payer Engagement programs
- Monitor payer medical and reimbursement policies and coverage decision updates. Develop, implement, and monitor initiatives targeting payer coverage.
- Engage with payers to understand and manage expectations for additional clinical/economic evidence.
- Ability to clearly articulate the client's clinical and economic value to help support positive payer coverage to key stakeholders, including but not limited to payers, specialty societies, reimbursement authorities, and providers.
- Provides exceptional customer service to internal and external customers, payers, etc.; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
- Provide strategic thought leadership around Payer relations
- Support the development of junior employees and provide management as assigned
- Adhere to all HIPAA compliance policies.
- Ensure all work products comply fully with standards, policies, and mission of MCRA.
Qualifications
- Bachelor's Degree Req
- 5+ years of related experience Req
- Works willingly and effectively with others in and across the organization to accomplish team goals.
- Knowledge and understanding of the fundamental processes of business, their interaction, and the impact of external/internal influences on decision making, growth and decline.
- Knowledge of consulting methods, tools and techniques, related to one’s functional area.
- Knowledge of current events and developments within an industry and major competitors.
- Knowledge and understanding of the marketplace.
- Knowledge of professional/trade associations, key people and companies.
- Effective time management skills.
NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as to meet the ongoing needs of the organization.
MCRA, an IQVIA business, is an equal opportunity/Affirmative Action employer and does not discriminate in its selection and employment practices. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, political affiliation, sexual orientation, gender identity, marital status, disability, protected veteran status, genetic information, age, or other legally protected characteristics.
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