Director, Health Economics & Market Access (HEMA) - Policy, Advocacy & Strategy

What will you be doing?

Reimbursement Strategy (Upstream Focus)
Lead end-to-end reimbursement strategy development for pipeline and pre-launch products, including assessment of coding, coverage, and payment pathways
Identify reimbursement risks and opportunities at the portfolio level and inform go/no-go, sequencing, and investment decisions
Develop multi-year reimbursement roadmaps aligned with product lifecycle milestones and enterprise growth objectives
Serve as the internal expert on future reimbursement pathways and access readiness

Policy & Advocacy Leadership
Shape and execute an integrated reimbursement policy and advocacy strategy in partnership with Government Affairs and senior leadership
Monitor, analyze, and influence CMS rulemaking, Medicare payment policy, and broader healthcare policy developments impacting device reimbursement
Represent the organization in trade associations, coalitions, and policy forums to advance industry positions and reimbursement priorities
Engage with external stakeholders, including professional societies and key opinion leaders, to support favorable coverage and payment environments
Partner with Government Affairs to engage policymakers and regulatory agencies
Identify and proactively mitigate policy risks that could impact access, adoption, or value recognition

Evidence & Value Alignment
Partner with Clinical, Medical Affairs, and HEOR teams to define payer-relevant clinical and economic evidence requirements
Ensure reimbursement and policy needs are embedded into evidence generation strategies, endpoints, and real-world data plans
Provide strategic guidance on value narratives and positioning aligned to payer and policy decision drivers

Cross-Functional & Executive Leadership
Advise executive leadership on reimbursement and policy trends, risks, and strategic implications
Establish governance frameworks and tools to embed reimbursement and advocacy considerations into enterprise planning
Lead cross-functional initiatives through influence in a highly matrixed organization

What do you need to be successful?

• Bachelor’s degree required; advanced degree (MPH, MBA, MHA, MS) preferred
• 10+ years of experience in medical device reimbursement, market access, or health policy
• Demonstrated experience influencing Medicare policy, reimbursement frameworks, and/or industry advocacy efforts
• Strong executive presence with the ability to translate complex policy issues into clear business impact
• Prominent ability to lead strategically within a highly matrixed environment