C. R. Bard, Inc.

Reimbursement Manager

Posted Date 1 month ago(2/23/2018 11:54 AM)
Industry / Category
Medical Device/ Healthcare Economics
Job ID
Career Level
Bard Peripheral Vascular


Becton, Dickinson Interventional (BDI) is a leading multinational developer, manufacturer and marketer of innovative, life-enhancing medical technologies in the fields of vascular, urology, oncology and surgical specialty products, employing over 65,000 people across 50 countries around the world. Founded more than 100 years ago, BDI pioneered many devices that are cornerstones of modern healthcare.  BD - PI is the vascular division within BDI and focusses on interventional products for peripheral arterial disease (PAD), end stage renal disease (ESRD), and Cancer.


We expect the highest levels of quality, integrity, service, and innovation from our employees – on the job and in the communities in which we work and live. In return, we foster an environment where individuals are treated with fairness, respect, and feel valued, acknowledged and rewarded.


Be Your Best at BD-PI – and ultimately, you can have an impact on the lives of people around the world. #LI-JC1

Summary of Position with General Responsibilities

The Manager, Reimbursement & Health Policy position will be responsible for the development and execution of reimbursement strategies that enable successful adoption of the divisions medical devices through effective coding, sufficient coverage and optimal payment mechanisms. The position will work in close partnership with the health economics team to develop and communicate evidence-based value propositions to both public and private payers.  Providing insights to increasingly complex dynamics of global market access across a broad range of medical devices, this individual will serve as an internal expert on healthcare reform trends, policies, payer relations, HTA (Health Technology Assessments) and global reimbursement. This position will also examine the opportunity to partner with third party payers to improve patient care and outcomes, including the development of quality-based measures. The scope of responsibility includes all aspects of market access strategy, tactics and communication.

Essential Job Functions


  • Develops, implements, monitors, and defends best in class reimbursement strategies in support of all major marketed and pipeline devices
  • Leads and aligns the reimbursement and health policy function to deliver on Company’s objectives
  • Responsible for development and execution of coding, coverage and payment strategies
  • Understands policies, educates internal management teams, and develops strategic objectives for addressing major changes in the US (Affordable Care Act) and global healthcare environment
  • Collaborates with health economics team, with the ability to understand evidence generation plans, resources and toolkits that may be leveraged for reimbursement discussions/ applications
  • Develops and manages effective strategies to increase/optimize reimbursement and/or market access for all devices
  • Drive adoption of quality measures and clinical guidelines that can support reimbursement strategies


Medical Policy Coverage:


  • Design and drive reimbursement and communication strategies to proactively research and leverage data in order communicate value to providers and payers, as well as negotiate favorable medical policies/coverage with government (CMS) and commercial payers on a regional level
  • Petitions medical directors and payers for positive coverage/policy update for devices, based on new product data or new clinical studies on existing products.
  • Responsibilities include maintaining and cultivating relationships with key measure entities including CMS, NCQA, IHI, NICE, WHO. PCORI, NQF, PQA, professional societies, and provider organizations.


Pipeline and Business Development

  • Leverage reimbursement expertise to help assess and provide recommendations for market opportunities that are currently not within BARD portfolio of products


Relationships & Communication:.

  • Interface with key individuals within the payer community (CEO, CFO, Medical Directors, etc.) on a national and regional level (government as well as commercial payers) and with key stakeholders in the medical community to guide implementation of focused strategies and programs.
  • Develop and maintain relationships with key thought leaders within the private sector and payer communities to effectively assist Bard with regional and national payer strategies.
  • Work with Advocacy and Managed Care department and business units as needed to effectively influence positive public policy and reimbursement decisions.
  • Work cross-functionally to support projects/business needs: Sales, marketing, R&D, business development and finance.
  • Create and conduct internal and external education programs around the 21st century Cures Act, Value Based purchasing programs including the MIPS Program, and the MACRA program

Supervisor/Management Responsibilities

This position is an individual contributor role

  • Management responsibilities will consist of managing projects, programs and vendors

Fiscal/Budgetary Responsibilities:

Budgetary responsibilities will roll up to the Director of Health Economics & Reimbursement’s cost center. 

Customer and Key Contacts: 

Support clinical and commercial functions through proactively presenting reimbursement or policy information of value to inform internal decision-making and external communications

  • Conduct field visits with sales team members to understand the business and educate teams on managed care topics/issues.
  • Field travel visits:
    • To defend or pursue the execution of reimbursement strategies or policies
    • To assist with payer issues encompassing coverage and reimbursement.
    • To establish strong relationships with KOLs for future payer efforts
    • To better understand customer challenges
    • To demonstrate and articulate the value of Bard

Basic Qualifications

  • Hands-on attitude, highly willing to roll up own sleeves to get activities done
  • Highly organized with an ability to prioritize and deliver high quality, accurate work within the required timeline for self and others
  • Able to operate with significant autonomy; self-starter
  • Excellent interpersonal and communication skills, strong oral/written presentation skills including the ability to communicate complex ideas in a simple way and to tailor key messages and presentation style to multiple audiences
  • Knowledge of disease states such as PAD, ESRD and Cancer is highly preferred
  • Solid understanding of reimbursement fundamentals including coding, coverage and payment

Education and/or Experience

  • Bachelor’s degree required 
  • Experience working with public and private payer processes for obtaining coding, coverage and payment, Medical Devices is preferred
  • Product launch experience from a market access perspective
  • Ability to review clinical and health economic literature in order to understand the implications for value to payers

Physical Demands

  • Must be able to travel ~30% of time

Work Environment

  • Office based
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