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Senior Manager, Health Policy & Reimbursement

Company: Novocure Inc
Location: Bay Minette
Posted on: February 9, 2024

Job Description:

Description:



The Senior Manager, US Health Policy & Reimbursementwill focus on coding, coverage, payment, contracting, and reimbursement activities related to Novocure Oncology Products. This individual is tasked with maximizing reimbursement for Novocure's products. The Senior Manager, Health Policy & Reimbursement needs a strong knowledge of the current payer market including Commercial, Medicare, Medicaid and VA, with particular emphasis on government payment methodologies. This position works closely with Novocure's US Revenue Operations team and the Director of Reimbursement, as well as the Novocure Government Affairs team.



This a full time, exempt, remote role reporting to the Senior Director, Health Policy and Reimbursement and tied to the Chesterbrook, Pennsylvania office.



ESSENTIAL DUTIES AND RESPONSIBILITIES:


Negotiate contracts and manage relationships with government payers, including government agencies and others as determined by company
Develop and maintain strong relationships with key government payors, such as Medicare, Medicaid, and the Department of Veterans Affairs, to advocate for Veteran cases that require assistance, clarify policy or appeal during the VA approval process, and ensure optimal reimbursement and coverage for Novocure's therapies.
Lead the submission, pull-through efforts, and contract management associated with Medicare, State Medicaid, Veterans Affairs, and other government payers in the US.
Work closely with Novocure reimbursement, billing and commercial teams to identify contracting and process improvement opportunities consistent with organization objectives
Employ strong project management skills by prioritizing and leading multiple tasks concurrently
Assist in the analysis and response to regulatory and payment proposals, including those from CMS and other relevant agencies.
Collaborate closely with the Government Affairs team to shape government priorities and provide strategic support for initiatives.
Prepare persuasive policy documents, briefings, and company summaries.
Clearly communicate Novocure's positions on critical issues to federal agencies and external stakeholders, positioning the company and its executives as thought leaders in healthcare policy and advocacy.






QUALIFICATIONS/KNOWLEDGE:


College degree or 8 years of healthcare reimbursement experience required
Clinical background with appropriate licensure such as registered Nurse (RN), Licensed Practical Nurse (LPN), or other clinical experience preferred
Minimum of 5 years medical device reimbursement experience, including bidding on, negotiating and managing government contracts and/or working within government procurement processes.Demonstrated creative problem solving and excellence in meeting and exceeding customer expectations especially in difficult situations



Ability to effectively address customer concerns in a timely fashion and by working collaboratively with external and internal stakeholders
Possess a high level of sophistication and interpersonal skills needed to interact with C-level executives, medical directors, nurse case managers and contracting personnel
Must demonstrate comprehensive knowledge of customer relations, product promotion , be able to interpret complex informationI, and understand and interpret company data to provide analysis to internal and external stakeholders
Ability to work independently and perform timely follow up
Competent in all Microsoft Office products
Previous experience in contract negotiation and maintenance preferred



Broad knowledge of Medicare, managed care, third party payers, and Medicaid
IKnowledge of Protected Health Information and The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Securityguidelines preferred




OTHER:


Ability to lift up to 20 pounds
Ability to trave up to 30% of the time






ABOUT NOVOCURE:

Our vision

Patient-forward: aspiring to make a difference in cancer.



Our patient-forward mission

Together with our patients, we strive to extend survival in some of the most aggressive forms of cancer by developing and commercializing our innovative therapy.



Our patient-forward values

- innovation

- focus

- drive

- courage

- trust

- empathy



Equal Opportunity Employer, including disability/veterans.



#LI-REMOTE

#LI-BH1

Keywords: Novocure Inc, Mobile , Senior Manager, Health Policy & Reimbursement, Executive , Bay Minette, Alabama

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