Posted to MedZilla on 12/10/2019


Takeda Pharmaceuticals

US-DC, Director, Reimbursement (Government Affairs) (USBU) R0008165-MZ


 
 

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Job Description

Are you looking for a patient-focused company that will inspire you and support your career? If so, be empowered to take charge of your future at Takeda. Join us as a Director, Reimbursement (Government Affairs) in our Washington, D.C. office.

Here, everyone matters and you will be a vital contributor to our inspiring, bold mission. As a Director, Reimbursement, working on the Government Affairs, Public Policy team, you will be empowered to manage the company s reimbursement and strategy approach across private, public, managed health and government programs, and a typical day will include:

POSITION OBJECTIVES:

  • Manage the company's reimbursement approach and strategy in the areas of government, private and managed care health insurance programs
  • Optimize portfolio access and mitigate risk in response to the rapidly evolving U.S. payer landscape and policy changes
  • Partner closely with multiple cross-functional teams to analyze access and payment policies proposed by government and commercial payers - including rules and guidance from the Centers for Medicare & Medicaid Services (CMS)
  • Assess impact of proposed policy to businesses within Takeda s U.S. portfolios
  • Remain informed and educate internal stakeholders on evolving and timely MHC channel, policy and reimbursement requirements and updates, including, but not limited to Medicare Part B and D, Medicaid, 340B, individual market/health exchange plan policies, ERISA and insurance law changes, MACRA Quality Payment Program (QPP) and value payment initiatives

POSITION ACCOUNTABILITIES:

  • Lead reimbursement, coverage and access strategies to ensure availability of Takeda s current and future portfolio within state and federal government programs
  • Serve as lead liaison with relevant CMS staff responsible for payment, coverage and reimbursement policy issues
  • Serve as internal reimbursement expert and collaborate across functions to complete financial impact analyses on reimbursement policy proposals that may affect Takeda products
  • Lead analysis of emerging policy issues related to access and reimbursement of Takeda products
  • Lead reimbursement and coverage related initiatives with external stakeholders including HCPCS applications, pursuing new CPTs, USP classification, etc.
  • Develop network of external consultants to model impact of evolving policy and payment changes across stakeholders
  • Collaborate with cross-functional partners to develop and implement business and advocacy strategies to address evolving policy and payment changes. Ensure alignment through internal and external communication plans

EDUCATION, BEHAVIORAL COMPETENCIES AND SKILLS:

  • Bachelor s degree required. JD or MBA desirable
  • Minimum 7-10 years of payer (CMS, health plan, PBM) or related healthcare policy consulting, law or financial/actuarial firm experience
  • Thorough knowledge and understanding of healthcare reimbursement environment including coverage, coding, payment, as well as how to develop, implement and manage reimbursement programs
  • Demonstrated experience working with federal healthcare programs, commercial payers/providers, and managed care organizations
  • Demonstrated experience working with FDA compliant products and solutions, and in supporting new product launches and the development of reimbursement training and sales tool materials
  • Knowledge and understanding of healthcare product development and commercialization
  • Ability to work in a deadline-driven and fast-paced environment including managing multiple projects with on time and budget completion
  • Strong analytical and business skills; ability to communicate effectively with high level executives
  • Demonstrated ability to work across functions, regions and cultures while exhibiting enterprise level leadership with the ability to inspire, motivate and drive results
  • Ability to refine team strategy based on anticipated future changes. Projects future trends of the industry and global forces to make proactive adjustments
  • Demonstrated ability to process complex information and summarize it concisely in writing and/or verbally in a professional manner and in a time sensitive environment is required
  • Demonstrated success in development/execution of targeted briefings for executive leadership, senior management and business leaders; well organized, highly motivated, innovative, process driven, results oriented; and outstanding oral and written communications skills
  • Embraces and demonstrates a diversity and inclusion mindset and role models these behaviors for the organization
  • Experience in managing projects, including overseeing work plans, budgets
  • Excellent judgment to make decisions on complex business and public policy issues, and act with a view toward what is in the best interest of the company
  • Accountable for designing and implementing vision and strategy for designated scope
  • Effectively navigates the changing external and internal environment and leads others through change by creating an inspiring and engaging workplace
  • Visionary and forward thinking with the ability to influence and effectively drive organizational change and continuous innovation
  • Comfortable challenging the status quo and bringing forward innovative solutions
  • Ability to take risks implementing innovative solutions, accelerating time to market
  • Ability to identify areas for process and systems innovation and implement change that will enhance the overall effectiveness of the team

TRAVEL REQUIREMENTS:

  • Willing to travel in the US up to 30%; minimal overseas travel

WHAT TAKEDA CAN OFFER YOU:

  • 401(k) with company match and Annual Retirement Contribution Plan
  • Tuition reimbursement Company match of charitable contributions
  • Health & Wellness programs including onsite flu shots and health screenings
  • Generous time off for vacation and the option to purchase additional vacation days
  • Community Outreach Programs

Empowering Our People to Shine

Learn more at takedajobs.com.

Takeda is an EEO employer of minorities, women, disabled, protected veterans, and considers qualified applicants with criminal histories in accordance with applicable laws. For more information, visit http://www.takeda.us/careers/EEO_Policy_Statement.aspx

No Phone Calls or Recruiters Please.

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Locations

Washington DC, USA

Worker Type

Employee

Worker Sub-Type

Regular

Time Type

Full time


Please visit our website at takedajobs.com

 
 


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