Sr. Director - Market Access And Reimbursement - Interventional Dry Eye

The Sr. Director – Market Access & Reimbursement is responsible for supporting Sight Sciences’ products and portfolio to assigned geographic areas including eye care clinics, strategic accounts, corporate accounts, eye care providers and payers. Successful performance will include ensuring the development and execution of Market Access Reimbursement strategy that provides fair and consistent payment and removing barriers in the overall reimbursement process. While leading a Payor Relations and Reimbursement team, this position will also be responsible for supporting field sales leadership by developing and coordinating strategy that supports a variety of customers to include payers, eye care providers, nurses, billing staff, and administrators. This role will be accountable to serve as an expert in payer reimbursement policies and provide support to facilitate appropriate patient & provider access and utilization of services to ensure their access to care. Under the direction and leadership of the VP of Commercial Business Unit, this role will also work in close collaboration with Marketing, Sales, Professional Advocacy, Medical Affairs, R&D, and Clinical teams to ensure market access and competitive advantage of Sight Sciences products by Sight Sciences products by developing and executing strategies that integrate health economics, outcomes research, and market access solutions across all stages of the product lifecycle. MAJOR DUTIES AND RESPONSIBILITIES Build and lead a successful Payor Relations and Reimbursement team while holding field responsibilities. Support their team to be internal experts that advise, teach, coach, and build support material for internal and external customers on matters of coding, coverage, billing, and reimbursement Lead and engage with key payers within geographic region to ensure coverage and reimbursement of company technologies. Develop relationships to support future pipeline needs. Develop payor strategy and dissemination plans to support national and regional needs. While working closely with sales, lead customer-facing reimbursement and market access needs across the US. Deliver presentations to national and regional payers to establish and/or improve reimbursement coverage policies, coding and payment assignments utilizing available resources. Promote reimbursement support and represent the company to external customers by writing, phoning, visiting, hosting, and participating in events. Serve as a content expert when representing company with internal and external customers. Build programs to engage economic stakeholders, including payers and providers, expanding access to care. Evaluate incoming requests from the field and ensure each request is properly evaluated for feasibility, technical risk, cost and time constraints, compliance, and other relevant considerations. Partner with internal and external stakeholders to ensure patient-reported outcomes, economic endpoints and other evidence are included in, or separate from, trials to support economic modeling, economic value assessments, patient preference, and patient-focused value proposition. Work closely with Regional & National Sales Leadership to inform commercial strategy and appropriately support health care providers with their reimbursement needs. Networking with regional, state providers, patient, and healthcare systems advocacy organizations. Evaluate and provide strategic direction on external/internal Sight Access Portal needs and execution. Develop sustainable corporate relationship that will allow for continued growth of current and future products. Carry out all duties and responsibilities as assigned by the Company in accordance with Company policies, procedures, and applicable laws and regulations governing our business practices. QUALIFICATIONS EDUCATION REQUIREMENTS Bachelor’s degree in a HEMA related discipline in health economics, outcomes research or healthcare related field preferred. Master’s degree in related field preferred. EXPERIENCE REQUIREMENTS A minimum of 12 or more years’ experience in a highly regulated field and a minimum of 5 or more years of commercial medical device, pharmaceutical or consulting business is preferred. A proven record in building and leading successful teams. Strong business acumen, analytical skills and experience working with various internal business partners (especially Sales, Marketing, Clinical, Regulatory, Legal, Comliance and Government Affairs staff) Understanding of key public and private payer policy infrastructure, payment methodologies, coding, and coverage; health policy trends, and current business challenges. Previous experience in, or strong working knowledge of the medical device industry, especially with functional responsibility in health economics and reimbursement planning and program implementation. Experience working with external stakeholders such as payers, hospitals, physicians, trade associations, professional and medical organizations to develop mutually beneficial health economics and reimbursement strategies and tactics to support portfolio planning, commercialization, and sales/marketing objectives. Possess the ability to work independently from strategy development (direct or indirect) to execution with multiple stakeholder types. Solid knowledge of evidence needed to drive favorable US reimbursement and market access is required. OTHER QUALIFICATIONS A track record of success in evidence-based medicine, market development, health economics, reimbursement, or health policy. Strong understanding of the US reimbursement systems and market access trends. Ability to communicate clearly and concisely to large audiences; detail-oriented, self-motivated and ability to work independently. Ability to take evidence and other complex data and package it into easy-to-understand deliverables that can support commercial use. Intellectual interest in keeping abreast of market access and reimbursement trends. Solution-oriented, with the ability to offer creative options for problem solving. Work closely with multiple cross-functional partners, including Marketing, Sales, Professional Advocacy, Medical Affairs, Clinical Research, Regulatory Affairs, R&D and Legal/Compliance. PHYSICAL DEMANDS Sitting for extended periods of time; regularly works in an office environment as well as meetings at physician offices or hospitals and payers as required. Position interacts with external customers such as health care providers and economic decision makers with practices/corporate accounts and payers to assist with describing the value proposition of the company’s technology. Position will interact with the US government payer (CMS), commercial payers and medical societies on reimbursement and market access topics related to use of company technology. TRAVEL REQUIREMENTS The percentage of expected travel domestically is up to 30%. NOTE This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts, or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, variation in workload, rush jobs, or technological developments).