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Edwards Lifesciences Manager, Health Economics and Reimbursement in Irvine, California

Our vision is to improve the quality of care for 20 million patients by 2025 .

​For more than 50 years, Edwards Lifesciences has been helping clinicians and health systems make proactive clinical decisions and advance the care of surgical and acutely ill patients across the continuum of care.

​We are seeking a market access expert to help shape and support execution of payer strategy, value-based initiatives, novel reimbursement models and lead cross-functional strategic projects in coordination with Clinical Affairs, Medical Affairs, Global Marketing and US Sales.

​As Manager, Global Health Economics and Reimbursement (GHER) for Critical Care, you will bring significant expertise in the MedTech industry or related fields. You will apply your expert knowledge in reimbursement, health system & payer dynamics and value-based payment models. Ideally, you will have a track record of working with capital equipment or digital solutions portfolios. You will also manage strategic projects with cross-functional input and working with external experts. You will have experience supporting presentations to stakeholders and to senior leaders.

​ The Manager, GHER, Critical Care role is a global position, and will be based at our global headquarters in Irvine, California reporting to the Director, GHER, Critical Care.

​Primary Responsibilities include:

  • ​Support implementation of payer and health system strategies to drive access and use for critical care medical technologies.

  • ​Develop economic tools for use in economic based selling for IDN customers.

  • ​Drive the development of global reimbursement and market access strategies for integration into the Critical Care portfolio in all phases of development.

  • ​​Contribute to the global strategic planning process and strategic projects to drive patient access for Critical Care technologies.

  • ​Support project management of projects with external partners and consultants, to deliver high quality and impactful deliverables within budget and on time.

  • ​Communicate complicated matters in a simple, structured way to internal and external customers.

  • Support Critical Care Leadership Team presentations and meetings.

​Basic Qualifications:

  • ​Bachelor's Degree or Equivalent in in a life sciences, health economics, health policy, or related field, with 10 years of related experience or

  • ​Master's Degree or equivalent in MBA or MPH and 8 years of related experience, including experience gain in top tier healthcare consulting.

  • Experience in health economics and/or outcomes research and reimbursement

  • Expert understanding of medical device industry, especially with functional responsibility in reimbursement planning, program implementation, and health economics and outcomes research.

  • ​ Advanced understanding of key public and private payer policy infrastructure, payment methodologies for medical technologies, coding and coverage, US payer and health systems / IDN dynamics, health policy trends, and current business challenges.

  • Demonstrated success and experience in executing reimbursement and payment strategies.

  • Exceptional project management skills.

  • ​Excellent interpersonal and communication skills, especially presentation development.

  • ​Ability to balance strategic thinking with intricate planning and strong tactical execution.

  • ​Strong business acumen, analytical skills and experience working with various internal business partners (especially Sales, Marketing, Clinical, Regulatory, Legal, and Government Affairs, Regional and Country staff)

  • Influence management skills and ability to work effectively in a matrixed organization and between competing organizations.

​​Additional Skills:

  • ​Proven track record of leading thought, project management skills that result in desired business and patient impact

  • ​​​Excellent documentation and communication skills and interpersonal relationship skills including negotiating and relationship management skills with ability to drive achievement of objectives

  • ​​Expert understanding of key public and private payer policy infrastructure, medical device payment methodologies, coding and coverage basics, and/or health policy trends.

  • ​​Strong problem-solving, organizational, analytical and critical thinking skills

  • ​Ability to adapt to rapidly changing environment

  • ​Strict attention to detail

  • ​Ability to interact professionally with all organizational levels and proactively escalate issues to appropriate levels of management in the organization

  • ​Ability to manage competing priorities in a fast-paced environment

  • ​Represent leadership on projects within a specific area interfacing with team members and peer managers, normally involving matters between cross-functional teams and the company; often lead a cooperative effort among members of a project team

  • ​​​Adhere to all company rules and requirements (e.g., pandemic protocols, Environmental Health & Safety rules) and take adequate control measures in preventing injuries to themselves and others as well as to the protection of environment and prevention of pollution under their span of influence/control

Edwards is an Equal Opportunity/Affirmative Action employer including protected Veterans and individuals with disabilities.

Edwards is committed to complying with the requirements and guidance from our government authorities and to protecting our vulnerable patients and the healthcare providers who are treating them around the world. As such, all Healthcare Interacting positions require COVID-19 vaccination, which includes anyone who directly interfaces with patients and those who interact with healthcare providers as part of their role. If hired, as a condition of employment, you will be required to submit proof that you have been fully vaccinated for COVID-19 or have a valid religious or medical exemption from being vaccinated.

Edwards Lifesciences is the global leader in patient-focused medical innovations for structural heart disease, as well as critical care and surgical monitoring. Driven by a passion to help patients, the company collaborates with the world's leading clinicians and researchers to address unmet healthcare needs, working to improve patient outcomes and enhance lives. Headquartered in Irvine, California, Edwards Lifesciences has extensive operations in North America, Europe, Japan, Latin America and Asia and currently employs over 15,000 individuals worldwide.

For us, helping patients is not a slogan - it's our life's work. From developing devices that replace or repair a diseased heart valve to creating new technologies that monitor vital signs in the critical care setting, we focus on helping patients regain and improve the quality of their life.

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