HEMA Manager - Strategic Downstream - WATCHMAN

Additional Location(s): US-MA-Marlborough

Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance

At Boston Scientific, we’ll give you the opportunity to harness all that’s within you by working in teams of diverse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we’ll help you in advancing your skills and career. Here, you’ll be supported in progressing – whatever your ambitions.       

About the role:
This Health Economics & Market Access (HEMA) Manager works in close collaboration with stakeholders in the WATCHMAN™ division within the broader Atrial Fibrillation Solutions (AFS) business and with Corporate HEMA to develop and execute strategies that support sustainable patient access and appropriate reimbursement for established, in-market products in the US. The HEMA Manager—Strategic Downstream partners cross-functionally (e.g., marketing, clinical, sales training, field HEMA) to develop training and education resources for customers as well as consult and create economic tools/messaging that aligns with the business strategy and HEMA strategic initiatives (coverage, coding, payment).

Successful candidates will have excellent technical expertise in the areas of healthcare administration and delivery, US healthcare policy, facility and physician reimbursement, and health economic value messaging. Candidates will exhibit outstanding communication skills with the ability to present complex information to a broad and diverse group of key stakeholders and will have the ability to convey the unique capabilities that Boston Scientific has in this market. This role is well suited for experienced professionals who demonstrate strong ownership and matrix leadership, translating access strategies into effective execution through cross-functional and field partnerships.

Your responsibilities will include:

• Serve as WATCHMAN HEMA lead in the economic messaging and tool creation for both the field sales organization and the field HEMA teams that support AFS.
• Proactively assess education and training needs and lead the development and delivery of internal and customer-facing materials related to coverage, coding, and payment updates.
• Analyze and interpret annual CMS rulemaking across IPPS, OPPS, ASC, and PFS to understand implications for market access and reimbursement. Collaborate with HEMA analysts to prepare internal and external communications aligning with strategic guidance from the HEMA Senior Director and upstream HEMA Manager leads.
• Serve as a technical expert on cardiovascular coding topics.
• Develop educational content on health policy, reimbursement, and documentation topics for HEMA colleagues, cross-functional colleagues and sales team representatives. Prepare FAQs related to reimbursement and documentation topics of importance to our customers. Support HEMA analysts in reviewing customer inquiries and assisting with responses as needed. 
• Align and collaborate with the HEMA field organization to provide resources that support education on product coding, coverage, and reimbursement for hospitals, physicians, and other HCPs. Track regional reimbursement methods and trends—including variation across payers and geographies—to inform market access strategy and field support. Monitor payer and policy developments that impact the reimbursement of BSC products and communicate to HEMA team and senior leaders as appropriate.
• Maintain proficiency in current and evolving health policy topics to inform HEMA strategies and landscape assessments.  Serve as content expert for the divisional HEMA team and the liaison to Payer Relations and Global Health Policy team at Corporate.
• Monitor competitive evidence and external benchmarks to inform patient access strategy adjustments.
• Present complex information to a broad and diverse group of stakeholders. 

Required qualifications:

• Bachelor’s degree in economics, healthcare administration, health policy, public health, or similar discipline.
• 5+ years working in the delivery and/or administration of healthcare or the medical device industry, including cardiovascular experience.
• Strong understanding and practical application of health economics, reimbursement, and/or market access principles, with the ability to articulate the current and evolving market access landscape.
• Knowledge of US medical coding and payment systems, including CPT® and HCPCS codes, Relative Value Units (RVUs), ICD-10 diagnosis and procedure codes, Ambulatory Payment Classifications (APCs), and Medicare Severity Diagnosis Related Groups (MS-DRGs).
• Ability to present complex health economic information to both large and small influential groups in a way that is easy to understand, credible, and engages the audience
• Ability to train sales team members both individually and in groups in the use of economic tools such as calculators, presentations, and messaging in a compliant manner
• Strong business acumen, attention to detail and experience working with various internal business partners (especially Sales, Sales Training, field HEMA, Marketing, and Clinical)
• Ability to directly influence business objectives by working effectively in a matrixed organization
• Knowledge of US health care policy and payment systems, including Medicare and commercial payer device reimbursement in the hospital inpatient, outpatient, ASC and physician office sites of service
• Understanding of hospital financial systems and management practices
• Ability to work well independently as well as collaboratively; self-motivated and disciplined to meet deadlines in the context of competing priorities and projects; lead and work effectively across functions
• Demonstrated ability to partner effectively with commercial teams to support timely, compliant engagement and customer education
• Analytical experience using large real-world data sets to assess market size, targeting, and opportunity
• Computer literacy (Microsoft Office Suite), including high level of competency in Excel and PowerPoint

Preferred qualifications:

• An advanced degree such as an MBA, MPH, MHA, MS, MSc in health policy, health economics, healthcare administration, health services research, public health or similar discipline
• Coding certification(s) (e.g., Certified Professional Coder)

Requisition ID: 623741

Minimum Salary: $125800 

Maximum Salary: $239000 

The anticipated compensation listed above and the value of core and optional employee benefits offered by Boston Scientific (BSC) – see www.bscbenefitsconnect.com—will vary based on actual location of the position and other pertinent factors considered in determining actual compensation for the role. Compensation will be commensurate with demonstrable level of experience and training, pertinent education including licensure and certifications, among other relevant business or organizational needs. At BSC, it is not typical for an individual to be hired near the bottom or top of the anticipated salary range listed above.

Compensation for non-exempt (hourly), non-sales roles may also include variable compensation from time to time (e.g., any overtime and shift differential) and annual bonus target (subject to plan eligibility and other requirements).

Compensation for exempt, non-sales roles may also include variable compensation, i.e., annual bonus target and long-term incentives (subject to plan eligibility and other requirements).

For MA positions: It is unlawful to require or administer a lie detector test for employment. Violators are subject to criminal penalties and civil liability.

As a leader in medical science for more than 40 years, we are committed to solving the challenges that matter most – united by a deep caring for human life. Our mission to advance science for life is about transforming lives through innovative medical solutions that improve patient lives, create value for our customers, and support our employees and the communities in which we operate. Now more than ever, we have a responsibility to apply those values to everything we do – as a global business and as a global corporate citizen.

So, choosing a career with Boston Scientific (NYSE: BSX) isn’t just business, it’s personal. And if you’re a natural problem-solver with the imagination, determination, and spirit to make a meaningful difference to people worldwide, we encourage you to apply and look forward to connecting with you!

At Boston Scientific, we recognize that nurturing a diverse and inclusive workplace helps us be more innovative and it is important in our work of advancing science for life and improving patient health. That is why we stand for inclusion, equality, and opportunity for all. By embracing the richness of our unique backgrounds and perspectives, we create a better, more rewarding place for our employees to work and reflect the patients, customers, and communities we serve. 

Boston Scientific Corporation has been and will continue to be an equal opportunity employer. To ensure full implementation of its equal employment policy, the Company will continue to take steps to assure that recruitment, hiring, assignment, promotion, compensation, and all other personnel decisions are made and administered without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, gender expression, veteran status, age, mental or physical disability, genetic information or any other protected class.

Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and/or health care centers, require acceptable proof of COVID-19 vaccination status.  Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment.  Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements.   As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company’s policies or protocols change with regard to COVID-19 vaccination.