Description
The Manager, Reimbursement Strategy, Payment & Policy will be a client-facing, billable member of the Reimbursement, Health Economics & Market Access (RHEMA) team.
The Manager will lead reimbursement research and consulting engagements focused on coverage, coding, payment, policy, and market access; develop defensible strategic recommendations; manage project teams, budgets, and timelines; and support the growth and development of junior staff and the RHEMA practice.
Key Responsibilities
- Apply expert knowledge of U.S. healthcare reimbursement systems to advise colleagues and medical technology clients on coverage, coding, payment, policy, and market access.
- Lead client engagements with limited supervision, including project planning, research design, analysis, recommendation development, and day-to-day client communication.
- Own the quality, accuracy, and strategic coherence of client deliverables.
- Develop and confirm reimbursement strategies and recommendations with limited assistance from senior leaders.
- Lead research involving Medicare, Medicaid, and commercial payer policies; coding and payment pathways; stakeholder interviews; and relevant policy developments.
- Translate complex research into clear implications, options, and recommendations for client decision-making.
- Present findings and recommendations to clients, providers, payers, and other stakeholders.
- Lead project teams of peers and junior staff; delegate effectively; review work; and provide coaching, training, and performance support.
- Manage projects through disciplined tracking of scope, timelines, staffing, budgets, risks, and client expectations.
- Oversee monitoring and knowledge development in assigned policy areas, therapeutic areas, and service offerings.
- Participate actively in business development, including opportunity shaping, proposal development, scoping, and prospective-client discussions.
- Contribute to webinars, conferences, publications, and other forums that demonstrate RHEMA expertise.
- Collaborate across RHEMA, Regulatory, Clinical, and other IQVIA MedTech functions to deliver integrated solutions.
Required Qualifications
- Bachelor's degree in health policy, economics, public health, life sciences, business, or a related discipline; advanced degree preferred.
- Five or more years of relevant experience in reimbursement, market access, health policy, medical technology, healthcare consulting, a payer, a provider organization, or a related setting.
- Demonstrated knowledge of U.S. coverage, coding, payment, and policy pathways relevant to medical technologies.
- Experience managing client relationships and consulting projects with responsibility for deliverable quality, budgets, and timelines.
- Strong research, analytical, quantitative, problem-solving, and strategic-thinking skills.
- Excellent written and oral communication skills, including the ability to explain complex issues clearly to varied audiences.
- Ability to lead and develop junior staff while working effectively across multidisciplinary teams.
- Proficiency with Microsoft Word, PowerPoint, and Excel; ability to analyze and interpret complex documents and datasets.
- Strong professionalism, judgment, self-direction, organization, and prioritization. Occasional travel may be required.
Preferred Qualifications
- Experience with medical devices, diagnostics, digital health, or other novel technologies.
- Experience conducting payer or provider interviews and developing evidence-based reimbursement or market access recommendations.
- Knowledge of medical terminology and familiarity with Medicare prospective payment systems and coding processes.
The potential base pay range for this role, when annualized, is $95,700.00 - $239,200.00.