Director, Government Affairs - U.S. Reimbursement
AbbVie
2 months ago
Remote friendly (South San Francisco, CA)
United States
Market Access
Responsibilities:
- Monitor and track reimbursement policy developments; identify Medicare Part B threats and opportunities.
- Develop comprehensive product coverage and Medicare reimbursement strategies to achieve optimal access.
- Represent AbbVie’s interests before CMS and other federal departments/agencies; execute Medicare reimbursement tactics and CMS engagement strategies.
- Grow product and pipeline understanding to build product-specific Medicare reimbursement strategies aligned to business and channel goals.
- Develop educational resources and provide reimbursement guidance to support launch planning and label changes; conduct national Medicare reimbursement policy research.
- Establish and maintain relationships with business leaders and cross-functional partners as an expert/strategic advisor on Medicare reimbursement and the federal policy landscape.
- Partner with U.S. Policy & Analytics to track legislative/regulatory developments; lead cross-functional teams to develop and execute advocacy strategies related to Medicare Part B.
Qualifications:
- Deep knowledge of the U.S. federal reimbursement environment and the commercial payer market.
- 10+ years of experience in a related role; Government Affairs experience preferred.
- Bachelor’s degree in a related field (e.g., health care administration, political science, public administration, public policy); advanced degree preferred (MPH, MBA, JD, MPP).
- Expertise in coding, coverage, reimbursement, and Average Sales Price (ASP) methodology; experience launching physician-administered drugs.
- Knowledge of Medicare and Medicaid (Medicare Part A/B, discarded drug refund policy, Inflation Reduction Act).
- Experience working with medical and provider societies on reimbursement and policy issues.
- Ability to identify reimbursement/policy opportunities and challenges and provide clear recommendations considering the political environment.
- Exceptional communication skills (verbal, written, presentations) with ability to influence internal/external stakeholders.
- Advanced analytical, critical thinking, interpersonal, and organizational skills; ability to meet deadlines in a fast-paced environment.
- Domestic travel (25%) required.
Benefits:
- Paid time off (vacation, holidays, sick); medical/dental/vision insurance; 401(k) to eligible employees; eligible for short-term incentive programs.
- Monitor and track reimbursement policy developments; identify Medicare Part B threats and opportunities.
- Develop comprehensive product coverage and Medicare reimbursement strategies to achieve optimal access.
- Represent AbbVie’s interests before CMS and other federal departments/agencies; execute Medicare reimbursement tactics and CMS engagement strategies.
- Grow product and pipeline understanding to build product-specific Medicare reimbursement strategies aligned to business and channel goals.
- Develop educational resources and provide reimbursement guidance to support launch planning and label changes; conduct national Medicare reimbursement policy research.
- Establish and maintain relationships with business leaders and cross-functional partners as an expert/strategic advisor on Medicare reimbursement and the federal policy landscape.
- Partner with U.S. Policy & Analytics to track legislative/regulatory developments; lead cross-functional teams to develop and execute advocacy strategies related to Medicare Part B.
Qualifications:
- Deep knowledge of the U.S. federal reimbursement environment and the commercial payer market.
- 10+ years of experience in a related role; Government Affairs experience preferred.
- Bachelor’s degree in a related field (e.g., health care administration, political science, public administration, public policy); advanced degree preferred (MPH, MBA, JD, MPP).
- Expertise in coding, coverage, reimbursement, and Average Sales Price (ASP) methodology; experience launching physician-administered drugs.
- Knowledge of Medicare and Medicaid (Medicare Part A/B, discarded drug refund policy, Inflation Reduction Act).
- Experience working with medical and provider societies on reimbursement and policy issues.
- Ability to identify reimbursement/policy opportunities and challenges and provide clear recommendations considering the political environment.
- Exceptional communication skills (verbal, written, presentations) with ability to influence internal/external stakeholders.
- Advanced analytical, critical thinking, interpersonal, and organizational skills; ability to meet deadlines in a fast-paced environment.
- Domestic travel (25%) required.
Benefits:
- Paid time off (vacation, holidays, sick); medical/dental/vision insurance; 401(k) to eligible employees; eligible for short-term incentive programs.