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Director, Health Policy and Reimbursement

Date: Oct 23, 2018
Location:Washington, US
Help us transform patients' lives.
At UCB, we put our heart, soul and skills into making a difference for people living with severe disease. Working together to push the boundaries, we blend the best of our talents to unlock innovation. Will you join us in this pioneering adventure?
UCB aspires to be the Patient-Preferred global biopharmaceutical leader transforming the lives of people with severe diseases. We demonstrate this to patients and customers through our proactive commitment to removing barriers to access to our medicines and through other offerings that provide true differentiated value to patients, their caregivers and other stakeholders.
UCB is seeking an experienced Director of Health Policy and Reimbursement who will play a key role in and contribute to the development and execution of successful public/government payer strategies. The person in this key role will provide leadership on federal (US) and state payer issues and federal engagement across therapeutic areas and will positively shape public policy and the reimbursement environment to execute successful public and private payer strategies including coverage, coding and payment policies for the current marketed and pipeline products.
The Director of Health Policy and Reimbursement will recognize, assess, and communicate key policy issues that may have short- and long-term impacts on UCB and the biopharmaceutical industry. The candidate will focus on understanding the impact of public/government sector trends and initiatives with respect to patient access, reimbursement, and quality. In addition, the candidate will help translate policy developments into meaningful direction and strategic advice to various levels of stakeholders within and outside of the company. The person in this role will lead and oversee research, analyses and recommendations.
In addition, the candidate will serve as a key interface and help lead strategic discussions and communication efforts with key federal government agencies/organizations (such as HHS, CMS), as well as, lead partnership efforts with external stakeholders, including trade associations. This position will collaborate with internal cross-functional teams and federal and regional Government Relations and Advocacy teams.
The person in this role will contribute to the development of policy positions in partnership with leadership from across the global organization and importantly should have an advanced knowledge and experience in Medicare (Part A, Part B, Part C, and Part D) Medicaid, Marketplace, and private payer policies, reimbursement process, health policy, areas of coverage, payment, coding, and specialty pharmacy, including buy-and-bill.
This person must work collaboratively across functions to ensure a comprehensive view and maintain strong collaborative relationships with key stakeholders. These stakeholders include the Global External Engagement Practice, the Patient Value Units, Market Access and Pricing, Marketing, Regulatory and Operational Excellence.
The Director of Health Policy and Reimbursement will perform a wide range of activities related to better understanding current trends in healthcare and specifically policy trends that impact the public payer marketplace; specifically, help identify relevant sources and manage the analyses to better inform UCB's understanding of enrollment, coverage, coding, payment policies, and quality measures. And also, analyze proposed legislation and regulation to determine the potential impact.
Qualifications
A BA or BS is required; a graduate degree (JD, MS, MPH, MPP, MBA, or MSc) is strongly preferred. Qualified candidates should have at least 10 years of healthcare experience (examples include key government agencies such as HHS, CMS, CBO, OMB, or FDA; healthcare consulting firms; pharmaceutical, biotechnology, managed care or other healthcare industries; or patient, provider, or trade associations). Having payer or provider experience is a plus.
Candidates should have an advanced understanding of federal and state regulatory processes, federal regulatory bodies that monitor and implement health programs, healthcare policy development and the administrative structure of funding sources for government agencies. An exceptional understanding of public payer coverage (Medicare, Medicaid and other public health programs), coding and payment policies is required. The candidate should possess superior problem-solving, analytical and multi-tasking abilities, as well as excellent communications, presentation, collaboration and management skills. A solid understanding of public payer (Medicare, Medicaid, VA, DoD, and 340B programs) programs and policies is strongly preferred, including knowledge of Government price calculations and compliance regulations, as well as a proficiency with current pharmaceutical and biotech sales, contracting, and reporting systems (for example, Contracts and Rebates Systems).
Core Competencies
Qualified candidates should possess the following core competencies:
Research and Analysis: Strong research skills and knowledge of sources of information on public payer issues, as well as the ability to understand the impact of public payer policy initiatives and rulings to UCB's business. Skills and experience in reviewing clinical literature, including disease state information and target product profiles, to understand the implications for payer actions and to develop engagement strategies.
Problem Solving: Strong problem-solving skills, including the knowledge of how to research complex policy issues, and the ability to perform qualitative and quantitative analyses.
Writing: Ability to write business documents (e-mails, memos, and PowerPoint presentations) clearly and succinctly in a timely manner, as well as the ability to ensure content accuracy, appropriate tone, and attention to detail to ensure work is of superior quality before being reviewed.
Speaking/Presentations: Comfort and ability to present information internally and externally on behalf of UCB, Inc.
Successful candidates should be self-starters who are willing and able to take responsibility and ownership for following and analyzing key public payer issues from a quantitative perspective, and are able to produce timely and high-quality work with limited supervision.
UCB is a global biopharmaceutical company. We focus on discovering and developing innovative medicines and lateral solutions that can transform the everyday lives of people living with severe disease.
With more than 7500 people in approximately 40 countries, UCB offers an exciting working environment where initiative can flourish and those with a 'can-do' attitude can thrive. Thinking holistically, working together, championing change, delivering impactful results?these are some of the key competencies we are constantly developing, and looking for, at UCB.
UCB and its subsidiaries encourage diversity in the workplace; we are an Equal Opportunity Employer. Minority/Female/Disability/Veteran
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