Contractor- Reimbursement Strategy

Recently named for the second year in a row as one of PA's "Best Places to Work", Herspiegel Consulting is a management consulting firm focusing on the pharmaceutical and biotechnology industries. Our organization helps clients build successful brands from preclinical phases through launch and to formulate and implement brand-specific strategies and programs for in-line brands. Services include brand strategy, market assessment; brand positioning, launch planning, lifecycle management, thought leader identification and engagement, and identification/development of marketing programs and sales force training/communication.

Our market access practice benefits from our presence with client teams early in the commercialization process. We engage with commercial teams in phase II and phase III to begin commercial strategy and readiness planning. Our proximity to decision makers at the right time, often before other vendors are under consideration, is a benefit for business development. Our reputation is growing and we are seeking a Contractor who can continue to develop our market access service offerings, manage client deliverables, and support the Practices' growth in the area of reimbursement strategy and health policy.

Primary Responsibilities:

· Leads the execution of reimbursement and health policy initiatives on behalf of Market Access and Herspiegel Teams (eg, Reimbursement Landscape Assessment, Medicare, Medicaid, Commercial Coverage, Coding - (HCPCS, ICD-10-CM, CPT Codes), Educational Needs/Training/Reimbursement Tools (Hub, PAP, Copay, FRMs, SPs, Nurse))

· Oversee development and execution of projects ensuring alignment of business goals. 

· Collaborates with management of client engagements, relationship management serving as point of contact for fostering relationships; may represents organization at industry events, conferences, and forums.

· Directs project teams to ensure timely, accurate, and high-quality deliverables. Provides mentorship and strategic direction to staff, fostering a high-performance culture.

· Provide market insights by leveraging in-depth knowledge of market access (Payer, IDN, Trade) landscape, healthcare reform, claims data and managed care data

· Monitor relevant market trends to inform client deliverables and Herspiegel competitive advantage

· Provide thought leadership and innovation within the Market Access practice

Education, Experience and Knowledge:

· Bachelor's degree in life sciences or related field required, MBA strongly preferred

· A minimum of 7 years relevant reimbursement and health policy work experience in pharmaceutical market access with at least 3 years in a consulting environment

· A proven track record of success and delivering strong sales results

· Solid understanding of reimbursement and health policy methodologies and trends

· In-depth knowledge of reimbursement processes, payer systems, and healthcare regulations (Medicare, Medicaid, and private payers)

· Strong analytical skills and proficiency with reimbursement data tools

· Expertise in identifying reimbursement risks and opportunities for optimization

· Knowledge of patient assistance programs and financial support mechanisms, with experience in interfacing with field reimbursement teams

· Familiarity with drug registration requirements for government sponsored healthcare programs (primarily Medicare)

· High motivation, outstanding work ethic, maturity and personal initiative

· Superior oral and written communication skills

· MS Office proficient

· Strong attention to detail, with a quality-focused mindset

· Deep Payer customer focused mindset combined with the ability to execute, both individually and by leading cross functional teams, to achieve operational excellence in the face of challenging goals

· Strong professional presence, able to communicate complex information and concepts succinctly and with impact

· Ability to explore innovative approaches amidst a highly competitive landscape

Additional Information: 25% travel may be required

Candidates received unsolicited from Agencies are free referrals unless a formal “Herspiegel Consulting Recruiting Agreement” has been executed. Candidates from contracted agencies must be submitted via the agency portal and credit is assigned to the contracted agency who submits the candidate’s bio, with candidate’s knowledge, first.