The Associate, Payer Engagement will manage payer relations, monitor reimbursement policies, and support clients in achieving coverage and market access.
MCRA, an IQVIA business, is a leading medical device advisory firm and clinical research organization (CRO). MCRA's value contribution rests within its industry experience at integrating five business value creators—regulatory, clinical research, reimbursement, healthcare compliance, and quality assurance—to provide a dynamic, market-leading effort from concept to commercialization. MCRA's integrated application of these key value-creating functions provides unparalleled expertise for its clients. MCRA has offices in Washington, DC, Manchester, CT, New York, NY, and a global presence in Japan and Europe and serves more than 1500 clients globally. Its core focus areas of therapeutic experience include orthopedics, spine, cardiovascular, neurology, digital health, diagnostic imaging, wound care, dental, general healthcare, robotics, and in vitro diagnostic (IVD) devices.
The Associate, Payer Engagement will be a critical member of MCRA's Reimbursement, Health Economics & Market Access (RHEMA) team reporting directly to the Manager, Reimbursement, Health Economics & Market Access. This role will be focused on payer engagement & relations, coverage, payment, and commercial market access.
Responsibilites
- Monitor payer medical and reimbursement policies and coverage decision updates. Develop, implement, and monitor initiatives targeting payer coverage.
- Engage with payers to understand and manage expectations for additional clinical/economic evidence.
- Ability to clearly articulate the client's clinical and economic value to help support positive payer coverage to key stakeholders, including but not limited to payers, specialty societies, reimbursement authorities, and providers.
- Provides exceptional customer service to internal and external customers, payers, etc.; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
- Adhere to all HIPAA compliance policies.
- Ensure all work products comply fully with standards, policies, and mission of MCRA, an IQVIA business.
Required Qualifications
- Bachelor’s Degree in a related field required
- 3-5 years of experience in a health policy, reimbursement, health economics/market access position, consulting firm or a similar preferred.
- Direct experience working for or with medical device manufacturers, payers, utilization management organizations, and health technology assessment organizations preferred.
- Knowledge and understanding of the fundamental processes of business, their interaction, and the impact of external/internal influences on decision making, growth and decline.
- Knowledge of consulting methods, tools, and techniques related to one’s functional area.
- Well-versed in current industry trends, emerging developments, and major competitor activities.
- Strong understanding of market dynamics, customer behavior, and competitive positioning.
- Familiarity with relevant professional and trade organizations, including key stakeholders and influential companies.
- Self-directed individual able to manage client/payer engagements with minimal supervision.
- Effective time management skills
NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as to meet the ongoing needs of the organization.
MCRA, an IQVIA business, is an equal opportunity/Affirmative Action employer and does not discriminate in its selection and employment practices. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, political affiliation, sexual orientation, gender identity, marital status, disability, protected veteran status, genetic information, age, or other legally protected characteristics.
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