Director, Payer Relations

Hologic • Marlborough, MA

3d

About The Position

As a leading innovator of women’s health, Hologic is empowering people to live healthier lives everywhere, every day. Our business is dedicated to impacting the lives of people across the globe through the early detection of disease, improved diagnosis and less invasive treatments. Hologic is seeking a Director, Payer Relations within the market access team to drive the payer engagement strategy and execution for our breast surgery portfolio in the United States. This role will be instrumental in optimizing reimbursement pathways, expanding coverage, and ensuring access across various sites of care. This role will work in close partnership with the broader market access team and will involve cross-functional coordination with teams including Commercial Marketing, Sales, Medical Relations, Health Economics & Outcomes Research, and Government Affairs. Successful candidates will have experience advocating for coverage and reimbursement with national and regional health plans in the U.S., ideally with a background in medical device, drug, radiopharmaceuticals, radiology or breast surgery. Candidates should possess strong communication skills, as well as an ability to analyze, interpret, and influence complex reimbursement landscapes.

Requirements

• Bachelor's degree required, Advanced degree(s) preferred
• 7+ years of experience in market access, payer relations, reimbursement, or a related field.
• 5+ years of experience working with commercial payers
• Demonstrated knowledge of U.S. national and regional payer landscape
• Established relationships with national and regional payer accounts and highly skilled in relationship development
• Hands-on experience with Medicare Part B reimbursement, hospital outpatient departments and physician office-based reimbursement
• Experience presenting clinical and health economic data to payer and provider audiences
• Collaborates with Hologic team members and physician champions to achieve desired outcomes.
• Excellent organization and communication skills; demonstrated responsiveness to meet the needs of internal and external customers
• Strong decision-making skills; ability to take initiative and act independently
• Strong analytical thinking; ability to understand and synthesize complex information
• Experience working with and managing external vendors

Nice To Haves

• Preferred knowledge of drug-device combination products, radiopharmaceuticals, and innovative payment pathways (such as transitional pass-through payment)

Responsibilities

• Manage a network of key relationships with health plans across Commercial, Medicare and Medicaid
• Develop and execute payer strategies to optimize access of target technologies and procedures.
• Build out materials, tools, and messaging in partnership with internal teams to support payer objectives with medical directors and other key stakeholders
• Educate key stakeholders on the clinical and economic benefits of the product portfolio
• Monitor reimbursement trends and policies across assigned geography and accounts
• Support hospitals and offices with billing and reimbursement inquiries

Benefits

• We are committed to making Hologic the destination for top talent. For you to succeed, we want to enable you with the tools and knowledge required and so we provide comprehensive training when you join as well as continued development and training throughout your career.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees