Senior Specialist, Health Economics and Reimbursement

Edwards Lifesciences • Irvine, CA

1d • Onsite

About The Position

Building trusted partnerships is an essential way we work together to deliver meaningful impact to patients’ lives. The Market Access function is a strategic and multidisciplinary role dedicated to enabling our innovative medical technologies to be accessible, reimbursable, and adopted by healthcare providers. Your work will not simply focus on improving access; together with talented team members, you'll contribute to better health outcomes for patients across the globe. This is an exciting opportunity to join the Global Health Economics & Reimbursement (GHER) team and play a critical role in the success of the Transcatheter Heart Valves (THV) business at Edwards Lifesciences. This role requires strong analytical capabilities, a solid understanding of U.S. reimbursement systems, and the ability to translate complex policy and reimbursement topics into clear, actionable insights. This position is based at the corporate headquarters in Irvine, California.

Requirements

• Bachelor’s degree in life sciences, health economics, health policy, or a related field, plus a minimum of 5 years of relevant experience, or equivalent work experience based on Edwards criteria.

Nice To Haves

• AI background, with demonstrated examples of applying AI or advanced analytics to real‑world business, policy, market access, or healthcare use cases.
• Master’s degree in life sciences, health economics, healthcare finance, health policy, public policy, or a related discipline.
• Experience in, or strong knowledge of, the medical device industry; clinical trial experience.
• Solid understanding of public and private payer systems, medical device payment methodologies, and coding and coverage fundamentals.
• Experience working with external stakeholders (e.g., payers, hospitals, physicians, vendors) and internal cross‑functional teams.
• Excellent communication and interpersonal skills, including the ability to develop and deliver effective presentations.
• Strong analytical, problem‑solving, organizational, and critical‑thinking skills.
• Proven project management capabilities with the ability to manage competing priorities in a fast‑paced environment.
• Demonstrated adaptability and comfort operating in a rapidly evolving environment.
• Strong business acumen, with experience partnering across Sales, Marketing, Medical Affairs, Clinical, Regulatory, Legal, and Government Affairs to address market access challenges.
• Self‑directed, collaborative, and able to advance projects with limited supervision.
• Willingness to travel domestically up to 10%.

Responsibilities

• Monitor U.S. reimbursement policy changes, coding updates, and payment trends that may impact market access for THV technologies.
• Support the development of market access collateral (coding, coverage, and payment) to enhance patient access to THV therapies.
• Provide reimbursement insights, training, and tools to field teams to support customer discussions related to coverage, coding, and payment.
• Engage with internal and external stakeholders, leveraging insights from direct interactions to inform coverage and payment strategies.
• Educate cross‑functional partners, including Sales, Marketing, Clinical, Regulatory, and Legal, on health economics and reimbursement topics.
• Develop a strong working knowledge of payer coverage and payment processes (e.g., Medicare, Medicare contractors, and private payers), including ongoing monitoring of commercial policies.
• Track changes in the external health policy and regulatory environment and communicate potential risks and opportunities to senior leadership, including recommended actions.
• Perform other incidental duties as assigned.

Benefits

• competitive salaries
• performance-based incentives
• a wide variety of benefits programs to address the diverse individual needs of our employees and their families

What This Job Offers

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