AbbVie Associate Director, Policy and Reimbursement Strategy, U.S. Market Access in Lake County, Illinois
Associate Director, Policy and Reimbursement Strategy, U.S. Market Access
USA, Illinois, Lake County
2 additional locations
The U.S. Market Access, Associate Director, Policy and Reimbursement Strategy, is an in-house position with the responsibility to provide subject matter expertise and manage strategic initiatives to support the U.S. Market Access team’s ability to optimize portfolio access and mitigate risk in response to rapidly evolving U.S. payer landscape and policy changes.
The position requires the ability to work closely with multiple cross-functional teams, analyze access and payment policies proposed by government and commercial payers - including rules and guidance from the Centers for Medicare & Medicaid Services (CMS) - and assess impact to Abbvie portfolio and specific brands. The Associate Director will develop and lead team implementation of strategic policy initiatives and marketing resources to support Abbie’s value proposition, work with Legal and Government Affairs to educate internal and external stakeholders on the impact of proposed changes, and advance internal and external advocacy solutions to align opportunities and mitigate risk.
The Associate Director will have direct responsibility and oversight to develop, lead and train Market Access internal and field teams - including Marketing Access Marketing, Health Policy Executives, Health System Executives and Payer Executives - as well as affiliated brand Account Executives – on evolving and timely Market Access channel developments, policy and reimbursement requirements and stakeholder impacts. These policy and reimbursement updates include proposed and final changes to Medicare (Parts A, B, C and D), Medicaid, individual market/health exchange plan policies, ERISA and insurance law changes, MACRA Quality Payment Program (QPP) and value payment initiatives, including, but not limited to, developing Alternative Payment Models (APMs) such as ACOs, the CMMI Oncology Care Model, Value-Based Insurance Design (VBID), commercial bundled payment and other all-payer Alternative Payment Models and initiatives. The Associate Director will have the capability to manage internal and Key Account Management field team understanding and alignment of these evolving payment policies into brand strategies. The ability to develop robust and continuing communication processes with cross-functional teams and partners to continually provide input to senior leaders on projected business and LRP impacts of evolving policy changes will be critical.
Key Position Functions: MHC Brand Policy and Reimbursement Channel Support
Develop network of external consultants to model impact of evolving policy and payment changes across stakeholders.
Collaborate with cross-functional partners, including Marketing Analytics and Business Insights (MABI), Government Affairs, Legal, Public Affairs, HEOR and Medical Affairs to develop and implement business and advocacy strategies to address evolving policy and payment changes. Ensure alignment through internal and external communication plans.
Develop and implement therapeutic area aligned policy and reimbursement marketing initiatives and resources to support on-market and pipeline portfolios.
Continuously monitor and provide in-depth, brand-specific impact insights and guidance on channel and policy developments. Partner with Market Access Training, cross-functional partners and Integrated Brand Teams (IBTs) to actively communicate and educate on key policy changes and business impacts.
Nimbly translate channel and policy events into business considerations and priorities for strategic and tactical decision-making.
Maintain relationships with key Market Access stakeholders, including internal and external customers (payers, health systems), medical specialty groups and policy and quality improvement organizations (e.g. NCQA, URAC).
Advance initiatives to increase compliance with emerging value-based quality, accreditation and process transformation requirements for healthcare providers and payers.
Maintain continuous communication and strong collaborative relationships with cross-functional partners (e.g. HEOR, Medical Affairs, MABI) to support IBT business goals and Future Fit vision.
Bachelor degree required
JD, MBA, MPH, PharmD or similar advanced degree strongly preferred
Professional Skills and Experience
Minimum 7-10 years of payer (CMS, health plan, PBM) or related healthcare policy consulting, law or financial/actuarial firm experience
Proven track record in strategic planning and analysis, budget and project management
Excellent analytical, writing, presentation and communication skills
Effectively manage performance excellence through self-assessment and growth plans. Work with manager to achieve highest level performance.
Infuse AbbVie Ways of Working and Talent Philosophy in day-to-day leadership and management of the business. Encompass a “One AbbVie” mindset and perspective in all strategies
Set tone and priorities for scale and scope of accountability. Influence multiple external and internal constituents (stakeholders and partners).
Maintain highest standards of professional and personal integrity and conduct.
Equal Opportunity Employer Minorities/Women/Veterans/Disabled
Travel: Yes, 10 % of the Time
Job Type: Experienced