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Director, Reimbursement (Government Affairs) (USBU)

Washington, District of Columbia

Overview

Takeda fosters a collaborative and stimulating work environment filled with opportunity and the chance to make a difference in people's lives. It is a workplace driven by integrity, one of Takeda’s long-held values that extends to both the patients we serve and our employees who develop and deliver medicines. Across our company, Takeda employees bring together diverse strengths that together create a stronger whole.

As one of the world’s leading biopharmaceutical companies, Takeda is committed to bringing Better Health and a Brighter future to people worldwide. We aspire to bring our leadership in translating science into life-changing medicines to the next level, in our core focus areas; oncology, gastroenterology, neuroscience, rare diseases, plasma-derived therapies, and vaccines.

We are a passionate team doing important work that impacts patients’ lives. If you are driven to create better health and a brighter future, join us!

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Success

What makes a successful member of our team? Check out the traits we’re looking for and see if you have the right mix.

  • Collaborative
  • Strategic
  • Results Driven
  • Self-starter
  • Versatile
  • Team player

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Opportunity

  • Since 1781, the values of Takeda-ism (Integrity, Fairness, Honesty, and Perseverance) have guided everything we do—from decision-making to interacting with patients.

  • Our people-first mission extends beyond patients to include their families, communities, and our own Takeda family.

  • A strong, borderless team, we strive together towards our priorities and inspiring mission.

  • Recognized for our culture and way of working, we’re one of only 13 companies to receive Top Global Employer® status for 2018.

  • Our people-first mission extends beyond patients to include their families, communities, and our own Takeda family.

  • Our vision is of a world with accessible healthcare for all, where prevention measures are exponentially advanced and billions are freed of disease. Our approach is rooted in our patient-centricity and the creation of outstanding treatments that change people's lives. Building upon a foundation of sustainability, we are committed to contributing to the long-term health of people through disease prevention.

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Director, Reimbursement (Government Affairs) (USBU)

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Job ID R0008165 Date posted 05/07/2019 Location Washington, District of Columbia

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Job Description

Are you looking for a patient-focused company that will inspire you and support your career? If so, be empowered to take charge of your future at Takeda. Join us as a Director, Reimbursement (Government Affairs) in our Washington, D.C. office.

Here, everyone matters and you will be a vital contributor to our inspiring, bold mission. As a Director, Reimbursement, working on the Government Affairs, Public Policy team, you will be empowered to manage the company’s reimbursement and strategy approach across private, public, managed health and government programs, and a typical day will include:

POSITION OBJECTIVES:

  • Manage the company's reimbursement approach and strategy in the areas of government, private and managed care health insurance programs
  • Optimize portfolio access and mitigate risk in response to the rapidly evolving U.S. payer landscape and policy changes
  • Partner closely with multiple cross-functional teams to analyze access and payment policies proposed by government and commercial payers - including rules and guidance from the Centers for Medicare & Medicaid Services (CMS)
  • Assess impact of proposed policy to businesses within Takeda’s U.S. portfolios
  • Remain informed and educate internal stakeholders on evolving and timely MHC channel, policy and reimbursement requirements and updates, including, but not limited to Medicare Part B and D, Medicaid, 340B, individual market/health exchange plan policies, ERISA and insurance law changes, MACRA Quality Payment Program (QPP) and value payment initiatives

POSITION ACCOUNTABILITIES:

  • Lead reimbursement, coverage and access strategies to ensure availability of Takeda’s current and future portfolio within state and federal government programs
  • Serve as lead liaison with relevant CMS staff responsible for payment, coverage and reimbursement policy issues
  • Serve as internal reimbursement expert and collaborate across functions to complete financial impact analyses on reimbursement policy proposals that may affect Takeda products
  • Lead analysis of emerging policy issues related to access and reimbursement of Takeda products
  • Lead reimbursement and coverage related initiatives with external stakeholders including HCPCS applications, pursuing new CPTs, USP classification, etc.
  • Develop network of external consultants to model impact of evolving policy and payment changes across stakeholders
  • Collaborate with cross-functional partners to develop and implement business and advocacy strategies to address evolving policy and payment changes. Ensure alignment through internal and external communication plans

EDUCATION, BEHAVIORAL COMPETENCIES AND SKILLS:

  • Bachelor’s degree required. JD or MBA desirable
  • Minimum 7-10 years of payer (CMS, health plan, PBM) or related healthcare policy consulting, law or financial/actuarial firm experience
  • Thorough knowledge and understanding of healthcare reimbursement environment including coverage, coding, payment, as well as how to develop, implement and manage reimbursement programs
  • Demonstrated experience working with federal healthcare programs, commercial payers/providers, and managed care organizations
  • Demonstrated experience working with FDA compliant products and solutions, and in supporting new product launches and the development of reimbursement training and sales tool materials
  • Knowledge and understanding of healthcare product development and commercialization
  • Ability to work in a deadline-driven and fast-paced environment including managing multiple projects with on time and budget completion
  • Strong analytical and business skills; ability to communicate effectively with high level executives
  • Demonstrated ability to work across functions, regions and cultures while exhibiting enterprise level leadership with the ability to inspire, motivate and drive results
  • Ability to refine team strategy based on anticipated future changes. Projects future trends of the industry and global forces to make proactive adjustments
  • Demonstrated ability to process complex information and summarize it concisely in writing and/or verbally in a professional manner and in a time sensitive environment is required
  • Demonstrated success in development/execution of targeted briefings for executive leadership, senior management and business leaders; well organized, highly motivated, innovative, process driven, results oriented; and outstanding oral and written communications skills
  • Embraces and demonstrates a diversity and inclusion mindset and role models these behaviors for the organization
  • Experience in managing projects, including overseeing work plans, budgets
  • Excellent judgment to make decisions on complex business and public policy issues, and act with a view toward what is in the best interest of the company
  • Accountable for designing and implementing vision and strategy for designated scope
  • Effectively navigates the changing external and internal environment and leads others through change by creating an inspiring and engaging workplace
  • Visionary and forward thinking with the ability to influence and effectively drive organizational change and continuous innovation
  • Comfortable challenging the status quo and bringing forward innovative solutions
  • Ability to take risks implementing innovative solutions, accelerating time to market
  • Ability to identify areas for process and systems innovation and implement change that will enhance the overall effectiveness of the team

TRAVEL REQUIREMENTS:

  • Willing to travel in the US up to 30%; minimal overseas travel

WHAT TAKEDA CAN OFFER YOU:

  • 401(k) with company match and Annual Retirement Contribution Plan
  • Tuition reimbursement Company match of charitable contributions
  • Health & Wellness programs including onsite flu shots and health screenings
  • Generous time off for vacation and the option to purchase additional vacation days
  • Community Outreach Programs

Empowering Our People to Shine

Learn more at takedajobs.com.

Takeda is an EEO employer of minorities, women, disabled, protected veterans, and considers qualified applicants with criminal histories in accordance with applicable laws. For more information, visit http://www.takeda.us/careers/EEO_Policy_Statement.aspx

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Locations

Washington DC, USA

Worker Type

Employee

Worker Sub-Type

Regular

Time Type

Full time

Job ID R0008165

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