Overview: The Principal Payor Relations and Reimbursement Liaison is responsible for supporting Sight Sciences' products and portfolio to assigned geographic areas, including hospitals, ASCs, surgeons, and payers. Successful performance will include ensuring the execution of Market Access Reimbursement strategy that provides fair and consistent payment and removing barriers in the overall reimbursement process. This position will also be responsible for supporting field sales representatives by educating and communicating with a variety of customers, including payers, physicians, nurses, billing staff, hospital outpatient departments, and ASCs.

This role will be accountable to serve as an expert in payer reimbursement policies and provide support to facilitate appropriate patient & provider access and utilization of services to ensure their access to care. The Principal Payor Relations and Reimbursement Liaison will also collaborate with Marketing, Medical Affairs, R&D, and Clinical teams to ensure market access and competitive advantage of Sight Sciences products by developing and executing strategies that integrate health economics, outcomes research, and market access solutions across all stages of the product lifecycle.

Responsibilities:

• Engage with key payers within geographic regions to ensure coverage and reimbursement of company technologies
• Develop relationships to support future pipeline needs
• Work closely with Sales, lead customer-facing reimbursement and market access needs for assigned geography
• Utilizing available resources, develop and deliver presentations to payers to establish and/or improve reimbursement coverage policies, coding, and payment assignments
• Promote reimbursement support and represent the company to external customers by writing, phoning, visiting, hosting, and participating in events
• Serve as Market Access content expert when representing the company with internal and external customers
• Build payer and reimbursement programs to engage economic stakeholders, including payers and providers, expanding access to care
• Evaluate incoming requests from the field and ensure each request is properly evaluated for feasibility, technical risk, cost and time constraints, compliance, and other relevant considerations
• Partner with internal and external stakeholders to ensure patient-reported outcomes, economic endpoints, and other evidence are included in, or separate from, trials to support economic modeling, economic value assessments, patient preference, and patient-focused value proposition
• Work closely with Regional & National Sales field representatives to support and educate on Market Access and commercial strategy
• Appropriately support healthcare providers with their coverage, coding, and reimbursement needs-network with regional and state providers and patient and healthcare systems advocacy organizations
• Develop relationships and collaborate cross-functionally to support the continued growth of current and future products

Skills/Qualifications:

• The ideal candidate will have a minimum of 10 years of experience in a highly regulated field and a minimum of 4 years of experience in commercial medical device, pharma, or consulting business
• Strong business acumen, analytical skills, and experience working with various internal business partners (especially Sales, Marketing, Clinical, Regulatory, Legal, and Government Affairs staff)
• Understanding of key public and private payer policy infrastructure, payment methodologies, coding, and coverage; health policy trends; and current business challenges
• Previous experience in, or strong working knowledge of, the medical device industry, especially with functional responsibility in health economics and reimbursement planning and program implementation; bonus if the experience is with early stage, category III codes, and/or implementing new codes
• Experience working with external stakeholders such as payers, hospitals, physicians, trade associations, and professional and medical organizations to develop mutually beneficial health economics and reimbursement strategies and tactics to support portfolio planning, commercialization, and sales/marketing objectives
• Possess the ability to work independently from strategy development (direct or indirect) to execution with multiple stakeholder types
• Solid knowledge of evidence needed to drive favorable US reimbursement and market access is required
• Successful candidates will have a track record of success in evidence-based medicine, market development, health economics, reimbursement, or health policy
• Strong understanding of the US reimbursement systems and market access trends
• Ability to communicate clearly and concisely to large audiences; detail-oriented, self-motivated, and able to work independently
• Ability to take evidence and other complex data and package it into easy-to-understand deliverables that can support commercial use
• Intellectual interest in keeping abreast of market access and reimbursement trends. * Solution-oriented, with the ability to offer creative options for problem-solving
• Work closely with multiple cross-functional partners, including Sales, Strategic Marketing, Business Development, Medical Affairs, Clinical Research, US Commercial Marketing, Regulatory Affairs, R&D and Legal
• The percentage of expected travel for domestic, international, or both is estimated to be 20%

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