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Director, Market Access and Reimbursement
Pacific Edge Diagnostics USA Ltd.
Hershey, PA
Responsible for the development and implementation of all market access strategies to secure and maintain access, coverage and reimbursement for all Pacific Edge Diagnostics products within the U.S.
• Developed and implemented all payer coverage strategies for Medicare, and Commercial payers which resulted in positive reimbursement for CxBladder.
• Collaborated with CMS to ensure appropriate implementation of access and pricing strategy regarding the new CMS proposed rule.
• Developed and submitted Federal Supply Schedule packet to secure access to CxBladder in VA/DOD as well as appropriate government pricing.
• Created and implemented field reimbursement strategies to support providers and internal stakeholders by removing reimbursement barriers and creating access to CxBladder.
• Collaborated with a cross-functional team of marketing, sales and medical affairs leaders to develop and implement tools to support commercial payers, Medicare, Medicaid and CMS, reimbursement initiatives.
• Effectively solicited, cultivated and established Key Opinion Leaders and CAC members, both regionally and nationally to support payer and reimbursement initiatives.
• Responsible for the over sight and implementation of pricing and contracting strategy for all key customer segments which resulted in increase access and reimbursement for CxBladder
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• Developed clinical payer scientific dossier to support coverage of CxBladder.
• Successfully developed and submitted to Medicare MAC the clinical value proposition, validation, and utility dossier for LCD reconsideration coverage inclusion of CxBladder.
• Developed and Implemented the Pacific Edge Patient Financial Assistance Program to ensure financial access to Cxbladder