Market Access Manager

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Job details

Company overview

The company is a global provider of products and solutions for the eye care sector. Leveraging advanced technologies and specialized expertise, it helps healthcare professionals and organizations address a wide range of challenges. Through high-quality products and services, the company contributes to improved quality of life and the advancement of healthcare environments. With its global presence, it continues to create value by responding to evolving needs across the industry.

Responsibilities

Main responsibilities:

• 1[Market Access (NHI Reimbursement Pricing): The role is responsible for securing optimal NHI reimbursement price for our products and ensuring patient access within the Japanese healthcare system.]
• Medical Device Reimbursement
  • Develop and submit reimbursement applications for A/B category
  • Develop and drive reimbursement strategies and plans for C1/C2 category applications
  • Lead negotiations with MHLW, including pre-consultations related to C-category reimbursement, etc.
  • Prepare Medical Technology Assessment Proposal and Gaihoren Shian (a comprehensive cost and technical evaluation reference for surgical and procedural fees in Japan)
  • Manage activities related to NHI revisions and reimbursement price revisions for STMs including re-pricing of unprofitable medical devices
• Manage activities for NHIP revisions
  • Response to market price survey and FAP survey
• Collaboration with Medical Societies and Academia
  • Collaborate with relevant medical societies to support the acquisition of reimbursement points
  • Engage with academic societies regarding the development and revision of clinical guidelines for creating high NHIP
  • Explore and promote patient access opportunities through frameworks such as mixed billing and Sentei-ryoyo schemes
• Pharmaceutical NHI Pricing and Lifecycle Price Management
  • Development of Pharmaceutical NHI pricing strategies, preparation of pricing application dossiers, and execution of price negotiations
  • Management of company indicator requirements related to generic products
  • Management of supply Status Reporting and Supply Shortage Reporting
  • Manage activities related to Pharmaceutical NHIP including re-pricing of unprofitable drugs
  • Develop and execute strategies to secure favorable initial pricing and mitigate price erosion throughout the product lifecycle
  • Management of MHLW and medical societies upon discontinuation of drugs
• 2 [Lead the development and execution of initiatives aimed at enhancing the long-term value of our products and expanding patient access]
• Collaborate with MHLW, academia, and relevant trade associations to influence healthcare policy in the ophthalmology area, and lead the development and execution of initiatives aimed at enhancing the long-term value of our products and expanding patient access.
• Build and maintain strong relationships with internal and external stakeholders, while leading policy engagement activities with a focus on medium- to long-term changes in the healthcare policy and regulatory environment.
• Participate in industry association activities within the medical device and pharmaceutical sectors to strengthen external relationships and professional networks.
• Work cross-functionally with internal stakeholders, including the HEOR team and global Market Access and Government Affairs functions

業務内容：

• 1【マーケットアクセス（薬価＆保険償還）：自社製品の保険適用および適切な償還獲得並びに日本の医療制度における患者アクセスの確保】
• 医療機器保険適用対応
  • 医療機器保険適用希望書（A,B）の対応
  • C1/C2区分の保険適用戦略・計画立案・実行・推進
  • 厚労省との折衝、C区分等の事前相談対応等
  • 医療技術評価提案書、外保連試案等の作成
• 診療報酬・材料価格改定の対応
  • 診療報酬改定および特定保険医療材料価格改定への対応（不採算品再算定要望含む）
  • 材料価格調査、FAP調査対応
• 学会・アカデミアとの連携
  • 関連学会と連携し、最適な償還獲得に向けた活動を推進
  • ガイドライン策定・改訂に関する働きかけ、交渉
  • 保険外併用療養、選定療養等の制度枠組みを活用した患者アクセス向上政策の検討・実行・推進
• 医薬品薬価収載・薬価関連業務
  • 医薬品薬価申請戦略の立案、申請資料の作成、薬価交渉
  • 後発医薬品の企業指標対応
  • 供給状況報告・供給不安報告対応
  • 薬価改定対応（薬価調査、不採算品再算定要望の対応含む）
  • 自社に有利な薬価の獲得および製品ライフサイクルを通じた価格下落抑制のための戦略策定・実行
  • 医薬品終売時の厚生労働省及び学会対応
• ２【将来的な自社製品の価値向上および患者アクセス拡大に向けた施策の立案・実行リード】
• 厚生労働省、アカデミア、関連業界団体等と連携し、眼科領域における医療政策へ働きかけを行うとともに、将来的な自社製品の価値向上および患者アクセス拡大に向けた施策の立案・実行のリード。
• 医療政策・制度環境の中長期的な変化を見据え、社内外ステークホルダーとの関係構築および政策渉外活動。
• 医療機器・医薬品業界における業界団体活動へ参画し、関係構築およびネットワーク強化。
• HEORチーム、グローバルのマーケットアクセス/ガバメントアフェアーズ部門等、社内部門とのクリスファンクショナルな協業

Requirements

Minimum requirements:

• Experience in medical device reimbursement application processes (C1 or C2).
• Experience leading new medical device application(s) is preferred.
• Fluency in English and Japanese

Preferred qualifications:

• More than 3 years of experience in Market Access.
• Experience leading medical device reimbursement applications (C1/C2).
• Experience in pricing application processes, including handling company indicators for generics drugs.
• Comprehensive knowledge of the reimbursement system and NHI pricing system.
• Experience preparing health technology assessment (HTA) proposal documents and Gaihoren draft proposals.
• Experience engaging with the Ministry of Health, Labour and Welfare (MHLW) and key stakeholders as part of Government Affairs activities.

必須要件：

• 医療機器保険申請関連業務（C1/C2いずれか）
• 医療機器の新規申請をリードした経験があると望ましい
• 語学力：英語・日本語が堪能であること

歓迎要件：

• マーケットアクセス業務の経験３年以上
• 医療機器保険申請（C1/C2）をリードした経験
• 薬価申請関連経験、後発品の企業指標対応
• 診療報酬制度、薬価制度全般の知識
• 医療技術評価提案書、外保連試案を作成した経験
• ガバメントアフェアーズとして厚労省やキーステイクホルダーとの折衝経験

Salary

10 - 15 million yen

Location

Tokyo