Associate Director Life Sciences Reimbursement, Pricing and

at Guidehouse in Dover, Delaware, United States

Job Description


Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit:


Life Science Practice Life Science strategic consulting arm of Guidehouse Consulting’s clients include companies in the pharmaceutical, biotechnology, medical device, drug delivery and diagnostic industries. Examples of Guidehouse Life Science’s diverse consulting assignments include therapeutic area strategy development, product opportunity assessments, commercial strategy, business development search and evaluations, due diligence, market access, new product launch planning and positioning, and commercial excellence support. Our clients are worldwide and range in size from start-ups to multi-nationals. Guidehouse is making significant investments to expand the company’s presence in market access, which includes pricing, reimbursement policy and government affairs, and health economics. This position is for an Associate Director, Life Sciences role with specific expertise in reimbursement policy and government affairs, strategic planning, and implementation. The Associate Director role is a highly visible and challenging position that draws heavily upon all of the analytical, creative, and interpersonal skills essential to effective strategy consulting. This role requires a keen ability to engage clients and lead project teams in effectively delivering projects of the highest quality. In addition, an Associate Director identifies business opportunities for clients as new or follow-on work. The ability to assume complete ownership of significant projects while at the same time being a part of and leading a close-knit team is critical. Specific responsibilities include:

+ Unique subject matter expertise in developing and executing reimbursement policy initiatives for industries and clients

+ Detailed understanding of CMS national and local coverage policies including coverage with evidence development, IPPS/OPPS/MPFS/CLFS/PAMA/DMEPOS rulemaking for payment policies, MEDCAC processes, etc.

+ Experience applying for and securing CPT and HCPCS coding

+ Existing relationships with CMS officials, HCPCS committee members, AMA CPT Advisors at specialty societies involved with AMA CPT coding and RUV processes

+ Must think strategically yet oversee tactical implementations

+ Create and oversee execution of internal initiatives to build a stronger division, such as training, process mapping, quality improvement, etc.

+ Participate in developments within industry, policy, regulatory, payer, and provider spheres to inform business development initiatives and client engagements

+ Must be a talented consensus builder

+ Must be able to coach a diverse group of employees, identify critical milestones, and hold teams and individuals accountable for project milestones and deliverables

+ Must have the ability to accommodate travel at the request of the business

+ Manages multiple projects simultaneously of all varying sizes and durations

+ Supervises, mentors and develops Navigant personnel

+ Manages client interactions and expectations

+ Contributes to add-on revenue generation with existing clients

+ Participates in non-client related firm-building activities

+ Assumes greater responsibility for quality control of client work product

+ Adheres to Navigant risk management guidelines

+ Identifies and evaluates issues for risk management


+ A minimum of 7 years of experience in industry or life sciences with at least 3 years in management or reimbursement consulting

+ Strong conceptual, qualitative and quantitative analytical skills

+ Strong project management skills are imperative for leading multiple teams- to timeline, scope and budget

+ Flexibility and responsiveness in managing multiple projects in sometimes high-pressure situations simultaneously

+ + Education Requirements:

+ Bachelor’s degree required

+ Advanced degree (MBA, MPH, MS, JD) preferred

Desired Skills

+ Plans, directs and coordinate work activities of others

+ Self-motivator with ability to work independently

+ The person in this position frequently communicates with clients regarding the status of his/her projects. Must be able to exchange accurate information in these situations.

+ Strong written and oral communication and presentation skills

+ A strategic problem solver

Additional Requirements

+ The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.

+ This position is open to candidate virtually from EST, CST, PST time zone

+ Due to our contractual requirements and federal orders, including an Executive Order from the White House and an emergency regulation from the Centers for Medicare & Medicaid Services (CMS), the position for which you are applying requires that you provide proof of your vaccination status. If you are unable to receive the COVID-19 vaccine for medical reasons or because of a sincerely held religious belief, you may request an exemption from the vaccination requirement which shall be reviewed after the submission of requested documentation. If an accommodation is granted, the conditions may include weekly testing and masking. All Guidehouse employees also agree to follow any additional health and safety mitigation policies that may be required in the workplace.


About Guidehouse Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee. Rewards and Benefits Guidehouse offers a comprehensive, total rewards package that includes competitive To view full details and how to apply, please login or create a Job Seeker account
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Job Posting: JC197360883

Posted On: Nov 12, 2021

Updated On: Jan 17, 2022