Manager, AWM Market Access & Reimbursement Strategy

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Job Description

Manager of Market Access & Reimbursement Strategy for US Market Access Department, ensuring patient access to technologies. Driving payer strategy for Smith+Nephew Advanced Wound Management products.

Responsibilities:

  • Execute US Market Access activities to optimize market access and commercialization by educating the organization on the reimbursement landscape and how to best navigate coding, coverage, and payment.
  • Develop and execute national reimbursement, coding, and coverage strategies to expand AWM business portfolio with government and commercial payers.
  • Identify US evidence gaps and market access requirements, provide strategic input to Global Clinical Affairs on evidence required and closely collaborates with Marketing on product value propositions and outcomes needed to support US reimbursement and market access.
  • Maintain strong relationships with AWM cross-functional stakeholders to advance business objectives.
  • Collaboration with US Market Access team members to identify strategic alternatives and project approaches to remove access barriers and expanded national coverage for AWM product portfolio.
  • Acting as a business consultant, the MARS communicates a compelling value proposition specific to the needs of both internal and external stakeholders.
  • Research, analyze and actively report coding, coverage, and reimbursement trends for AWM products.
  • Communicate broadly with the business on reimbursement issues impacting wound care.
  • Develop reimbursement landscape presentations and communicate to AWM cross-functional stakeholders.
  • Provide recommendations to AWM business on strategic direction based on reimbursement environment.
  • Understand CMS Rulemaking to identify opportunities for policy development and secure appropriate reimbursement for AWM customers (e.g., hospital, physicians, etc.).
  • Collaborate with US Market Access (e.g., Reimbursement Hotline and Patient Access and Reimbursement Managers), marketing, and sales in the development of new reimbursement tools and resources that inform US AWM Market Access and Reimbursement Strategy objectives and business goals.

Requirements:

  • 4-year college degree in business, healthcare administration, health sciences, health economics, or related field required.
  • Minimum of 5-7 years in reimbursement, market access, health economics for a medical device technology/device company, healthcare consulting firm, insurance/payer, healthcare delivery system, physician/hospital/ASC practice management.
  • Minimum of 4-6 years of experience in a reimbursement or market access role

Benefits:

  • medical, dental, and vision coverage
  • 401k
  • tuition reimbursement
  • medical leave programs
  • a variety of wellness offerings

Smith+Nephew

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