Market Access & Regional Reimbursement Manager

| Austin, TX, USA
Employer Provided Salary: 115,000-130,000 Annually
Salary data is provided by the employer. Please note this is not a guarantee of compensation.
Apply
By clicking Apply Now you agree to share your profile information with the hiring company.

Life Unlimited. At Smith+Nephew we design and manufacture technology that takes the limits off living.

The Market Access Regional Reimbursement Manager (MARRM) is pivotal in supporting the US Market Access Department's mission to ensure patient access to best-in-class technologies and products for Advanced Wound Management, including Grafix, Oasis, and PICO. The MARRM will focus on government payers (such as Medicare, Medicaid, and Veterans Affairs) and regional commercial payers in executing company goals. The MARRM is the primary contact and expert driving payer strategy to secure coverage and reimbursement for Smith & Nephew Advanced Wound Management products. The MARRM role drives patient access to necessary medical therapies while building a positive reputation for the company within the payer community, which spans over 100 million lives.

Responsibilities of the MARRM include but are not limited to, developing and maintaining relationships with key decision-makers within the regional commercial payers, state health associations, and other relevant organizations. The MARRM influences policy decisions, fee schedules, product coverage, utilization management, and reimbursement payment decisions. Additionally, the MARRM is tasked with developing and implementing payer coverage and reimbursement strategies tailored to secure appropriate access, coverage, and reimbursement for the Smith & Nephew wound care product portfolio across assigned government and commercial payer segments.

Collaboration with the US Market Access Team, Clinical and Medical Affairs, VP of Healthcare Strategy, Healthcare Systems colleagues, and Sales leadership is essential to ensure strategic alignment and successful execution of payer initiatives. The MARRM must possess strong leadership skills and project management capabilities, working collaboratively with cross-functional leads to analyze payer gaps and devise effective strategies. Acting as a business consultant, the MARRM communicates a compelling value proposition specific to the needs of both internal and external stakeholders. This role requires a highly independent and proactive individual capable of driving results in a dynamic healthcare landscape."

What will you be doing?

  • Develop and maintain strong relationships with decision-makers both government and commercial payers
  • Analyze, develop and execute on payer strategy and initiatives remove access barriers, new and expanded coverage for product portfolio
  • Proactively identify and recommend new payer growth opportunities for the product portfolio
  • Work collaboratively with Sales, Field Reimbursement, and Hotline to ensure company has the latest coverage policies and to remove reimbursement barriers.
  • Liaison with cross -functional leads to build customer-facing collateral to support field sales education, and payer advocacy initiatives

What will you need to be successful?

  • Bachelors degree in business, health sciences, management, healthcare administration, or related field
  • Licenses/ Certifications: Certified Professional Coders is a plus
  • Minimum of 5 years in the medical device or biotechnology industry
  • Minimum of 4 years of experience in a reimbursement or market access role
  • Extensive knowledge of coding, coverage, and reimbursement
  • Solid understanding of government (e.g., national/local coverage determinations), and commercial payer coverage process
  • Proven understanding of reimbursement methodologies by site of care (e.g., hospital inpatient, outpatient, ASC, physician's office, etc.)
  • Understanding of State Medicaid programs and the policy development process
  • Prior experience growing medical product coverage with payers preferred.
  • Prior experience in wound care preferred
  • Familiarity with MDMA, AdvaMed, and other associations preferred
  • Travel Requirements: Up to 65%

You Unlimited.

We believe in creating the greatest good for society. Our strongest investments are in our people and the patients we serve.

  • Inclusion, Diversity and Equity: Committed to Welcoming, Celebrating and Thriving on Diversity, Learn more about Employee Inclusion Groups on our website (https://www.smith-nephew.com/)
  • Your Future: 401k Matching Program, 401k Plus Program, Discounted Stock Options, Tuition Reimbursement
  • Work/Life Balance: Flexible Personal/Vacation Time Off, Paid Holidays, Flex Holidays, Paid Community Service Day
  • Your Wellbeing: Medical, Dental, Vision, Health Savings Account (Employer Contribution of $500+ annually), Employee Assistance Program, Parental Leave, Fertility and Adoption Assistance Program
  • Flexibility: Hybrid Work Model (For most professional roles)
  • Training: Hands-On, Team-Customized, Mentorship
  • Extra Perks: Discounts on fitness clubs, travel and more!

The anticipated compensation range for this position is $115,000.00 - $130,000.00 USD annually and the compensation offered will depend on the candidate's qualifications. You may also be entitled to receive bonus and benefits, which may include medical, dental, and vision coverage, 401k, tuition reimbursement, medical leave programs, and a variety of wellness offerings.

Smith & Nephew follows the Pay Transparency and non-discrimination provisions described by the Colorado Department of Labor and Employment (CDLE)

#LI-REMOTE

#LI-RS3.

Smith+Nephew provides equal employment opportunities to applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability.

Stay connected and receive alerts for jobs like this by joining our talent community.

We're more than just a company - we're a community! Follow us on LinkedIn to see how we support and empower our employees and patients every day.

Check our Glassdoor page for a glimpse behind the scenes and a sneak peek into You. Unlimited., life, culture, and benefits at S+N.

Explore our new website and learn more about our mission, our team, and the opportunities we offer.

Read Full Job Description
Apply Now
By clicking Apply Now you agree to share your profile information with the hiring company.

Similar Jobs

Apply Now
By clicking Apply Now you agree to share your profile information with the hiring company.
Learn more about Smith & NephewFind similar jobs