Director, Reimbursement & Market Access

PolyNovo • Remote (all U.S.), CA

16h • $181,600 - $216,000

About The Position

The Director of Reimbursement & Market Access will lead the strategic development and execution of reimbursement and health economics (HEOR) strategies for PolyNovo’s portfolio. You will be responsible for ensuring that patients have timely access to NovoSorb technology by securing favorable coverage policies and navigating the complexities of hospital value analysis committees (VACs), Medicare/Medicaid, and private payers.

Requirements

• Bachelor’s degree in Life Sciences, Economics, or Business.
• 8+ years in Medical Device Market Access or Reimbursement.
• Deep understanding of US coding (CPT, ICD-10, HCPCS) and the OPPS/IPPS payment systems.
• Ability to travel up to 30-40% for payer meetings and site visits.

Nice To Haves

• MPH, MBA, or PharmD preferred.
• Experience in Wound Care, Trauma, or Aesthetics is a significant plus.
• Existing relationships with CMS or major private payers (UnitedHealth, Aetna, etc.) are highly valued.

Responsibilities

• Develop and execute comprehensive market access launch plans for new products and line extensions.
• Monitor and influence coding, coverage, and payment policies (DRGs, CPT codes, HCPCS) relevant to dermal substitutes and synthetic skin grafts.
• Lead the development of the "Value Dossier" to articulate PolyNovo’s economic and clinical advantages over traditional biological scaffolds.
• Engage directly with key medical directors at national and regional payers to secure positive medical policy coverage.
• Support the field sales team by providing tools and messaging to navigate Hospital Value Analysis Committees (VACs).
• Address reimbursement barriers by providing education to billing and coding departments.
• Collaborate with the Clinical Affairs team to identify gaps in data and develop "Real World Evidence" (RWE) that demonstrates long-term cost savings (e.g., reduced length of stay, fewer surgeries).
• Manage the creation of budget impact models and cost-effectiveness analyses.
• Represent PolyNovo in industry trade associations (e.g., AdvaMed).
• Stay abreast of legislative changes such as the Inflation Reduction Act or updates to the Physician Fee Schedule that impact medical device reimbursement.

Benefits

• Total compensation package consisting of base salary, bonus, and incentive plans
• 401k plan with company match
• Comprehensive medical, dental, and vision insurance for employees and their families
• Generous paid time off, 12 company holidays, and two paid Nurture days per year
• Parental leave for primary and secondary caregivers

What This Job Offers

• Job Type: Full-time
• Career Level: Director