Manager, US AWM Market Access & Reimbursement Strategy (US - Remote)

Smith+Nephew•Minneapolis, MN

6d•$100,000 - $140,000•Remote

About The Position

At Smith+Nephew we design and manufacture technology that takes the limits off living. The Manager, Market Access & Reimbursement Strategy (MARS) supports the US Market Access Department's mission to ensure patient access to best-in-class technologies and products for Advanced Wound Management (e.g., skin substitutes, negative pressure wound therapy, and surgical dressings). The MARS will focus on government payers (such as Medicare, Medicaid, TRICARE, and Veterans Affairs) and commercial payers in executing company goals. The MARS is the primary contact and is responsible for driving payer strategy to secure coverage and reimbursement for Smith & Nephew Advanced Wound Management (AWM) products, for an assigned region. The MARS role drives patient access to necessary medical therapies while building a positive reputation for the company within the payer community. What will you be doing? 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. This role requires a highly independent and proactive individual capable of driving results in a dynamic healthcare landscape. 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. Including informing internal and external customers on the reimbursement landscape.

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
The MARS must possess strong leadership skills and project management capabilities, working collaboratively with cross-functional leads to analyze payer gaps and devise effective strategies.
20-50% Travel Requirements

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. Including informing internal and external customers on the reimbursement landscape.