VP/SR. Director Market Access

Accordance Search Group•Boston, MA

1d•$265

About The Position

The Senior Director of Strategic Reimbursement and Market Access is a high-impact, field-based role responsible for leading U.S. reimbursement and market access efforts to support patient access to Company products. This includes developing and executing strategies around coding, coverage, and payment, as well as guiding and training the U.S. Sales team. The role manages field-based Reimbursement Access Managers and is responsible for their hiring, onboarding, and performance. This position also plays a key role in shaping a favorable national reimbursement environment and supporting field teams through strategic direction and education. Success in this role requires strong leadership, excellent communication skills, and the ability to operate effectively in a fast-paced, cross-functional setting. This position requires experience supporting field-based reimbursement teams, will support the national development and execution of reimbursement strategy to create a favorable reimbursement climate for Company products, and facilitate US Sales reimbursement education and training, and requires excellent communication skills, and the ability to perform at high levels in a fast-paced, dynamic environment.

Requirements

BA/BS degree in Business, Economics, Basic Sciences or acceptable alternative; or equivalent experience.
At least 15 years medical device reimbursement, coding, coverage, and payment experience.
Minimum of 10 years’ experience working within US payers and provider systems
Must have a Minimum of 5+ years in a Director level or higher
Must have experience managing a team.
In depth understanding of the reimbursement environment to assist customers in navigating coverage and ensuring access to Company technologies.
Prior management experience; management of direct reports.
Previous experience supporting internal (sales; strategic accounts; management team, etc.) and external customers (physician offices, ASCs, hospital outpatient personnel, etc.)
Solid understanding of CPT, ICD-10, HCPCS, and POS coding.
High attention to detail and capable of in-depth analysis and problem resolution.
Strong knowledge of Microsoft word, excel, PowerPoint and outlook.
Strong understanding of private and government reimbursement policy including coverage development.
Knowledge of Medicare, Medicaid and Private Insurer reimbursement methodology.
Understanding of healthcare benefits (deductible, out of pocket, benefit exclusions, etc.).
Travel requirements up to 30%.

Nice To Haves

Graduate degree or course work in health policy is highly desirable.
Urology experience is a plus.
CPC accreditation preferred.

Responsibilities

Develop and lead reimbursement strategies for current and future products.
Secure favorable coding, coverage, payment decisions, and health technology assessments (HTAs).
Coordinate and support presentations by key opinion leaders (KOLs) to decision-makers like CMS, medical directors, and HTA committees.
Build and maintain relationships with CAW members, KOLs, and professional societies to support reimbursement efforts.
Maintain a comprehensive understanding of local, regional and national reimbursement coverage issues through research of payer websites, face-to-face meetings, KOL interviews and attendance at public meetings.
Analyze reimbursement policies affecting Company and competitor products.
Provide reimbursement education and support to customers, targeting areas with knowledge gaps.
Identify and address reimbursement challenges through training programs and educational initiatives.
Oversee team operations to ensure efficient, effective support for internal and external stakeholders.
Develop adaptable, compliant reimbursement education materials tailored to regional and customer needs.
Create and distribute compliant reimbursement tools for both internal teams and customers.
Work cross-functionally to align on coding, coverage, and payment strategies across the organization.
Collaborates closely with local/regional sales teams supporting targeted accounts, ensuring patients and providers experience minimal barriers to access.
Partner with external vendors to continuously enhance patient access deliverables, services, and the customer experience.
This role is expected to travel in the field with sales and regional colleagues to call upon key providers, meet customers and attend conferences as well as work closely with Executive Team.
Customer facing role with ability to communicate with multiple stakeholders