Director of Market Access

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the reimbursement and market-access strategy for ETS skin-substitute and surgical products.

• Develop payer-specific market-access plans tailored to both HOPD and private-office environments.

• Evaluate coding, coverage policies, payment methodologies, site-of-care economics, and the financial impact on providers.

• Recognize barriers to adoption and implement strategies to mitigate them.

• Spearhead payer engagement through value propositions, coverage dossiers, evidence packages, and reimbursement presentations.

• Facilitate coverage expansion by collaborating with payers, medical directors, and policy stakeholders.

• Define commercialization requirements for HOPD versus office settings and create tools for providers related to coding, prior authorization, claims, and denial management.

• Establish scalable reimbursement operations and oversee vendor partnerships.

• Convert clinical/HEOR evidence into compelling payer value messages, economic models, and materials for providers.

• Direct the market-access function by setting objectives, metrics, promoting cross-functional alignment, and providing executive recommendations.

⛳️ Requirements

• Bachelor’s degree in healthcare, business, public health, life sciences, pharmacy, nursing, or a related field; advanced degree is preferred.

• Over 10 years of experience in reimbursement, market access, payer strategy, patient access, or healthcare commercialization.

• Extensive experience with commercial payer reimbursement specifically for devices, biologics, surgical, skin-substitute, and wound-care products.

• Proven track record working within HOPD and physician-office settings.

• In-depth expertise in coding, coverage, payment, utilization management, prior authorization, claims, appeals, and denials.

• Experience in developing payer strategies, coverage dossiers, value propositions, and reimbursement tools.

• Demonstrated ability to lead cross-functional initiatives and influence executive stakeholders.

• Experience in building or scaling reimbursement, patient access, and market access functions.

• Preferred hands-on experience with wound care, skin substitutes, biologics, or surgical products.

• Familiarity with commercial payer policy development, engaging payer medical directors, and contracting is preferred.

• Knowledge of Medicare Part B, Medicaid, managed care, and coding systems (CPT/HCPCS/ICD-10/modifiers) is preferred.

• Relevant certifications (CPC, CPHR, etc.) and experience with reimbursement analytics, CRM/case-management platforms, or BI dashboards are preferred.

🏝️ Benefits

• Equal access to opportunities and fair consideration for all qualified applicants.

• A diverse and inclusive culture.

• Employer participation in E-Verify to confirm employment eligibility after hire.