National Account Manager, Payor Relations

This is a fully remote position, open to applicants in Massachusetts, +3 more states.

📋 Description

• Establish and nurture strategic partnerships with national and regional payer organizations.

• Implement payer engagement strategies aimed at enhancing coverage, optimizing reimbursement, and improving patient access.

• Act as the primary point of contact for designated payer accounts, facilitating communication and resolving issues.

• Perform regular business assessments and pinpoint opportunities to enhance coverage policies and mitigate reimbursement obstacles.

• Collaborate with teams in reimbursement, market access, marketing, medical affairs, and product management to meet customer needs and further business goals.

• Deliver clinical evidence, health economic evaluations, and real-world outcome data to decision-makers within payers.

• Supply market intelligence and customer insights to aid in the development of value propositions, prioritize evidence generation, and support strategic planning.

• Keep precise account plans, engagement logs, and opportunity tracking documents.

• Report on account performance, emerging risks, and access opportunities to leadership.

⛳️ Requirements

• A Bachelor's degree is mandatory.

• Over 5 years of experience in payer relations, market access, managed care, reimbursement, national accounts, or a similar healthcare field.

• Profound understanding of the U.S. reimbursement landscape, including coding, coverage, payment methodologies, utilization management, and medical policy formulation.

• Proven experience in presenting clinical and economic value propositions to payer stakeholders.

• Track record of successfully engaging with national and regional health plans.

• An advanced degree (MBA, MPH, MHA, or equivalent) is preferred.

• Experience in medical devices, orthopaedics, sports medicine, or related healthcare industries.

• Established connections with payer decision-makers within national and regional organizations.

🏝️ Benefits

• 401k Matching Program

• 401k Plus Program

• Employee Stock Purchase Plan

• Tuition Reimbursement

• Flexible Personal/Vacation Time Off

• Paid Holidays

• Flex Holidays

• Paid Community Service Day

• Medical, Dental, Vision

• Health Savings Account (Employer Contribution of $500+ annually)

• Employee Assistance Program

• Parental Leave

• Fertility and Adoption Assistance Program

• Discounts on fitness clubs, travel, and more!