About the Role
Drive market access and reimbursement success for the Sports Medicine portfolio by executing payer engagement strategies that support patient access to innovative technologies. Build and maintain strategic relationships with national and regional health plans, identify opportunities to improve coverage and reimbursement, and reduce barriers to care. Serve as a liaison between payer organizations and internal teams, providing market insights and supporting evidence-based market access initiatives.
Responsibilities
- Develop and maintain strategic relationships with national and regional payer organizations.
- Execute payer engagement strategies that support coverage expansion, reimbursement optimization, and patient access.
- Serve as the primary account lead for assigned payer accounts, coordinating communications and issue resolution.
- Conduct regular business reviews and identify opportunities to strengthen coverage policies and reduce reimbursement challenges.
- Collaborate with reimbursement, market access, marketing, medical affairs, and product management teams to address customer needs and advance business objectives.
- Present clinical evidence, health economic analyses, and real-world outcomes data to payer decision-makers.
- Provide market intelligence and customer insights to support value proposition development, evidence generation priorities, and strategic planning.
- Maintain accurate account plans, engagement records, and opportunity tracking.
- Communicate account performance, emerging risks, and access opportunities to leadership.
Requirements
- Bachelor's degree required.
- 5+ years of experience in payer relations, market access, managed care, reimbursement, national accounts, or a related healthcare field.
- Strong understanding of U.S. reimbursement systems, including coding, coverage, payment methodologies, utilization management, and medical policy development.
- Experience presenting clinical and economic value propositions to payer audiences.
- Demonstrated success engaging with national and regional health plans.
- Advanced degree (MBA, MPH, MHA, or related field).
- Experience within medical devices, orthopaedics, sports medicine, or related healthcare sectors.
- Established relationships with payer decision-makers across national and regional organizations.
Skills
- Market access and reimbursement expertise
- Strategic account management
- Clinical and health economic value communication
- Cross-functional collaboration and influence
- Executive-level presentation skills
- Ethical decision-making and compliance focus
Location
- Remote-based role within the United States
Work Type
- Remote
- Hybrid Work Model
Experience Level
- 5+ years of experience
Education Level
- Bachelor's degree
- Advanced degree (MBA, MPH, MHA, or related field)
Salary/Compensations
- $104,000 - $198,000USD annually
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
- Competitive bonus
- Medical leave programs
- Generous PTO
- Paid company holidays annually
- 8 hours of Volunteer time
- Variety of wellness offerings such as EAP
- Discounts on fitness clubs, travel and more
About the Company
- Smith+Nephew is a global medical technology company that designs and manufactures technology to help people return to health and mobility.
- We believe in creating the greatest good for society, with our strongest investments in our people and the patients we serve.
- Our culture is built on Care, Collaboration, and Courage, fostering a spirit of ownership and a can-do attitude.
Equal Opportunity
- Smith+Nephew provides equal employment opportunities to applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability.
