Director, Market Access – Reimbursement Strategy

🕒 Setembro 18

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

👻 Score fantasma 11%

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Saluda Medical

SiteLinkedInTodas as Vagas

201 - 500 funcionários

🏥 Saúde

💼 Consultoria

🏭 Manufatura

Healthcare • Consulting • Manufacturing

A Saluda Medical é uma empresa pioneira no campo da neuromodulação, focada no desenvolvimento de plataformas inovadoras para tratar condições neurológicas crônicas. Eles criaram o Evoke® System, alimentado por sua tecnologia proprietária SmartLoop™, projetada para medir biomarcadores únicos dos pacientes e ajustar continuamente a estimulação para manter a consistência terapêutica. A Saluda Medical está liderando o caminho na transformação do cuidado ao paciente por meio de pesquisa e desenvolvimento inovadores, e seus sistemas são amplamente reconhecidos por suas capacidades avançadas em terapia de estimulação da medula espinhal.

Descrição

• Lead Saluda's U.S. market access, coverage, and reimbursement strategy • Own, manage, and continuously improve the Smart Access Reimbursement program • Oversee prior authorization support, appeals strategy, benefit investigation, and case escalation pathways • Define program KPIs and report approval rates, turnaround times, and denial overturn rates to commercial leadership • Manage vendor and hub-services relationships and support training for field teams and provider offices • Serve as escalation point for complex access cases and emerging payer barriers • Develop and execute national and regional payer strategies for SCS and closed-loop therapy • Monitor and shape CPT/HCPCS, DRG/APC, physician fee schedule, coverage, and payment dynamics across commercial, Medicare, and Medicaid channels • Track and respond to CMS policy developments, including the Ambulatory Specialty Model and other value-based initiatives • Lead value-based and shared-risk contracting frameworks using Evoke's objective ECAP data • Translate clinical and real-world evidence into payer-facing value dossiers, objection handlers, and coverage advocacy materials • Support medical policy engagement, technology assessments, draft policy responses, and payer advisory interactions • Build relationships with medical societies to advance coverage advocacy, coding initiatives, and clinical guideline development • Equip Sales and field reimbursement resources with access-conversation tools, training, and messaging • Collaborate cross-functionally with Marketing, Sales, Therapy Awareness, Clinical, Regulatory, and Finance teams • Build and mentor market access talent and manage direct reports or contracted field reimbursement resources as assigned • Represent Saluda with professional societies, coalitions, and industry groups on reimbursement and policy matters

🎯 Requisitos

• Bachelor's degree required • Advanced degree (MBA, MPH, MHA, JD) preferred • 10+ years of progressive experience in medical device market access, reimbursement, or payer strategy • Neuromodulation, spine, or interventional pain experience strongly preferred • Demonstrated success managing a reimbursement support / hub-services program, including vendor oversight and KPI management • Deep working knowledge of U.S. coding, coverage, and payment systems across hospital outpatient, ASC, and physician office sites of service • Experience engaging payers directly on medical policy, coverage expansion, and contracting • Familiarity with CMS payment models and value-based care trends • Strong cross-functional leadership and executive communication skills • Experience launching or defending coverage for a novel Class III device or breakthrough technology preferred • Prior work on value-based or risk-sharing agreements using device-generated objective data preferred • Established payer and specialty-society relationships in the pain management space preferred

🏖️ Benefícios

• Full-time employment • Equal opportunity employment • Diversity and inclusion commitment