Director of Market Access

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🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

👔 Director

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Logo of Heraeus

Heraeus

10,000+ employees

🏭 Manufacturing

🏥 Healthcare

Manufacturing • Healthcare

Heraeus is a broadly diversified and globally leading family-owned technology company, headquartered in Hanau, Germany. The company specializes in precious metals, materials and technologies, biomaterials and medical products, sensors, quartz glass, specialty lighting sources, and chemicals. With deep roots dating back to a family pharmacy established in 1660, Heraeus now operates across various sectors, including environmental, electronics, health, and industrial applications, providing innovative technologies and solutions to customers worldwide.

📋 Description

• Own reimbursement and market-access strategy for ETS skin-substitute and surgical products • Build payer-specific market-access plans across HOPD and private-office settings • Assess coding, coverage policies, payment methodologies, site-of-care economics, and provider financial impact • Identify adoption barriers and drive mitigation strategies • Lead payer engagement through value propositions, coverage dossiers, evidence packages, and reimbursement presentations • Drive coverage expansion by partnering with payers, medical directors, and policy stakeholders • Define HOPD versus office commercialization requirements and create provider tools for coding, prior authorization, claims, and denial management • Build scalable reimbursement operations and manage vendor partnerships • Translate clinical/HEOR evidence into payer value messages, economic models, and provider-facing materials • Lead the market-access function by setting goals, metrics, cross-functional alignment, and executive recommendations

🎯 Requirements

• Bachelor’s in healthcare, business, public health, life sciences, pharmacy, nursing, or related; advanced degree preferred • 10+ years in reimbursement, market access, payer strategy, patient access, or healthcare commercialization • Deep experience with commercial payer reimbursement for devices/biologics/surgical/skin-substitute/wound-care products • Proven work across HOPD and physician-office settings • Strong expertise in coding, coverage, payment, utilization management, prior authorization, claims, appeals, and denials • Experience creating payer strategies, coverage dossiers, value propositions, and reimbursement tools • Track record leading cross-functional initiatives and influencing executive stakeholders • Experience building or scaling reimbursement/patient-access/market-access functions • Hands-on experience with wound care, skin substitutes, biologics, or surgical products preferred • Familiarity with commercial payer policy development, payer medical-director engagement, and contracting preferred • Knowledge of Medicare Part B, Medicaid, managed care, and coding systems (CPT/HCPCS/ICD-10/modifiers) preferred • Certifications (CPC, CPHR, etc.) and experience with reimbursement analytics, CRM/case-management platforms, or BI dashboards preferred

🏖️ Benefits

• Equal access to opportunities and fair and equal consideration for all qualified applicants • Diverse and inclusive culture • Employer participation in E-Verify to confirm employment eligibility after hire

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