National Account Manager, Payor Relations

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🍂 Massachusetts, Pennsylvania, +2 more states – Remote

🍂 Massachusetts – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

💵 $104k - $198k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Account Manager

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Smith+Nephew

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1856

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🔬 Science

Healthcare Insurance • Pharmaceuticals • Science

Smith+Nephew is a portfolio medical technology company focused on the repair, regeneration and replacement of soft and hard tissue. The company aims to restore people's bodies and self-belief by using technology to remove the limits on living. Smith+Nephew designs and manufactures innovative medical solutions that restore health and mobility, assisting healthcare professionals in returning their patients to full potential. They offer a range of products and solutions based on specialties or patients' needs and provide medical education for continual professional development. Committed to high standards of corporate governance and sustainability, Smith+Nephew endeavors to enhance health and wellbeing not only through their products but also with an eye on societal and planetary health.

📋 Description

• 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.

🏖️ 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!