Director of Market Access, Reimbursement and Medical Policy
Company: Avanos Medical
Location: Alpharetta
Posted on: May 4, 2024
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Job Description:
Requisition ID:5847
Job Title:Director of Market Access, Reimbursement and Medical
Policy
Job Country:United States (US)
Here at Avanos Medical, we passionately believe in three
things:
At Avanos you will find an environment that strives to be
independent and different, one that supports and inspires you to
excel and to help change what medical devices can deliver, now and
in the future.
The Avanos COVID-19 Vaccine Policy: This Policy applies to U.S.
customer-facing / field-based employees & Avanos leadership: All
U.S. customer-facing / field-based employees hires must be fully
vaccinated against COVID-19. Proof of being fully vaccinated does
not need to be disclosed until a job offer has been made but must
be submitted within 48 hours after the acceptance of the job offer.
If you have a qualifying medical condition or sincerely held
religious belief or practice that precludes you from receiving a
COVID-19 vaccine, you may apply for an exemption or deferral after
you accept the job offer and before your scheduled start date. The
reasonable accommodation provided to the employee, if any, will
depend on the employee's job and the applicable facts, but it may
include weekly COVID-19 testing and masking requirements. New hires
who do not submit, before their scheduled start date, proof of
being fully vaccinated or a request for a reasonable accommodation
will have their job offer revoked.
Avanos is a medical device company focused on delivering clinically
superior breakthrough solutions that will help patients get back to
the things that matter.We are committed to creating the next
generation of innovative healthcare solutions which will address
our most important healthcare needs, such as reducing the use of
opioids while helping patients move from surgery to recovery.
Headquartered in Alpharetta, Georgia, we develop, manufacture and
market recognized brands in more than 90 countries. Avanos Medical
is traded on the New York Stock Exchange under the ticker symbol
AVNS. For more information, visit .
Department
Health Economics and Reimbursement
Position
Director of Market Access, Reimbursement and Medical Policy
Job Position Purpose / Summary
Customer facing role responsible for assisting in the execution of
health economic and reimbursement strategies of Avanos'
interventional pain management products. Key functions to include
coding and payment analysis, insurance authorization, coverage and
cost effectiveness analysis as well as collaborating/building
relationships with internal and external customers.
Location
Remote, Hybrid or Onsite
Purpose of the Position:
Creates strategies to obtain/optimize payment and coverage from
third-party payers, CMS/other government payers, and healthcare
customers for Avanos Medical's product portfolio including MIC-KEY,
ON-Q, AMBIT and Interventional pain (IVP) management products
[TRIDENT and COOLIEF cooled radiofrequency technology]. Manages the
national Market Access, Reimbursement, and Health Policy teams.
Leads efforts to directly market payment/reimbursement
opportunities and market access value propositions with payers,
providers and value analysis committees to drive sales growth.
Develop critical relationships with physicians and payers to drive
appropriate clinical utilization on medically necessary patients
and, therefore, sales of IVP product/s.
Responsibilities (fundamental job duties):
Reporting Relationships:
Direct report the Vice President of Strategy and Marketing
Positions reporting to this job include:
External Interface:
Health Insurers, both government and commercial , third party
billing companies, current and potential customers, Industry Trade
Associations, KOLs, professional medical societies, CMS, and US
governmental agencies
Internal Interface:
All business groups within the organization
Job Requirements:
Education:
Bachelor's degree required. MBA desirable.
Experience:10+ years of medical device reimbursement, third party
billing experience, strategic marketing experience. Successful
performance in this position requires a broad-based knowledge in
medical device market access., reimbursement, patient access, payer
coverage policy, employee management, business management, project
management, marketing, and extensive experience in general health
care. Strong communication, interpersonal, and analytical skills.
The candidate must have excellent leadership qualities.
Soft Skills:Persuasive, self-driven and motivated. Strong
analytical and presentation skills, innovative and resourceful.
Ability to communicate effectively, both written and orally.
Preferred Skills:Demonstrated clinical acumen through interface
with various physicians. Ability to drive appropriate payment
coverage of IVP products by payers. Medical device industry
experience required.
Computer Skills:Proficient in use of Microsoft PowerPoint, Excel,
Windows and Microsoft Office. Experience with data visualization
software (e.g., Tableau) and CRM applications (e.g.,
Salesforce.com), or aptitude to learn such tools. General ability
to learn and acclimate to new systems.
Location: 20-40% travel. Prefer relocation to Alpharetta GA
although not required.
Avanos Medical is an equal opportunity employer and all qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, national origin, disability status,
protected veteran status, sexual orientation, gender identity or
any other characteristic protected by law. If you are a current
employee of Avanos, please .
Join us at Avanos
Join us and you can make a difference in our products, solutions
and our culture. Most of all, you can make a difference in the
lives, people, and communities around the world.
Make your career count
Our commitment to improving the health and wellbeing of others
begins with our employees - through a comprehensive and competitive
range of benefits. We provide more than just a salary - our Total
Rewards package encompasses everything you receive as an employee;
your pay, health care benefits, retirement plans and work/life
benefits.
Avanos offers a generous 401(k) employer match of 100% of each
pretax dollar you contribute on the first 4% and 50% of the next 2%
of pay contributed with immediate vesting.
benefits on day 1
LI-Remote
Keywords: Avanos Medical, Roswell , Director of Market Access, Reimbursement and Medical Policy, Executive , Alpharetta, Georgia
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