PolyNovo Limited

Healing. Redefined.

Director, Reimbursement – Market Access

DirectorDirectorFull TimeRemoteTeam 201-500H1B No SponsorCompany SiteLinkedIn

Location

California

Posted

47 days ago

Salary

$181.6K - $216K / year

Bachelor Degree8 yrs expEnglish

Job Description

• Lead the strategic development and execution of reimbursement and health economics (HEOR) strategies for PolyNovo’s portfolio • Ensure that patients have timely access to NovoSorb technology by securing favorable coverage policies • Navigate the complexities of hospital value analysis committees (VACs), Medicare/Medicaid, and private payers • Develop and execute comprehensive market access launch plans for new products and line extensions • Monitor and influence coding, coverage, and payment policies (DRGs, CPT codes, HCPCS) relevant to dermal substitutes and synthetic skin grafts • Lead the development of the "Value Dossier" to articulate PolyNovo’s economic and clinical advantages over traditional biological scaffolds • Engage directly with key medical directors at national and regional payers to secure positive medical policy coverage • Support the field sales team by providing tools and messaging to navigate Hospital Value Analysis Committees (VACs) • Address reimbursement barriers by providing education to billing and coding departments • Collaborate with the Clinical Affairs team to identify gaps in data and develop "Real World Evidence" (RWE) that demonstrates long-term cost savings (e.g., reduced length of stay, fewer surgeries) • Manage the creation of budget impact models and cost-effectiveness analyses • Represent PolyNovo in industry trade associations (e.g., AdvaMed)

Job Requirements

  • Bachelor’s degree in Life Sciences, Economics, or Business
  • MPH, MBA, or PharmD preferred
  • 8+ years in Medical Device Market Access or Reimbursement
  • Experience in Wound Care, Trauma, or Aesthetics is a significant plus
  • Deep understanding of US coding (CPT, ICD-10, HCPCS) and the OPPS/IPPS payment systems
  • Ability to travel up to 30-40% for payer meetings and site visits
  • Existing relationships with CMS or major private payers (UnitedHealth, Aetna, etc.) are highly valued
  • Ability to communicate the value of synthetic materials in a market historically dominated by biologics

Benefits

  • Total compensation package consisting of base salary, bonus, and incentive plans
  • 401k plan with company match
  • Comprehensive medical, dental, and vision insurance for employees and their families
  • Generous paid time off, 12 company holidays, and two paid Nurture days per year
  • Parental leave for primary and secondary caregivers

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