Associate Director, Market Access & Reimbursement - Alpharetta, GA or Remote

About the role

The Associate Director of Market Access, Reimbursement, and Medical Policy is a customer-facing role responsible for developing and implementing U.S. reimbursement strategies that affect current and future products across Avanos’ Specialty Nutrition Systems and Pain Management portfolios. The position will work closely with the business units to drive and develop market access initiatives that support Avanos’s priorities.

Responsibilities

• Develops strategies to optimize the reimbursement landscape to include coding, payment, and coverage from third-party payers, CMS/other government payers, and healthcare customers for Avanos Medical’s entire product portfolio, including key brands such as MIC-KEY*, ON-Q*, ambIT*, GAME READY*, and Interventional pain (IVP) management products [TRIDENT* and COOLIEF* cooled radiofrequency technology], etc.
• Manages the national Market Access, Reimbursement, and Health Policy teams with multiple direct reports
• Led efforts to directly market payment/reimbursement opportunities and market access value propositions with payers, providers, and value analysis committees to drive sales growth.
• Develops critical relationships with physicians and payers to drive appropriate clinical utilization on medically necessary patients and, therefore, sales of product/s.
• Supports commercial reimbursement initiatives in collaboration with Sales and Marketing, working closely with Clinical Affairs.
• Maintains clear, effective communication and positive, cooperative collaboration with internal and external stakeholders at all organizational levels. Supports budget management and planning for department program spend.

Qualifications

• Bachelor’s degree required.
• 10+ years of medical device reimbursement, including DME, third-party billing experience, and strategic marketing experience.
• Broad-based knowledge in medical device and DME market access, reimbursement, patient access, payer coverage policy, employee management, business management, project management, marketing, and extensive experience in general health care.
• Demonstrated clinical acumen through interface with various physicians.
• Ability to drive appropriate payment coverage of products by payers.
• Strong communication, interpersonal, and analytical 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.
• Excellent leadership qualities.
• Persuasive, self-driven and motivated.
• Strong analytical and presentation skills, innovative and resourceful.