FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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