Director Payor Development
Director Payor Development
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1 Vacancy
Job Description
Job Description:
At Enovis we pay attention to the details. We embrace collaboration with our partners and patients and take pride in the pursuit of scientific excellence with the goal of transforming medical technology as we know it.
Because thats how we change the lives of patients for the better. And thats how we create better together. Why work at Enovis See for yourself.
As a key member of the Revenue Cycle Management team you will play an integral part in helping Enovis drive the medical technology industry forward through transforming patient care and creating better patient outcomes.
Job Title:
Director Payor Development
Reports To:
President Revenue Cycle Management
Location:
Lewisville TX Dallas Headquarters or Carlsbad CA
Business Unit Description:
National Accounts
Job Title/HighLevel Position Summary: The Director of Payor Development (DPD) is responsible for establishing maintaining and improving Payor access for Enovis products while driving the business of our largest Payor accounts in a medium to largesize region to achieve budgeted sales and manage profitable growth. This position is responsible for understanding each account and building the business through factbased knowledge by positioning our products programs and promotions to help maximize sales. The goal of the DPD is to help drive the overall relationship(s) forward and drive product penetration and Payor revenue in national customer engagements.
Key Responsibilities:
Responsible for managing business development account development customer satisfaction client relationships and overall account strategies.
Accountable for achieving budgeted sales of assigned accounts.
Partners with Account Executives and functional team leaders to expand business within an assigned territory.
Capitalizes on industry knowledge product knowledge and coverage and contacts to uncover business opportunities.
Articulates sales and solutions in terms of ROI to the customer.
Develops a vision and account strategy for longterm profitable growth consistent with the longrange plans of the business.
Assesses competitive price position ensuring Enovis products are competitively priced to maximize sales and profitability within account and account competitors and consistent with brand positioning.
Identifies evaluates plans and champions ongoing cost reduction initiatives.
Profiles key Payors to assess applicable coverage policies utilization controls coverage review practices and timelines geographic coverage areas level of regional or national influence and other attributes relevant to optimal patient access for Enovis products.
Identifies opportunities to expand Enovis penetration into existing accounts for additional services and ways for Enovis to add value to the customer.
Leads the development and negotiation of Payor contracts across assigned account as applicable.
Liaises with Marketing to provide strategic insight on pricing and contracting initiative.
Participates and leads crossfunctional teams to accomplish sales and profit objectives.
Effectively supports all other applicable functional teams on specific Payor customers coverage policies and coverage status.
Identifies competitive threats and develops response strategies to ensure optimal Payor access for products.
Creates customer proposals that include project scope approach and pricing.
Collaborates with Service Leaders and other P&L Leaders to ensure proposal content is effective and complete.
Monitors ongoing projects within the customers organization.
Participates in major quality review of Enovis projects.
Relationship Building
Manages Executive Level (CSuite) relationships and negotiates high risk solutions.
Develops ongoing relationships with targeted accounts/territory with customer executives to ensure Enovis is considered as a strategic business advisor to the customers organization.
Establishes himself/herself as a trusted business advisor to the customers organization.
Works with new and existing accounts to establish and maintain customer relationships and secure volume.
Ensures client satisfaction and addresses concerns and/or issues promptly.
Coordinates and communicates with leaders and Senior Management on a regular basis.
Compliance
Compliantly engages Medical Affairs resources to support optimal product access across assigned region/accounts.
Maintains knowledge of thirdparty payor regulations including Medicare Medicare Advantage Medicaid Workers Compensation and nongovernmental payers to ensure Enovis conducts its Revenue Cycle Management activities in compliance with applicable rules policies and guidance.
Demonstrates commitment to the Compliance & Ethics Program the Enovis Code of Conduct the Enovis Sales and Marketing Code of Conduct the AdvaMed Code of Ethics and all supporting and applicable regulations policies and procedures.
Adheres to all internal Corporate Compliance guidelines OIG government healthcare regulations regulatory policies and procedures and privacy and security standards in accordance with government agencies including HIPAA requirements.
Treats Protected Health Information (PHI) with the strictest confidentiality in accordance with HIPAA standards.
Acquires a basic understanding of the field to include regulatory compliance issues and adheres to these guidelines.
Other duties as assigned.
Minimum Basic Qualifications:
Minimum of 5 years of experience working in a healthcare related field required.
Experience negotiating pricing and contracts directly with Payors required.
History of achieving sales quotas and expanding customer relationships required.
Experience presenting to and calling on executive level (CSuite) call points required.
Demonstrated success in working with Payors required.
Experience leading sales pursuit and/or customer engagement teams in a matrix environment.
Knowledgeable of healthcare provider budgets operations and industry drivers.
Understanding of computer system capabilities and provider software solutions to address process requirements.
Travel Requirements:
Must be able to travel up to 75 of the time.
Typical workrelated travel assignments range 15 days and as such overnight outoftown stays are required.
Position requires car and air travel on a routine basis.
Desired Characteristics:
Negotiation/Influence
Risk Taking/Judgment
Technical Skills
Quality Management
Analytical Skills
Business Acumen
Initiative
Industry Knowledge
Financial Management
Strategic Thinking
Currently Enovis does not provide sponsorship for employment visas (e.g. H1B) and will not offer such sponsorship in the future. Applicants must already have fulltime work authorization in the United States both now and in the future without requiring sponsorship.
Creating better together. Its the Enovis purpose and its what drives us and empowers us every day on a global scale. We know that the power to create better for our customers our team members and our shareholders begins with having the best team pursuing common goals operating at the highest levels and delivering extraordinary outcomes.
What does creating better together mean to us at Enovis Discover the why behind our purpose values and behaviors:
Our Enovis Purpose Values and Behaviors on Vimeo
We offer a comprehensive benefits package that includes:
Medical Insurance
Dental Insurance
Vision Insurance
Spending and Savings Accounts
401(k) Plan
Vacation Sick Leave and Holidays
Income Protection Plans
Discounted Insurance Rates
Legal Services
ABOUT ENOVIS
Enovis Corporation (NYSE: ENOV) is an innovationdriven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement global talent and innovation the companys extensive range of products services and integrated technologies fuels active lifestyles in orthopedics and beyond. Visit to learn more.
EQUAL EMPLOYMENT OPPORTUNITY
Enovis provides equal employment opportunities based on merit experience and other workrelated criteria without regard to race color ethnicity religion national origin sex age pregnancy disability veteran status or any other status protected by applicable law. We also strive to provide reasonable accommodation to employees beliefs and practices that do not conflict with Enovis policies and applicable law. We value the unique contributions that every employee brings to their role with Enovis.
Join us in creating better together.
ABOUT ENOVIS
Enovis Corporation (NYSE: ENOV) is an innovationdriven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement global talent and innovation the Companys extensive range of products services and integrated technologies fuels active lifestyles in orthopedics and more information about Enovis please visit .
EOE AA M/F/VET/Disability Statement
All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race religion color national origin sex protected veteran status disability or any other basis protected by federal state or local laws.
Required Experience:
Director
Employment Type
Full-Time
