Sr. Director, Reimbursement and Payer Relations
Sr. Director, Reimbursement and Payer Relations
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Job Description
Axogen is committed to building and maintaining a strong and gratifying company culture that fosters professional growth. Our hands-on and personal approach makes transitioning to a new job a seamless and enjoyable process. Most benefits are effective on day one!
Axogen is an equal opportunity employer and does not discriminate against applicants on the basis of race color creed religion ancestry age sex marital status national origin disability or veteran status.
Why youll love working atAxogen:
- Friendly openandfunteam culturethat values uniqueperspectives
- Company-wide dedicationto profoundly impacting patients lives
- Comprehensive high-quality benefitspackage effective on date of hire
- Educationalassistanceavailable for all employees
- Matching 401(k)retirementplan
- Paid holidaysincluding floating holidaysto be used at your discretion
- Employee Stock Purchase Plan
- Referral incentive program
Axogen Mission and Business Purpose
Our business purpose is to restore health and improve quality of life by making restoration of peripheral nerve function an expected standard of care. We aim to lead the markets we serve by always requiring the solutions we offer patients and caregivers provide an improved benefit-to-risk profile as compared to existing standards of care. To ensure we deliver improved benefit-to-risk solutions we will guide and expect the market and design requirement specifications underlying our engineering business development and clinical research activities objectively target advancements in standards of care.
Job Summary of the Sr. Reimbursement and Payer Relations
The Sr. Director Reimbursement & Payer Relations is a strategic leader and critical interface between the company and external stakeholders reporting directly to the VP Global Health Economics Reimbursement & Policy. This pivotal role is dedicated to accelerating market adoption and ensuring patient access to innovative medical technologies by actively engaging surgeons hospital executives and payer decision-makers. Acting as a trusted advisor and advocate the Senior Director expertly navigates complex reimbursement environments resolves coverage challenges and influences favorable payer policies. A dynamic communicator and problem solver this leader collaborates cross-functionally with internal teams to translate field insights into strategic actions driving sustainable growth and enhancing customer satisfaction. Significant travel and a proactive field presence are essential to success in this role.
Requirements of the Sr. Reimbursement and Payer Relations
- Education: Bachelors required; advanced degree (MBA MPH or similar) preferred.
- Experience: Minimum 15 years in reimbursement payer relations or market access; Medical device biotech or pharma experience required.
- Field & Customer-Facing: Proven track record supporting surgeons and healthcare facilities; extensive payer interaction experiences essential.
- Reimbursement Knowledge: Deep understanding of U.S. reimbursement systems (Medicare Medicaid commercial insurance) and coding methodologies (CPT HCPCS ICD-10).
- Strategic & Analytical: Ability to translate payer policy changes into actionable strategies integrating health economics insights effectively.
- Communication: Exceptional interpersonal and presentation skills comfortable with diverse audiences (clinical administrative payer).
- Initiative & Independence: Prone to action and capable of independently addressing complex reimbursement issues in a fast-paced environment.
- Travel: Willingness and ability to travel approximately 50%.
Responsibilities of the Sr. Reimbursement and Payer Relations
The specific duties of the Sr. Reimbursement and Payer Relations include but are not limited to:
- Field Support: Provide direct support to Axogens field reimbursement managers and help build Axogens Patient Access Hub with a focus on appeals support.
- Payer Relationships: Engage evidence review intermediaries (e.g. ECRI Hayes Carelon EviCore) and payers to communicate Axogens case for coverage and payment.
- Training & Education: Develop and deliver reimbursement-related training to internal teams (e.g. sales marketing) and external customers.
- Market Insight: Monitor regional and national reimbursement trends communicate insights internally and support strategic adaptation.
- Leadership: Leads teams responsible for field-based reimbursement including external consultants as applicable and provides guidance drives cross functional initiatives operational efficiencies and fosters a high-performance culture focused on innovation collaboration and results.
- Metrics & Reporting: Establish and track key performance indicators regularly reporting progress to leadership.
Location
111 West Oak Ave. Tampa FL 33602
Benefits/Compensation
This position is eligible for an annual bonus.
Benefits offered for this position include Health Dental Vision Matching 401K Paid Time Off 9 Paid Holidays 3 Floating Holidays Dependent Care Flexible Spending Accounts Medical Flexible Spending Accounts Tuition Reimbursement Paid Parental Leave Paid Caregiver Leave Basic Life Insurance Supplemental Life Insurance Employee Stock Purchase Plan and Disability Insurance as described in more detail in summary plan descriptions.
Axogen follows healthcare system guidelines with respect to credentialing vaccinations and other employment/compliance related requirements as well as CDC guidance. Axogen reserves the right to amend its policies from time to time in its sole discretion.
Required Experience:
Director
Employment Type
Full Time
