Director of Market Access
Nice to have's
Job description
About the Position
Director of Market Access
Remote
Job ID
60129
About Heraeus
At Heraeus, we empower our customers to stay ahead of the curve. As a family-owned global technology leader, we take pride in being the invisible force driving innovation. Whether in production, research, sales, or administration, we deliver world-class quality across key industries: Precious Metals, Healthcare, Semiconductor & Electronics, and Industrials. With a strong global presence, including a significant footprint in the United States, Heraeus employs approximately 15,100 people across 40 countries, all dedicated to shaping the future of technology and industry.
Responsibilities
- 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 reimbursement pathways: coding, coverage policies, payment methodologies, site-of-care economics, and provider financial impact.
- Identify adoption barriers (coverage restrictions, prior auth, documentation gaps, denials) and drive mitigation strategies.
- Lead payer engagement: develop value propositions, coverage dossiers, evidence packages, and reimbursement presentations.
- Drive coverage expansion and consistency by partnering with payers, medical directors, and policy stakeholders.
- Define HOPD vs. office commercialization requirements and create provider tools for coding, prior auth, claims, and denial management.
- Build scalable reimbursement operations (benefits investigation, prior auth, coding/claim support, appeals) and manage vendor partnerships.
- Translate clinical/HEOR evidence into payer value messages, economic models, and provider-facing materials to support adoption.
- Lead the market-access function: set goals, metrics, cross-functional alignment, and executive recommendations on reimbursement risk and resource allocation.
Requirements
Required
- 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.
Preferred
- Hands-on experience with wound care, skin substitutes, biologics, or surgical products.
- Familiarity with commercial payer policy development, payer medical-director engagement, and contracting.
- Knowledge of Medicare Part B, Medicaid, managed care, and coding systems (CPT/HCPCS/ICD-10/modifiers).
- Certifications (CPC, CPHR, etc.) and experience with reimbursement analytics, CRM/case-management platforms, or BI dashboards.
We Offer
- Opportunity to work with a globally leading family-owned technology company.
- Be part of a team dedicated to shaping the future of technology and industry.
- Remote work options.
About the Company
Solutions from the Heraeus Group provide faster internet, rid water of germs, and keep hearts beating in time. As a broadly diversified and globally leading family-owned technology company, we combine materials expertise and technological leadership to create the most diverse products, all with one thing in common: World-class quality. Working with customers around the world, we shape the future and provide vital innovations in the areas of Metals & Recycling, Healthcare, Semiconductor & Electronics and Industrials. Heraeus is one of the top 10 family-owned companies in Germany and has a team of around 17,200 employees in 40 countries.
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