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

Requisition

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

Job Country:
United States (US)

Here at Avanos Medical, we passionately believe in three things:

• Making a difference in our products, services and offers, never ceasing to fight for groundbreaking solutions in everything we do;
• Making a difference in how we work and collaborate, constantly nurturing our nimble culture of innovation;
• Having an impact on the healthcare challenges we all face, and the lives of people and communities around the world.

At Avanos you will find an environment that strives to be independent and different, one that supports and inspires you to excel and to help change what medical devices can deliver, now and in the future.

Employment for customer facing roles is contingent upon your ability to satisfy all vendor credentialing requirements. If you are unable to be credentialed, Avanos reserves the right to withdraw your employment offer or end your employment. If you require a medical or religious accommodation from these requirements or if you would like to understand more about these requirements, please advise HR so that we can provide additional information and if needed, we can explore any needed accommodation(s).

Avanos is a medical device company focused on delivering clinically superior breakthrough solutions that will help patients get back to the things that matter. We are committed to creating the next generation of innovative healthcare solutions which will address our most important healthcare needs, such as reducing the use of opioids while helping patients move from surgery to recovery. Headquartered in Alpharetta, Georgia, we develop, manufacture and market recognized brands in more than 90 countries.

For more information, visit .

Essential Duties and Responsibilities:

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

Key responsibilities include coding and payment analysis across various settings (Physician, Hospital Outpatient, and ASC); insurance coverage, prior authorization, and appeals support; and cost-effectiveness evaluations. The role collaborates on reimbursement methodologies across both government payers (e.g., Medicare, Medicaid) and commercial insurers, including analysis of procedures, services, and durable medical equipment (DME).

20-40% travel. Prefer relocation to Alpharetta GA although not required.

Purpose of the Position:

• 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 radio frequency technology , etc.
• Manages the national Market Access, Reimbursement, and Health Policy teams with multiple direct reports
• Leads 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.

Key Responsibilities:

• Manages and leads the national Market Access Reimbursement and Health Policy team with multiple direct reports.
• Recruits, develops, and leads the performance of employee(s) to develop programs aligned with market access, reimbursement, and health policy.
• Leads the market access /reimbursement and health policy teams in developing and regularly updating reimbursement and health policy tools for use with sales, physicians, facilities, and payers.
• Establishes goals aligned with Avanos' organizational plans and strategic imperatives, driving execution through mentoring and leadership. Develop Avanos' national payer strategy to market the value proposition of products directly to payers to secure favorable product reimbursement.
• Provides strategic expertise to Sales and Marketing to develop and execute plans that drive revenue growth and reach appropriate patient populations. Collaborate with clinical functions on evidence generation strategy and needs to support market access and company goals.
• Monitors and analyzes changes in the external reimbursement environment, assesses associated risks and opportunities, and communicates portfolio impacts with recommended action plans. Develop and manage…