Director, Health Economics & Market Access (HEMA) - Policy, Advocacy & Strategy

Director, Health Economics & Market Access (HEMA) - Policy, Advocacy & Strategy

Life Unlimited. At Smith+Nephew, we design and manufacture technology that takes the limits off living.


The Director, Health Economics & Market Access (HEMA) - Policy, Advocacy & Strategy is responsible for shaping and advancing reimbursement policy, advocacy, and access strategy to support sustainable patient access and commercial success across the company's medical device portfolio.

This role leads proactive reimbursement strategy across coding, coverage, and payment, while driving policy and advocacy initiatives that influence payer, regulatory, and legislative outcomes. Operating early in the product lifecycle, the Director partners cross-functionally to embed reimbursement and policy considerations into portfolio strategy, evidence generation, and launch readiness, reducing access risk and enabling successful commercialization.

What will you be doing?

Reimbursement Strategy (Upstream Focus)

• Lead end-to-end reimbursement strategy development for pipeline and pre-launch products, including assessment of coding, coverage, and payment pathways
• Identify reimbursement risks and opportunities at the portfolio level and inform go/no-go, sequencing, and investment decisions
• Develop multi-year reimbursement roadmaps aligned with product lifecycle milestones and enterprise growth objectives
• Serve as the internal expert on future reimbursement pathways and access readiness

Policy & Advocacy Leadership

• Shape and execute an integrated reimbursement policy and advocacy strategy in partnership with Government Affairs and senior leadership
• Monitor, analyze, and influence CMS rulemaking, Medicare payment policy, and broader healthcare policy developments impacting device reimbursement
• Represent the organization in trade associations, coalitions, and policy forums to advance industry positions and reimbursement priorities
• Engage with external stakeholders, including professional societies and key opinion leaders, to support favorable coverage and payment environments
• Partner with Government Affairs to engage policymakers and regulatory agencies
• Identify and proactively mitigate policy risks that could impact access, adoption, or value recognition

Evidence & Value Alignment

• Partner with Clinical, Medical Affairs, and HEOR teams to define payer-relevant clinical and economic evidence requirements
• Ensure reimbursement and policy needs are embedded into evidence generation strategies, endpoints, and real-world data plans
• Provide strategic guidance on value narratives and positioning aligned to payer and policy decision drivers

Cross-Functional & Executive Leadership

• Advise executive leadership on reimbursement and policy trends, risks, and strategic implications
• Establish governance frameworks and tools to embed reimbursement and advocacy considerations into enterprise planning
• Lead cross-functional initiatives through influence in a highly matrixed organization

Measures of Success:

• Reduced reimbursement and policy risk at product launch
• Favorable or defensible reimbursement and policy positioning
• Early alignment between evidence generation and payer expectations
• Demonstrated impact and influence within policy and industry forums

Travel: Up to 30%

What do you need to be successful?

• Bachelor's degree required; advanced degree (MPH, MBA, MHA, MS) preferred
• 10+ years of experience in medical device reimbursement, market access, or health policy
• Demonstrated experience influencing Medicare policy, reimbursement frameworks, and/or industry advocacy efforts
• Strong executive presence with the ability to translate complex policy issues into clear business impact
• Proven ability to lead strategically within a highly matrixed environment

Location:

You Unlimited.

We believe in creating the greatest good for society. Our strongest investments are in our people and the patients we serve.

• Inclusion and Belonging- Committed to Welcoming, Celebrating and Thriving on Inclusion and Belonging, Learn more about Employee Inclusion Groups on our website ( ).
• Your Future: 401k Matching Program, 401k Plus Program, Employee Stock Purchase Plan, Tuition Reimbursement
• Work/Life Balance: Flexible Personal/Vacation Time Off, Paid Holidays, Flex Holidays, Paid Community Service Day
• Your Wellbeing: Medical, Dental, Vision, Health Savings Account (Employer Contribution of $500+ annually), Employee Assistance Program, Parental Leave, Fertility and Adoption Assistance Program
• Flexibility: Hybrid Work Model (For most professional roles)
• Training: Hands-On, Team-Customized, Mentorship
• Extra Perks: Discounts on fitness clubs, travel and more!

Smith+Nephew is committed to the full inclusion of all qualified individuals. As part of this commitment, Smith+Nephew will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed, please alert the recruiter if you are selected to move forward.


The anticipated base compensation range for this position is $140,000 - 235,000 USD annually. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, geographical location, and internal equity. It is not typical for an individual to be hired at the high end of the range for their role at Smith + Nephew. Compensation decisions are dependent upon the facts and circumstances of each position and candidate. In addition to base pay, we provide competitive bonus and benefits, which include medical, dental, and vision coverage, 401k, tuition reimbursement, medical leave programs, parental leave, and generous PTO, paid company holidays annually and 8 hours of Volunteer time and a variety of wellness offerings such as EAP.

Smith+Nephew provides equal employment opportunities to applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability.

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