Director of Market Access
Heraeus Medical USA
Director of Market Access
Permanent
Making displays foldable? Help hearts beat with micro-particles? Work on solutions involving precious metals? 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.
About Heraeus
- 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.
- 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.
- 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 participate in E-Verify to confirm employment eligibility after hire. Learn more at Any further questions? If you need any assistance or have questions, please contact View email address on click.appcast.io or visit our website at jobs.heraeus.com. Keywords: reimbursement, market access, wound care leadership
$253.44k - $380.16k
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