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Posted 21 hours agoNational Account Manager, Payor Relations
Hybrid
Responsibilities
- Execute payer engagement strategies that support coverage expansion, reimbursement optimization, and patient access.
- Conduct regular business reviews and identify opportunities to strengthen coverage policies and reduce reimbursement challenges.
- Collaborate with reimbursement, market access, marketing, medical affairs, and product management teams to address customer needs and advance business objectives.
- Present clinical evidence, health economic analyses, and real-world outcomes data to payer decision-makers.
- Maintain accurate account plans, engagement records, and opportunity tracking.
Requirements
- What You'll Need Bachelor's degree required. 5+ years of
- experience in payer relations, market access, managed care, reimbursement, national accounts, or a related healthcare field.
- Strong understanding of U.S. reimbursement systems, including coding, coverage, payment methodologies, utilization management, and medical policy development.
- Experience presenting clinical and economic value propositions to payer audiences.
- Advanced degree (MBA, MPH, MHA, or related field).
- Experience within medical devices, orthopaedics, sports medicine, or related healthcare sectors.
Benefits
- National Account Manager, Payor Relations – Sports Medicine Life Unlimited.
- Partnering closely with national and regional health plans, you will build and maintain strategic relationships, identify opportunities to improve coverage and reimbursement, and help reduce barriers to care.
- 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,
- The anticipated base compensation range for this position is $104,000 - 198,000USD 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.
- 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.
Contact
- Inclusion and Belonging- Committed to Welcoming, Celebrating and Thriving on Inclusion and Belonging, Learn more about Employee Inclusion Groups on our website ( https://www.smith-nephew.com/ ).
Additional details
- At Smith+Nephew, we design and manufacture technology that takes the limits off living.
- We're looking for a strategic and relationship-focused National Account Manager, Payor Relations to help drive market access and reimbursement success across our Sports Medicine portfolio.
- As the National Account Manager, Payor Relations – Sports Medicine, you will play a critical role in executing payer engagement strategies that support patient access to innovative technologies.
- Reporting to the Director, Payor Relations – Sports Medicine, you will serve as a key liaison between payer organizations and internal cross-functional teams, providing market insights and supporting evidence-based market access initiatives aligned with business objectives.
- What You'll Be Doing Develop and maintain strategic relationships with national and regional payer organizations.
- Serve as the primary account lead for assigned payer accounts, coordinating communications and issue resolution.
- Provide market intelligence and customer insights to support value proposition development, evidence generation priorities, and strategic planning.
- Communicate account performance, emerging risks, and access opportunities to leadership.
- Demonstrated success engaging with national and regional health plans.
- Established relationships with payer decision-makers across national and regional organizations.