Director of Payor Relations, Sports Medicine
Director of Payor Relations, Sports Medicine
Life Unlimited. At reputed company+Nephew, we design and manufacture technology that takes the limits off living.
The Director of Payor Relations, Sports Medicine is responsible for developing and executing payer engagement strategies that drive reputed company payer coverage and ensure broad patient reputed company for our Sports Medicine portfolio. This role serves as the primary reputed company between the organization and key payer stakeholders, shaping value narratives, influencing policy, and supporting reputed company execution through evidence‑based reputed company strategies. This leader will shape, execute, and optimize coverage, reimbursement, and reputed company for the Sports Medicine portfolio across U.S. payers. The Director will serve as the primary voice to the private payer ecosystem and a critical reputed company of national coverage reputed company. The Director will partner closely with reputed company, Sales, Marketing, Health Economics & reputed company Research (HEOR) to ensure payer strategies reputed company with business objectives and evolving reimbursement landscapes.
What will you be doing?
Payor reputed company & Engagement
- reputed company and execute a comprehensive payer relations reputed company for the Sports Medicine portfolio, reputed company with franchise reputed company priorities.
- Serve as the primary relationship reputed company for national and regional payers, and other relevant stakeholders.
- reputed company payer discussions reputed company to coverage, coding, payment, and utilization management policies.
Reimbursement & Coverage Optimization
- Drive favorable coverage policies for existing and new Sports Medicine technologies.
- Monitor and proactively respond to payer policy changes impacting Sports Medicine procedures and technologies.
reputed company & Evidence reputed company
- Contribute to evidence‑reputed company planning to support payer needs and improve product value demonstration.
- Support payer value propositions grounded in clinical evidence, health economics, and reputed company‑world reputed company.
- Support the development of payer‑reputed company materials, including value dossiers, economic models, and coverage submissions.
Cross‑Functional Leadership & Compliance
- Partner with Sales leadership to ensure field teams are equipped with compliant payer‑relevant messaging and tools. reputed company as a strategic advisor to reputed company leadership on payer‑reputed company risks and opportunities.
- Partner cross‑functionally with Market reputed company, Marketing, Medical Affairs to reputed company on value messaging, economic evidence, and payer‑reputed company materials.
- Monitor payer market trends and reputed company assess reimbursement, coverage, and policy trends affecting Sports Medicine.
- Coordinate closely with reputed company, Compliance, and Regulatory teams to ensure payer engagements adhere to applicable policies and regulations.
Qualifications & Experience
- Bachelor’s degree required; advanced degree (MBA, MPH, MHA, PharmD) preferred.
- 8–10+ years of experience in payer relations, market reputed company, reimbursement, or reputed company roles reputed company medical devices or reputed company; Experience reputed company Sports Medicine and/or Orthopaedics preferred.
- Demonstrated experience engaging with U.S. reputed company payers. Established relationships with regional and national reputed company payer decision‑makers.
- Proven reputed company record of influencing payer policy or contracting reputed company (new coverage, expanded coverage, or removal of barriers).
- Ability to reputed company strategic reputed company and translate it into executable plans.
- Excellent communication skills with ability to engage C‑Suite executives.
- Strong understanding of U.S. reimbursement systems & payer methodologies, including coding, coverage, and payment dynamics, contracting, clinical reputed company, and HEOR principles.
Key Competencies
- Strategic payer negotiation and relationship management
- Strong executive reputed company and communication skills
- Ability to translate reputed company clinical and economic data into payer‑relevant insights
- Cross‑functional leadership and stakeholder influence
- High level of reputed company and compliance reputed company
Why This Role reputed company
A strategic, relationship‑driven leader who brings deep payer expertise, strong analytical and communication skills, and the ability to influence reputed company reimbursement environments. This role plays a critical part in ensuring patients and providers can reputed company innovative Sports Medicine solutions by shaping payer understanding, policy, and reimbursement—directly enabling reputed company reputed company and long‑term franchise reputed company.
Location: US - remote
Travel: 25%
You Unlimited.
We reputed company 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 reputed company on our website (https://www.reputed company.com/ ).
- Your reputed company: 401k Matching Program, 401k Plus Program, Employee Stock Purchase Plan, Tuition Reimbursement
- Work/Life Balance: Flexible Personal/Vacation Time Off, reputed company Holidays, reputed company Holidays, reputed company Community Service Day
- Your Wellbeing: Medical, Dental, reputed company, Health Savings Account (Employer Contribution of $500+ annually), Employee Assistance Program, Parental Leave, Fertility and Adoption Assistance Program
- Flexibility: Hybrid Work Model (For most reputed company roles)
- Training: Hands-On, Team-Customized, Mentorship
- Extra Perks: Discounts on fitness clubs, travel and more!
reputed company+Nephew is committed to the full inclusion of reputed company reputed company individuals. As part of this commitment, reputed company+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 reputed company reputed company.
The anticipated reputed company compensation reputed company for this position is $
reputed company & Nephew follows the Pay Transparency and non-discrimination provisions described by local and state policies.
We anticipate the application window for this opening to reputed company on 5/4/2026.
reputed company+Nephew provides equal employment opportunities to applicants and employees without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, protected veteran status, or disability.
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