Market Access Manager

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

The Smith+Nephew Market Access Manager involves managing day-to-day negotiations with HMOs/PPOs on existing contracts and new technology inclusion, handling denials, overseeing Third Party billing partners, account receivables, and resolving disputes related to S&N claims.

What will you be doing?

• Will be the Billing Subject Matter Expert for S&N local management and Business Unit Leaders, helping them understand the feasibility of therapies for markets in Puerto Rico & the Caribbean.
• Supports the introduction of new technologies at hospitals and MCOs across all our businesses: Orthopaedics, Sports Medicine, ENT, and Advanced Wound Management.
• Maintain constant communication with mid-level to C-suite executives in payers in the market, developing strong relationships with payers, HCPs, hospital personnel, and other stakeholders to implement S&N's strategy and drive sustainable growth that outpaces the competition.

Payer Management:

• Lead the development and execution of comprehensive strategies for engaging with payers and expanding market share within the sector.
• Cultivate and maintain strong relationships with key stakeholders at HMOs/PPOs, including executives, decision-makers, and network administrators.
• Negotiate complex contracts, pricing agreements, and reimbursement terms to ensure favorable conditions for the company and maximize sales opportunities.
• Stay abreast of industry trends, regulatory changes, and competitive dynamics to inform strategic decision-making and capitalize on emerging opportunities.

Customer Relationship Management:

• Serve as the primary liaison between the company and payers, ensuring exceptional service delivery, addressing inquiries, and resolving issues promptly and effectively.
• Conduct regular business reviews with payers to assess satisfaction levels, gather feedback, and identify opportunities for partnership expansion and value creation.
• Collaborate with internal stakeholders to develop and execute customer-centric strategies, tailored solutions, and value-added services to meet the unique needs of our partners.

Market Intelligence:

• Constantly seek market information to understand market size per business and develop strategies to win in the marketplace.
• Monitor competition by gathering current marketplace information on pricing, products, new product launches, delivery schedules, and merchandising techniques.
• Maintain knowledge of the product category, including its competitive position and competing products, including substitutes.
• Gather regional sales information and make recommendations for strategic plans and reviews.

What you will need

• Complete graduation in the health area (preferably)

• Previous experience in the medical device segment/role

• English fluency is required

You. Unlimited

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

Inclusion, Diversity and Equity- Committed to Welcoming, Celebrating and Thriving on Diversity, Learn more about Employee Inclusion Groups on our website.

Other reasons why you will love it here!

• Your future: stock purchase program, referral bonus, subsidy in transport and food, recognition program.

• Work/Life Balance: Extra days off, birthday off, voluntary hours.

• Your Wellbeing: medical insurance, gym, health campaigns, employee assistance program, parental leave,

• Flexibility: Hybrid work model (for more professional roles), flexible schedules.

• Training: Training program, unlimited learning.

• Extra perks: employees association, and more…

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