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Sr. Director, Reimbursement and Payer Relations

Sr. Director, Reimbursement and Payer Relations

AxogenTampa, FL, US
30+ days ago
Job type
  • Full-time
Job description

Sr. Director, Reimbursement and Payer Relations

Axogen is committed to building and maintaining a strong and gratifying company culture that fosters professional growth. Our hands-on and personal approach makes transitioning to a new job a seamless and enjoyable process. Most benefits are effective on day one!

Axogen is an equal opportunity employer and does not discriminate against applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or veteran status.

Why You'll Love Working at Axogen

  • Friendly, open, and fun team culture that values unique perspectives
  • Company-wide dedication to profoundly impacting patients' lives
  • Comprehensive, high-quality benefits package effective on date of hire
  • Educational assistance available for all employees
  • Matching 401(k) retirement plan
  • Paid holidays, including floating holidays, to be used at your discretion
  • Employee Stock Purchase Plan
  • Referral incentive program

Axogen Mission and Business Purpose

Our business purpose is to restore health and improve quality of life by making restoration of peripheral nerve function an expected standard of care. We aim to lead the markets we serve by always requiring the solutions we offer patients and caregivers provide an improved benefit-to-risk profile as compared to existing standards of care. To ensure we deliver improved benefit-to-risk solutions, we will guide and expect the market and design requirement specifications underlying our engineering, business development, and clinical research activities, objectively target advancements in standards of care.

Job Summary of the Sr. Reimbursement and Payer Relations

The Sr. Director, Reimbursement & Payer Relations is a strategic leader and critical interface between the company and external stakeholders, reporting directly to the VP, Global Health Economics, Reimbursement & Policy. This pivotal role is dedicated to accelerating market adoption and ensuring patient access to innovative medical technologies by actively engaging surgeons, hospital executives, and payer decision-makers. Acting as a trusted advisor and advocate, the Senior Director expertly navigates complex reimbursement environments, resolves coverage challenges, and influences favorable payer policies. A dynamic communicator and problem solver, this leader collaborates cross-functionally with internal teams to translate field insights into strategic actions, driving sustainable growth and enhancing customer satisfaction. Significant travel and a proactive field presence are essential to success in this role.

Requirements of the Sr. Reimbursement and Payer Relations

  • Education : Bachelors required; advanced degree (MBA, MPH, or similar) preferred.
  • Experience : Minimum 15 years in reimbursement, payer relations, or market access; Medical device, biotech, or pharma experience required.
  • Field & Customer-Facing : Proven track record supporting surgeons and healthcare facilities; extensive payer interaction experiences essential.
  • Reimbursement Knowledge : Deep understanding of U.S. reimbursement systems (Medicare, Medicaid, commercial insurance) and coding methodologies (CPT, HCPCS, ICD-10).
  • Strategic & Analytical : Ability to translate payer policy changes into actionable strategies, integrating health economics insights effectively.
  • Communication : Exceptional interpersonal and presentation skills, comfortable with diverse audiences (clinical, administrative, payer).
  • Initiative & Independence : Prone to action and capable of independently addressing complex reimbursement issues in a fast-paced environment.
  • Travel : Willingness and ability to travel approximately 50%.
  • Responsibilities of the Sr. Reimbursement and Payer Relations

    The specific duties of the Sr. Reimbursement and Payer Relations include but are not limited to :

  • Field Support : Provide direct support to Axogen's field reimbursement managers and help build Axogen's Patient Access Hub with a focus on appeals support.
  • Payer Relationships : Engage evidence review intermediaries (e.g., ECRI, Hayes, Carelon, EviCore) and payers to communicate Axogen's case for coverage and payment.
  • Training & Education : Develop and deliver reimbursement-related training to internal teams (e.g., sales, marketing) and external customers.
  • Market Insight : Monitor regional and national reimbursement trends, communicate insights internally, and support strategic adaptation.
  • Leadership : Leads teams responsible for field-based reimbursement including external consultants as applicable, and provides guidance, drives cross functional initiatives, operational efficiencies, and fosters a high-performance culture focused on innovation, collaboration, and results.
  • Metrics & Reporting : Establish and track key performance indicators, regularly reporting progress to leadership.
  • Location

    Tampa HQ

    Benefits / Compensation

    This position is eligible for an annual bonus. Benefits offered for this position include Health, Dental, Vision, Matching 401K, Paid Time Off, 9 Paid Holidays + 3 Floating Holidays, Dependent Care Flexible Spending Accounts, Medical Flexible Spending Accounts, Tuition Reimbursement, Paid Parental Leave, Paid Caregiver Leave, Basic Life Insurance, Supplemental Life Insurance, Employee Stock Purchase Plan, and Disability Insurance, as described in more detail in summary plan descriptions.

    Salary Range

    $197,129 - $246,410 USD

    Axogen follows healthcare system guidelines with respect to credentialing, vaccinations and other employment / compliance related requirements, as well as CDC guidance. Axogen reserves the right to amend its policies from time to time in its sole discretion.

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