Description

• Lead DermaSensor’s market access strategies, including reimbursement pathways, value propositions for payers, ensuring access across commercial, Medicare, Medicaid, and emerging healthcare models.
• Develop lifecycle strategies, identifying opportunities for alternative payment models and innovative access solutions.
• Anticipate changes in the U.S. healthcare landscape, including regulations and payer dynamics, to position DermaSensor for success in a dynamic market.
• Serve as a key advisor to senior executives and cross-functional teams, guiding strategic access initiatives and their integration into broader business goals.
• Act as the primary liaison with payer organizations, consultants, regulatory bodies, and healthcare systems, influencing decision-making to support early detection initiatives.
• Own the development of access-related business cases, working with internal stakeholders to balance strategic access goals and financial performance.
• Lead efforts to secure appropriate coding, coverage, and payment mechanisms, including collaboration with government entities and commercial payers.
• Monitor and address critical access challenges such as value-based care initiatives, concierge and direct primary care initiatives, patient affordability, and payer coverage barriers.
• Design and implement research-driven market access plans, segmenting stakeholders and tailoring strategies to optimize reimbursement and market penetration.
• Serve as the subject matter expert on U.S. access and reimbursement trends, influencing strategic decisions across the company.
• Identify and champion innovative approaches to enhance payer engagement and expand access to DermaSensor technology.
• Partner closely with internal teams, including sales, marketing, finance, regulatory, and R&D, to align market access goals with company objectives.
• Build strong relationships with external stakeholders such as payers, health systems, and policy influencers to advance DermaSensor’s mission.
• Provide insights into market access opportunities during product development, ensuring early planning for payer engagement and reimbursement success.
• Engage and oversee third party firm(s) to provide billing and reimbursement support to customers

Requirements

• Bachelor’s degree required; advanced degree in healthcare, public policy, or related field preferred.
• Minimum 10 years of experience in healthcare market access, payer strategy, or a related field, preferably within medical devices or pharmaceuticals.
• Proven expertise in U.S. reimbursement and healthcare economics, including commercial, Medicare, Medicaid, and emerging payment models.
• Demonstrated ability to lead cross-functional teams and influence senior executives.
• Strong strategic thinking, communication, and analytical skills, with a results-driven mindset.
• Experience with coding, coverage, and payment processes, including familiarity with CMS and private payer policies.