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Enovis · 1 day ago

Director, Payer Development

United States

Full-time

Remote

Director/Executive

15+ years exp

Enovis Corporation is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate better patient outcomes. The Director of Payer Development is responsible for establishing and improving payer access for Enovis products while managing relationships with large payer accounts to achieve sales growth and profitability.

Health CareManufacturingMedicalMedical DeviceProduct Design

No H1B

Hiring Manager

Robert C.

Responsibilities

Responsible for managing business development, account development, customer satisfaction, client relationships, and overall account strategies

Accountable for achieving budgeted sales of assigned accounts

Partners with Account Executives and functional team leaders to expand business within an assigned territory

Capitalizes on industry knowledge, product knowledge and coverage, and contacts to uncover business opportunities

Articulates sales and solutions in terms of ROI to the customer

Develops a vision and account strategy for long-term profitable growth, consistent with the long-range plans of the business

Assesses competitive price position ensuring Enovis products are competitively priced to maximize sales and profitability within account and account competitors and consistent with brand positioning

Identifies, evaluates, plans, and champions ongoing cost reduction initiatives

Profiles key Payors to assess applicable coverage policies, utilization controls, coverage review practices and timelines, geographic coverage areas, level of regional or national influence, and other attributes relevant to optimal patient access for Enovis products

Identifies opportunities to expand Enovis’ penetration into existing accounts for additional services and ways for Enovis to add value to the customer

Leads the development and negotiation of Payor contracts across assigned account, as applicable

Liaises with Marketing to provide strategic insight on pricing and contracting initiative

Participates and leads cross-functional teams to accomplish sales and profit objectives

Effectively supports all other applicable functional teams on specific Payor customers’ coverage policies and coverage status

Identifies competitive threats and develops response strategies to ensure optimal Payor access for products

Creates customer proposals that include project scope, approach, and pricing

Collaborates with Service Leaders and other P&L Leaders to ensure proposal content is effective and complete

Monitors ongoing projects within the customers organization

Participates in major quality review of Enovis projects

Manages Executive Level (C-Suite) relationships and negotiates high risk solutions

Develops ongoing relationships with targeted accounts/territory with customer executives to ensure Enovis is considered as a strategic business advisor to the customer's organization

Establishes himself/herself as a trusted business advisor to the customer's organization

Works with new and existing accounts to establish and maintain customer relationships and secure volume

Ensures client satisfaction and addresses concerns and/or issues promptly

Coordinates and communicates with leaders and Senior Management on a regular basis

Compliantly engages Medical Affairs resources to support optimal product access across assigned region/accounts

Maintains knowledge of third-party payor regulations including Medicare, Medicare Advantage, Medicaid, Workers Compensation, and non-governmental payers to ensure Enovis conducts its Revenue Cycle Management activities in compliance with applicable rules, policies, and guidance

Demonstrates commitment to the Compliance & Ethics Program, the Enovis Code of Conduct, the Enovis Sales and Marketing Code of Conduct, the AdvaMed Code of Ethics, and all supporting and applicable regulations, policies, and procedures

Adheres to all internal Corporate Compliance guidelines, OIG, government healthcare regulations, regulatory policies and procedures, and privacy and security standards in accordance with government agencies, including HIPAA requirements

Treats Protected Health Information (PHI) with the strictest confidentiality in accordance with HIPAA standards

Acquires a basic understanding of the field to include regulatory compliance issues and adheres to these guidelines

Other duties as assigned

Qualification

Healthcare experienceNegotiating contractsSales achievementC-Suite presentationsPayor relationshipsBusiness developmentStrategic thinkingAnalytical skillsRisk takingQuality managementFinancial managementIndustry knowledgeTechnical skillsInitiative