PolyNovo Limited · 20 hours ago
Director, Reimbursement & Market Access
California, United States
Full-time
Onsite
Director/Executive
$182K/yr - $216K/yr
8+ years expPolyNovo Limited is committed to improving patient outcomes through innovative surgical solutions. The Director of Reimbursement & Market Access will lead the strategic development and execution of reimbursement and health economics strategies to ensure patient access to NovoSorb technology.
Medical Device
Responsibilities
Develop and execute comprehensive market access launch plans for new products and line extensions
Monitor and influence coding, coverage, and payment policies (DRGs, CPT codes, HCPCS) relevant to dermal substitutes and synthetic skin grafts
Lead the development of the "Value Dossier" to articulate PolyNovo’s economic and clinical advantages over traditional biological scaffolds
Engage directly with key medical directors at national and regional payers to secure positive medical policy coverage
Support the field sales team by providing tools and messaging to navigate Hospital Value Analysis Committees (VACs)
Address reimbursement barriers by providing education to billing and coding departments
Collaborate with the Clinical Affairs team to identify gaps in data and develop "Real World Evidence" (RWE) that demonstrates long-term cost savings (e.g., reduced length of stay, fewer surgeries)
Manage the creation of budget impact models and cost-effectiveness analyses
Represent PolyNovo in industry trade associations (e.g., AdvaMed)
Stay abreast of legislative changes such as the Inflation Reduction Act or updates to the Physician Fee Schedule that impact medical device reimbursement
Qualification
Required
Bachelor's degree in Life Sciences, Economics, or Business
8+ years in Medical Device Market Access or Reimbursement
Deep understanding of US coding (CPT, ICD-10, HCPCS) and the OPPS/IPPS payment systems
Ability to travel up to 30-40% for payer meetings and site visits
The 'PolyNovo Fit': As a growth-stage company, we value a 'player-coach' mentality—someone who can set the high-level strategy but isn't afraid to dive into a specific claim denial or spreadsheet
Relationship Driven: Existing relationships with CMS or major private payers (UnitedHealth, Aetna, etc.) are highly valued
Complex Problem Solver: Ability to communicate the value of synthetic materials in a market historically dominated by biologic
Preferred
MPH, MBA, or PharmD preferred
Experience in Wound Care, Trauma, or Aesthetics is a significant plus
Benefits
Total compensation package consisting of base salary, bonus, and incentive plans
401k plan with company match
Comprehensive medical, dental, and vision insurance for employees and their families
Generous paid time off, 12 company holidays, and two paid Nurture days per year
Parental leave for primary and secondary caregivers
Company
PolyNovo Limited
PolyNovo is a disruptive medical technology company.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
M
Mike Mihalic
Sales Director
Recent News
TradingView
2026-01-19
2025-10-28
Reuters
2025-10-03
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