National Account Manager, Payor Relations

Smith+Nephew

National Account Manager managing payer relations and market access strategies for Sports Medicine. Collaborating with health plans to enhance patient access and coverage.

Posted 7/7/2026full-timeRemote • Massachusetts, Pennsylvania, Tennessee, Texas • 🇺🇸 United StatesMid-LevelSenior💰 $104,000 - $198,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in payer relations and market access, with a strong understanding of U.S. reimbursement systems and the ability to present clinical and economic value propositions effectively. Proven track record in developing strategic relationships with payer organizations and collaborating across teams to enhance patient access and reimbursement optimization.

Highest-signal resume keywords

Payer RelationsMarket AccessReimbursement OptimizationClinical Value Proposition PresentationU.S. Reimbursement Systems

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ReimbursementCodingCoveragePayment MethodologiesUtilization ManagementMedical Policy DevelopmentAccount ManagementBusiness Review ConductingMarket IntelligenceOpportunity Tracking

Soft Skills

CommunicationCollaborationProblem-SolvingRelationship ManagementStrategic Planning

Certifications & Qualifications

Bachelor's DegreeAdvanced Degree (MBA, MPH, MHA)

Industry Keywords

HealthcareManaged CareNational AccountsMedical DevicesOrthopaedicsSports Medicine

About the role

Key responsibilities & impact

Develop and maintain strategic relationships with national and regional payer organizations.
Execute payer engagement strategies that support coverage expansion, reimbursement optimization, and patient access.
Serve as the primary account lead for assigned payer accounts, coordinating communications and issue resolution.
Conduct regular business reviews and identify opportunities to strengthen coverage policies and reduce reimbursement challenges.
Collaborate with reimbursement, market access, marketing, medical affairs, and product management teams to address customer needs and advance business objectives.
Present clinical evidence, health economic analyses, and real-world outcomes data to payer decision-makers.
Provide market intelligence and customer insights to support value proposition development, evidence generation priorities, and strategic planning.
Maintain accurate account plans, engagement records, and opportunity tracking.
Communicate account performance, emerging risks, and access opportunities to leadership.

Requirements

What you’ll need

Bachelor's degree required.
5+ years of experience in payer relations, market access, managed care, reimbursement, national accounts, or a related healthcare field.
Strong understanding of U.S. reimbursement systems, including coding, coverage, payment methodologies, utilization management, and medical policy development.
Experience presenting clinical and economic value propositions to payer audiences.
Demonstrated success engaging with national and regional health plans.
Advanced degree (MBA, MPH, MHA, or related field).
Experience within medical devices, orthopaedics, sports medicine, or related healthcare sectors.
Established relationships with payer decision-makers across national and regional organizations.

Benefits

Comp & perks

401k Matching Program
401k Plus Program
Employee Stock Purchase Plan
Tuition Reimbursement
Flexible Personal/Vacation Time Off
Paid Holidays
Flex Holidays
Paid Community Service Day
Medical, Dental, Vision
Health Savings Account (Employer Contribution of $500+ annually)
Employee Assistance Program
Parental Leave
Fertility and Adoption Assistance Program
Discounts on fitness clubs, travel and more!