Smith & Nephew

Director, Health Economics & Market Access (HEMA) - Policy, Advocacy & Strategy

Smith & Nephew$140K — $235K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor’s degree required; advanced degree (MPH, MBA, MHA, MS) preferred
  • 10+ years of experience in medical device reimbursement, market access, or health policy
  • Demonstrated experience influencing Medicare policy and reimbursement frameworks
  • Strong executive presence with the ability to distill complex policy into business implications
  • Proven ability to lead strategically in a matrixed organization

Responsibilities

  • Lead end-to-end reimbursement strategy for pipeline and pre-launch products
  • Identify and communicate reimbursement risks and opportunities
  • Create multi-year reimbursement roadmaps aligned with product milestones
  • Shape and execute integrated reimbursement policy and advocacy strategy
  • Monitor and influence healthcare policy developments impacting device reimbursement
  • Represent the organization in trade associations to advance reimbursement priorities
  • Define payer-relevant clinical and economic evidence requirements

Benefits

  • 401k Matching Program and Employee Stock Purchase Plan
  • Flexible Personal/Vacation Time Off and Paid Holidays
  • Medical, Dental, Vision, and Health Savings Account with employer contributions
  • Hybrid Work Model for flexibility in work location
  • Mentorship and hands-on team-customized training
  • Discounts on fitness clubs, travel, and more
Full Job Description

Director, Health Economics & Market Access (HEMA) – Policy, Advocacy & Strategy

The Director, Health Economics & Market Access (HEMA) – Policy, Advocacy & Strategy is responsible for shaping and advancing reimbursement policy, advocacy, and access strategy to support sustainable patient access and commercial success across the company’s Advanced Wound Management portfolio.

This role leads proactive reimbursement strategy across coding, coverage, and payment, while driving policy and advocacy initiatives that influence payer, regulatory, and legislative outcomes. Operating early in the product lifecycle, the Director partners cross-functionally to embed reimbursement and policy considerations into portfolio strategy, evidence generation, and launch readiness, reducing access risk and enabling successful commercialization.


What will you be doing?

Reimbursement Strategy (Upstream Focus)

  • Lead end-to-end reimbursement strategy development for pipeline and pre-launch products, including assessment of coding, coverage, and payment pathways
  • Identify reimbursement risks and opportunities at the portfolio level and inform go/no-go, sequencing, and investment decisions
  • Develop multi-year reimbursement roadmaps aligned with product lifecycle milestones and enterprise growth objectives
  • Serve as the internal expert on future reimbursement pathways and access readiness

Policy & Advocacy Leadership

  • Shape and execute an integrated reimbursement policy and advocacy strategy in partnership with Government Affairs and senior leadership
  • Monitor, analyze, and influence CMS rulemaking, Medicare payment policy, and broader healthcare policy developments impacting device reimbursement
  • Represent the organization in trade associations, coalitions, and policy forums to advance industry positions and reimbursement priorities
  • Engage with external stakeholders, including professional societies and key opinion leaders, to support favorable coverage and payment environments
  • Partner with Government Affairs to engage policymakers and regulatory agencies
  • Identify and proactively mitigate policy risks that could impact access, adoption, or value recognition

Evidence & Value Alignment

  • Partner with Clinical, Medical Affairs, and HEOR teams to define payer-relevant clinical and economic evidence requirements
  • Ensure reimbursement and policy needs are embedded into evidence generation strategies, endpoints, and real-world data plans
  • Provide strategic guidance on value narratives and positioning aligned to payer and policy decision drivers

Cross-Functional & Executive Leadership

  • Advise executive leadership on reimbursement and policy trends, risks, and strategic implications
  • Establish governance frameworks and tools to embed reimbursement and advocacy considerations into enterprise planning
  • Lead cross-functional initiatives through influence in a highly matrixed organization

Measures of Success:

  • Reduced reimbursement and policy risk at product launch
  • Favorable or defensible reimbursement and policy positioning
  • Early alignment between evidence generation and payer expectations
  • Demonstrated impact and influence within policy and industry forums

Travel: Up to 30%

What do you need to be successful?
  • Bachelor’s degree required; advanced degree (MPH, MBA, MHA, MS) preferred
  • 10+ years of experience in medical device reimbursement, market access, or health policy
  • Demonstrated experience influencing Medicare policy, reimbursement frameworks, and/or industry advocacy efforts
  • Strong executive presence with the ability to translate complex policy issues into clear business impact
  • Proven ability to lead strategically within a highly matrixed environment

Location:  

  • Your Future: 401k Matching Program, 401k Plus Program, Employee Stock Purchase Plan, Tuition Reimbursement
  • Work/Life Balance: Flexible Personal/Vacation Time Off, Paid Holidays, Flex Holidays, Paid Community Service Day
  • Your Wellbeing: Medical, Dental, Vision, Health Savings Account (Employer Contribution of $500+ annually), Employee Assistance Program, Parental Leave, Fertility and Adoption Assistance Program
  • Flexibility: Hybrid Work Model (For most professional roles)
  • Training: Hands-On, Team-Customized, Mentorship
  • Extra Perks: Discounts on fitness clubs, travel and more!

The anticipated base compensation range for this position is $140,000 - 235,000 USD annually. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, geographical location, and internal equity. It is not typical for an individual to be hired at the high end of the range for their role at Smith + Nephew. Compensation decisions are dependent upon the facts and circumstances of each position and candidate. In addition to base pay, we provide competitive bonus and benefits, which include medical, dental, and vision coverage, 401k, tuition reimbursement, medical leave programs, parental leave, and generous PTO, paid company holidays annually and 8 hours of Volunteer time and a variety of wellness offerings such as EAP.

About Smith & Nephew

Smith & Nephew is a global medical technology company headquartered in London, England. The company designs, manufactures, and sells medical devices and products for orthopedic reconstruction, sports medicine, and trauma. Smith & Nephew operates in more than 100 countries and employs over 17,500 people worldwide. The company was founded in 1856 by Thomas James Smith and his nephew, Horatio Nelson Smith, and has grown through a series of mergers and acquisitions. Smith & Nephew's products include joint replacement systems, wound care products, and surgical instruments. The company is listed on the London Stock Exchange and is a constituent of the FTSE 100 Index.
Learn more about Smith & Nephew
Size
17,500 employees
Market Cap
$11.5 billion
Industry
Net Income
$448 million
5 Year Trend
+2.2%
Revenue
$4.5 billion

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