Market Access Director

PolarityTE; Salt Lake City (UT); On-site; USD 180,000 - 260,000; Full time

Job summary

PolarityTE, Inc. is preparing to launch SkinTE, an autologous multicellular biologic for chronic wounds.

The Director, Market Access will own payer strategy, coding, coverage, and payment pathways to enable access at launch and beyond, coordinating with MACs, providers, and payers to optimize access and pricing. This hands-on leadership role will drive reimbursement operations, vendor oversight, and field reimbursement capabilities, partnering with Medical Affairs and HEOR to align evidence with

Qualifications

• Experience with BLA biologics and buy-and-bill reimbursement.
• Proven ability to secure coverage and payment via MAC engagement.
• Experience managing payer strategy across commercial and government channels.
• Willingness to travel for payer, provider, and conference engagements.

Responsibilities

• Develop national and regional payer strategies across Medicare, Medicaid, and commercial channels.
• Lead payer contracting and MAC engagement for coverage and pricing.
• Monitor CMS policy, OPPS/MPFS updates and translate into launch implications.
• Lead PIE with payers and transition to health care economic information (HCEI) communications.
• Build field reimbursement capability and provide materials and training.
• Manage market access vendors and ensure service levels and compliance.

Skills

Payer strategy

Vendor management

Leadership

Regulatory/compliance

Education

Bachelor's degree

Advanced degree (MBA, MPH, PharmD, or equivalent)

Job description

PolarityBio is a late-stage biotechnology company preparing to launch SkinTE, an investigational product in an entirely new category: regenerative multicellular biologics. SkinTE is made from the patient's own skin - a small piece of healthy tissue is processed into autologous cutaneous multicellular units that retain the cell populations and architecture of native skin, then applied to the wound, so the therapy works with the patient's own biology.

SkinTE is under FDA review as a physician-administered Section 351 biologic (BLA) in the treatment of chronic wounds, with the anticipated first indication Wagner 1 diabetic foot ulcers.

Role Summary

The Director, Market Access owns the coding, coverage and payment strategy that will make SkinTE accessible to providers and patients at launch and beyond. This is a hands-on leadership role centered on payer strategy - coverage, payment, and payer contracting - supported by Medicare Administrative Contractor (MAC) engagement, reimbursement operations, vendor oversigh t, and leadership of the field reimbursement team. This leader both sets the access strategy and leads it, with support from specialist vendor partners on execution. As a physician-administered biologic reimbursed under the buy-and-bill model, SkinTE requires a leader who understands ASP-based payment, provider economics, and SkinTE's parallel coding pathways - Category III CPT codes (1044T-1049T) for the harvest and application procedures, and a product-specific HCPCS Level II J-code for the biologic .

This role works closely across Commercial, Medical, Regulatory, and Legal, and carries real influence over launch readiness.

Key Responsibilities

Payer strategy , coverage, and payment

• Develop and execute the national and regional payer strategy across Medicare, Medicaid, and commercial channels, with accountability for both coverage and payment outcomes, including ASP-based payment dynamics and provider economics
• Lead payer contracting
• Lead MAC engagement to secure favorable coverage and pricing for the Category III CPT code s (1044T through 1049T), Local Coverage Determinations, and the evolving skin substitute payment policy landscape.
• Monitor CMS policy, OPPS and MPFS updates, and coding cycle timelines, and translate them into launch and pricing implications for the organization.
• Lead pre-approval information exchange (PIE) with payers, formulary committees, and similar entities, consistent with FDA guidance and applicable law on manufacturer communications with payors, and transition to health care economic information (HCEI) communications after approval, leveraging vendor partners as needed.
• Support the coding strategy across the product lifecycle, relying on vendor partners for execution and submissions.
• Partner with Medical Affairs and HEOR to align evidence generation with coverage and payment requirements.

Vendor partnerships and field reimbursement

• Build and lead field reimbursement capability - in-house, vendor-supported, or a blend - based on the needs of the providers and field team.
• Serve as the escalation point for complex coverage, coding, prior authorization and site-of-care billing questions.
• Develop reimbursement tools, training, and resources that equip field and provider-facing teams to communicate coverage and access accurately and compliantly.
• Select and manage market access vendors to support execution - including coding, payer research and contracting support, dossier development, field reimbursement, and hub/patient support - setting scope and priorities and holding them accountable to service levels, compliance standards, and disciplined use of spend.

Required Qualifications

• Bachelor's degree required. Advanced degree (MBA, MPH, PharmD, or equivalent) preferred.
• Direct experience with BLA biologics and/or physician-administered (buy-and-bill) pharmaceuticals, including ASP-based reimbursement and provider economics.
• Demonstrated success securing coverage and payment through MAC engagement.
• Experience owning payer strategy and contracting across commercial and government channels.
• Demonstrated success leading external market access vendors and agencies to deliver results, including scoping, budget management, and performance accountability.
• Strong working command of MLR and compliance requirements in a promotional environment.
• Experience at a small or launch-stage company where the role spans strategy and execution.
• Willingness to travel as needed for payer, provider, and conference engagements.

Preferred Qualifications

• Experience in wound care, diabetic foot ulcers, or advanced wound therapies.
• Launch experience with a first-in-class or newly coded product, including work on CAT III codes
• Experience building, leading, or closely managing a field reimbursement or access team.
• Experience standing up patient support or hub program s.