Company: Innovative medical device company focused on improving patient mobility, independence, and outcomes for individuals with venous and lymphatic conditions. The company’s technology provides healthcare providers and patients with a more convenient, personalized approach to compression therapy.
Responsibilities:
Identify new opportunities, build senior-level payer relationships, and navigate complex coverage and reimbursement environments
Develop and execute regional market access strategies across commercial and government-sponsored healthcare organizations in the Western US with a focus on California
Work with payer stakeholders to identify opportunities, influence access decisions, develop strategic relationships, and establish sustainable pathways for broader market adoption
Create opportunities where established payer pathways may not yet exist
Identify, qualify, prioritize, and develop regional market access opportunities
Build relationships with payer medical directors, contracting executives, network leadership, utilization management teams, and other key stakeholders
Develop and execute payer engagement strategies from initial outreach through implementation
Identify opportunities and barriers impacting market adoption and commercial growth
Engage payer clinical and executive leadership regarding coverage, reimbursement, utilization, and access considerations
Present clinical evidence, economic data, patient outcomes, and overall value propositions to decision-makers
Develop strategies to address coverage, reimbursement, utilization management, and network barriers
Monitor payer policy changes, competitive dynamics, and market trends
Lead strategic discussions involving payer relationships, contracting, reimbursement, and network access
Partner with senior leadership on commercial strategy, pricing, contract positioning, and negotiations
Partner closely with sales, marketing, clinical, reimbursement, operations, and executive leadership
Translate payer intelligence into actionable commercial strategies and field recommendations
Provide regional insight into payer dynamics, competitive activity, and access opportunities
Support commercial teams in developing strategies around payer-specific opportunities and barriers.
Requirements:
Established payer relationships in California and Western US
Bachelor’s degree in healthcare, business, life sciences, or related field
Demonstrated success developing payer relationships and influencing coverage, reimbursement, contracting, or access outcomes
Proven ability to independently identify and develop strategic opportunities
Experience engaging payer medical directors, contracting executives, network leadership, utilization management, or other senior payer stakeholders
Strong commercial orientation with a demonstrated track record of achieving measurable results
Strong executive communication, negotiation, presentation, and relationship management skills
Ability to communicate clinical and economic value propositions credibly to senior decision-makers
Medical device or healthcare commercial sales with direct payer-facing responsibilities
Experience with reimbursement-dependent healthcare products or services
Experience operating within emerging or evolving healthcare markets.
Growth-stage, startup, or entrepreneurial healthcare experience.
Background in areas such as specialty healthcare, DME, wound care, vascular, cardiology, oncology, or other reimbursement-driven markets
Hunter mentality and strong commercial instincts
Executive presence and strategic negotiation skills
Business development and relationship-building expertise