Associate Director of Market access & Payer Strategy
Core
Lead national payer strategy and network expansion for MedTech products (Urology, Ostomy, PureWick®) to increase covered lives and reimbursement rates across Commercial, Medicare Advantage, Medicaid, and Government channels.
Role type
Associate Director, Market Access & Payer Strategy
Builds
Payer contracts, network participation agreements, and coverage policies for MedTech products
Domain
Healthcare / Medical Technology / Market Access
Required skills
Payer contracting, network expansion, reimbursement negotiation, Medicare Advantage strategy, government affairs, policy advocacy, financial modeling, stakeholder management, data analysis
Preferred skills
Experience with PureWick or similar continence management products, prior work with major Medicare Advantage organizations (United Healthcare, Humana, BCBS), knowledge of CMS/Medicaid regulations
Technologies
None stated
Responsibilities
Develop and execute national payer access strategies; lead negotiations with health plans to secure favorable reimbursement rates; establish Medicare Advantage expansion strategies; represent company before CMS and state agencies; resolve systemic patient access barriers; create executive reporting and market access dashboards
Seniority
Associate Director, strategic leadership with hands-on execution