Director, Market Access & Reimbursement Strategy
Core
Lead U.S. market access, coverage, and reimbursement strategy for an innovative medical device portfolio focused on chronic neurological conditions, owning a reimbursement support program to help patients and providers navigate prior authorization through payment.
Role type
Director, Market Access & Reimbursement Strategy
Builds
Reimbursement support program, payer strategies, value-based contracting frameworks, and market access capabilities for spinal cord stimulation and closed-loop therapy.
Domain
Medical Devices / Neuromodulation / Chronic Pain / U.S. Healthcare Payer Strategy
Required skills
U.S. market access strategy, reimbursement program management, payer engagement, value-based contracting, evidence translation, vendor management, coding/coverage/payment dynamics knowledge, CMS policy tracking, cross-functional leadership, strategic planning, KPI monitoring, stakeholder relationship building
Preferred skills
Neuromodulation/spine/interventional pain domain expertise, Class III device launch experience, risk-sharing agreement development, established payer/society relationships, MBA/MPH/MHA/JD
Technologies
CPT/HCPCS, DRG/APC, CMS payment models, value-based care frameworks
Responsibilities
Own and improve the reimbursement support program (prior auth, appeals, benefit investigations); Establish and monitor program KPIs (approval rates, turnaround times, denial overturn rates); Manage vendors and hub-service partners; Serve as escalation point for complex access cases; Develop and execute national/regional payer strategies; Monitor coding, coverage, and payment dynamics; Track CMS policy developments; Lead value-based and shared-risk contracting frameworks; Translate clinical evidence into payer-facing value dossiers; Support medical policy engagement; Build relationships with medical societies; Equip Sales and field teams with tools and training; Collaborate with Marketing and Therapy Awareness teams; Build and mentor market access capabilities; Represent the organization with professional societies and industry coalitions
Seniority
Director, strategic leadership with hands-on operational oversight
