Director, Market Access & Reimbursement Strategy

Accountabilities:

• Own, manage, and continuously improve the reimbursement support program, including prior authorization assistance, appeals strategies, benefit investigations, and escalation pathways.
• Establish and monitor program KPIs such as approval rates, turnaround times, denial overturn rates, and other measures of access performance, reporting results to commercial leadership.
• Manage vendors and hub-service partners supporting reimbursement operations and ensure field teams and provider offices receive appropriate training and support.
• Serve as the escalation point for complex access cases, reimbursement challenges, and emerging payer barriers.
• Develop and execute national and regional payer strategies to establish, maintain, and expand coverage for spinal cord stimulation and closed-loop therapy.
• Monitor and influence coding, coverage, and payment dynamics across CPT/HCPCS, DRG/APC, physician fee schedules, commercial insurance, Medicare, and Medicaid.
• Track CMS policy developments and assess the potential impact of emerging payment and value-based initiatives on chronic pain and neuromodulation.
• Lead the development of value-based and shared-risk contracting frameworks that leverage objective therapy-generated data as a differentiator.
• Translate clinical and real-world evidence into payer-facing value dossiers, objection-handling materials, coverage advocacy resources, and other evidence-based communications.
• Support medical policy engagement, including responses to draft policies, technology assessments, and payer advisory interactions.
• Build relationships with relevant medical societies and professional organizations to advance coverage advocacy, coding initiatives, and clinical guideline development.
• Equip Sales and field reimbursement teams with the tools, training, and messaging needed to navigate payer and access discussions effectively.
• Collaborate with Marketing, Sales, and Therapy Awareness teams to integrate market access considerations into commercial campaigns and launch strategies.
• Build and mentor market access capabilities as the function grows, including management of direct reports and contracted field reimbursement resources as assigned.
• Represent the organization with professional societies, industry coalitions, and other external groups on reimbursement, policy, and market access matters.

Requirements:

• Bachelor’s degree required; an advanced degree such as an MBA, MPH, MHA, JD, or equivalent is preferred.
• 10+ years of progressive experience in medical device market access, reimbursement, payer strategy, or a closely related field.
• Strong experience in neuromodulation, spine, interventional pain, or related medical device markets is highly preferred.
• Demonstrated success managing reimbursement support or hub-services programs, including vendor management, operational oversight, and KPI performance.
• Deep knowledge of U.S. coding, coverage, and payment systems across hospital outpatient, ambulatory surgery center, and physician office settings.
• Proven experience engaging directly with payers on medical policy, coverage expansion, reimbursement strategy, and contracting.
• Working knowledge of CMS payment models and emerging value-based care trends.
• Experience translating clinical and real-world evidence into compelling payer and executive-facing value narratives.
• Strong cross-functional leadership, stakeholder management, and executive communication skills.
• Experience launching or supporting coverage for novel Class III medical devices or breakthrough technologies is preferred.
• Experience developing value-based or risk-sharing agreements using objective data generated by medical devices is preferred.
• Established relationships with payers, specialty societies, professional organizations, or other stakeholders within the pain management and neuromodulation space are preferred.
• Strategic and hands-on approach, with the ability to move between developing market access strategy and resolving individual reimbursement challenges.
• Strong analytical and storytelling capabilities, with the ability to turn clinical evidence, reimbursement data, and program metrics into clear recommendations.
• Collaborative leadership style and ability to build trust across Sales, Clinical, Finance, Marketing, and other functions.
• Ability to operate effectively in a growth-stage environment, take initiative, navigate ambiguity, and develop new processes and strategies as the function evolves.

Benefits:

• Fully remote position within the United States.
• Full-time employment opportunity.
• High-visibility leadership role with direct influence over U.S. market access and reimbursement strategy.
• Opportunity to shape patient access to innovative medical device therapies.
• Significant cross-functional exposure across commercial, clinical, regulatory, marketing, and finance functions.
• Opportunity to build and develop the market access and reimbursement function as the organization scales.
• Ability to engage with payers, providers, professional societies, industry groups, and policy stakeholders.
• Inclusive and collaborative environment that values integrity, innovation, performance, and patient impact.
• Opportunity to contribute to the development of value-based contracting and evidence-driven reimbursement strategies.
• Professional growth through leadership of complex market access initiatives and external stakeholder relationships.