Director, Payer Relations and Market Access - Military veterans preferred

Director, Payer Relations and Market Access San Diego, CA, US

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Full time

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Director, Payer Relations and Market Access

San Diego, CA, US

This is an onsite position in San Diego, California.

Mainstay Medical Mainstay Medical is a medical device company focused on marketing an innovative implantable neurostimulation system, ReActiv8, for people with disabling chronic mechanical Low Back Pain.

The company is headquartered in Dublin, Ireland, with subsidiaries operating in Ireland, the United States, Australia, Germany, and the Netherlands.

The Role: This position is responsible for executing the reimbursement and market access strategy for the ReActiv8 Neuromodulation System with Managed Care Organizations (MCO), Indemnity Insurance Organizations, Networks, TPAs, Government Programs, and Employer Groups in the US Market.

This strategy includes delivery of economic and value messaging, expanding awareness of restorative neurostimulation, and partnering with health plans and physicians while leveraging our field-based sales team to develop coverage policy to ensure access for patients who can benefit from ReActiv8.

Position Responsibilities:

Develop strategy for and execute payer account targeting to drive payer market awareness and positive payer coverage policy for ReActiv8 by engaging key stakeholders within National, Regional, and Local US health plans as well as established networking across the payer landscape.

Establish and maintain effective working relationships with the payer community. Manage the payer outreach strategy and closely monitor and respond to proposed changes in medical policies related to ReActiv8

Build a strategic relationship and serve as a supporting role to REMA aligned business partners including sales, marketing, sales operations, and medical/clinical affairs to implement business plan strategies that create market access and reimbursement for ReActiv8..

Develop and lead pull through programs with Field Sales to optimize payer opportunities for ReActiv8 growth.

Partner with sales teams in the development and use of key opinion leaders to influence and drive favorable medical policy within the payer community.

Contribute to strategies required to improve patient access to ReActiv8, economic value messaging, and evidentiary needs.

Engage with strategic accounts around novel contracting arrangements that leverage the ReActiv8 platform, including hospitals, IDNs, and other facilities.

Attends and participates in meetings and conference calls as required.

Demonstrates sound judgment in managing all aspects of territory; includes sales, relationships and budgets.

Establishes and maintains a schedule/process that maximizes efficiency and productivity.

Demonstrates the ability to influence and co-manage sales teams.

Manages multiple priorities and deadlines successfully and handles stressful situations accordingly. Accepting risk and uncertainty.

Ensure compliance with company compliance policy, in particular patient confidentiality (HIPAA) in all Mainstay Medical practices.

Perform other duties as required.

Qualifications:

Typically requires a Bachelor’s Degree from four-year college or university

8-10 years’ experience in healthcare

3-5 years’ experience in managed care or sales management

Proven track record of creating new pathways in sales channels

The salary range for this position is $220,000 to 227,000/year; however, base pay offered will take into account a range of factors, including job-related knowledge, skills, and experience.

The total compensation package includes a range of medical, dental, vision, financial, and other benefits, as well as equity.

Mainstay Medical is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to gender, race, color, religious creed, national origin, age, sexual orientation, gender identity, physical or mental disability, and/or protected veteran status. Mainstay Medical participates in E-Verify.

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