Director, Market Access & Reimbursement Strategy

About the role

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Director, Market Access & Reimbursement Strategy based in the United States. This role will lead U.S. market access, coverage, and reimbursement strategy for an innovative medical device portfolio focused on chronic neurological conditions. You will own a reimbursement support program designed to help patients and providers navigate the journey from prior authorization through payment. The position combines payer strategy, reimbursement expertise, evidence communication, and value-based contracting to strengthen access to advanced therapies. You will work closely with Sales, Clinical, Regulatory, Marketing, and Finance while engaging directly with payers, providers, professional societies, and policy stakeholders. This is a high-visibility leadership position with both strategic and hands-on responsibilities. You will also help build the market access function and shape strategies that support long-term commercial growth.

Responsibilities

• 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