Regional Director – Market Access & Payer Strategy

Description

This is a strategic, field-facing market development role operating at the intersection of payer strategy, commercial execution, and healthcare market access based in Eastern US. The Regional Director – Market Access & Payer Strategy will lead proactive regional payer engagement efforts focused on expanding medical policy coverage, improving reimbursement access, establishing in-network pathways, and accelerating market access execution.

• Strategic Payer Market Development
• Proactively identify, segment, prioritize, and develop regional payer access opportunities across assigned commercial and Medicaid managed care organizations
• Independently build and expand relationships with payer medical directors, contracting executives, network leadership, utilization management teams, and policy stakeholders
• Develop and execute payer engagement strategies from initial outreach through coverage, contracting, and implementation
• Identify regional opportunities to improve payer access, commercial scalability, and provider adoption

Medical Policy & Coverage Expansion

• Engage payer clinical leadership to influence favorable medical policy and reimbursement positioning decisions
• Present compelling clinical evidence, health economic data, patient outcomes, and market differentiation in a persuasive and commercially credible manner
• Leverage KOLs, advocacy partnerships, provider relationships, and market intelligence to support payer engagement strategies
• Identify and proactively address utilization management, prior authorization, medical policy, and network barriers limiting commercial growth
• Monitor competitive access dynamics, payer policy changes, operational friction, and reimbursement trends to inform regional strategy

Contracting & Access Strategy

• Lead strategic discussions related to payer contracting, in-network access, reimbursement pathways, and commercial access expansion
• Partner with senior leadership on pricing strategy, contract positioning, and implementation planning
• Drive payer opportunities through extended and complex negotiation cycles
• Support resolution of high-impact payer barriers affecting regional commercial execution and growth objectives

Commercial & Cross-Functional Collaboration

• Partner closely with sales leadership, reimbursement operations, clinical teams, marketing, and executive leadership
• Translate payer access dynamics into actionable commercial strategy, provider targeting, and field deployment recommendations
• Serve as a regional payer intelligence leader for commercial teams