Director, Payer Relations

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❄️ Minnesota – Remote

❄️ Minnesota – Remote

💵 $180k - $240k / year

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 0%

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Inspire Medical Systems

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2007

🏥 Healthcare

🏭 Manufacturing

🔧 Hardware

💰 $133.4M Post-IPO Equity - Inspire Medical Systems on 2020-04

Healthcare • Manufacturing • Hardware

Inspire Medical Systems is a medical technology company that develops and commercializes a proprietary, implantable neurostimulation system (Inspire Therapy) for the treatment of moderate to severe obstructive sleep apnea. The company focuses on minimally invasive solutions backed by FDA approval, clinical data, and payer coverage to reach patients through healthcare providers and payers.

📋 Description

• Develop and execute U.S. payer engagement strategies securing, expanding, and sustaining appropriate coding, coverage, payment, and patient access for current and future medical technologies • Build strategic relationships with national and regional commercial health plans, Medicare stakeholders, Medicaid programs, Medicare Administrative Contractors, integrated delivery networks, and other payer decision makers • Develop payer account plans aligned with portfolio, launch, and lifecycle priorities • Lead payer engagements addressing medical policy, utilization-management criteria, coding, reimbursement, payment adequacy, network considerations, and patient-access barriers • Negotiate and implement payer agreements or value-based arrangements with Legal, Finance, Compliance, and senior leadership • Monitor payer policies, coverage criteria, claims experience, reimbursement pathways, policy-review cycles, and federal and state developments • Create action plans to obtain favorable, evidence-based coverage and appropriate payment • Partner on Medicare, commercial, Medicaid, facility, and physician payment strategies • Support engagement with government, payer, and assessment bodies • Provide payer insights shaping clinical development, real-world evidence, HEOR, outcomes research, and evidence-generation priorities • Collaborate on payer value propositions, evidence dossiers, payer presentations, budget-impact and cost-effectiveness materials, coding and billing resources, and access tools • Organize and facilitate payer advisory boards, medical-director discussions, executive account meetings, and clinical-expert engagements • Communicate field intelligence, policy trends, competitive access developments, and account risks to cross-functional leadership • Partner with Medical Affairs, Clinical Affairs, Regulatory, HEOR, Marketing, Sales, Patient Access, Legal, Compliance, and Finance • Coordinate launch-readiness and lifecycle initiatives against milestones, dependencies, budgets, and performance measures • Train internal stakeholders on payer policy, reimbursement pathways, value messaging, and compliant payer engagement • May lead employees, consultants, or project teams, including coaching, performance guidance, resource planning, and budget oversight • Complete required training and competency confirmations • Document product- and therapy-related field reports and provide follow-up information • Comply with quality-system, privacy, legal, regulatory, and compliance requirements

🎯 Requirements

• Bachelor’s degree in business, health sciences, public health, economics, engineering, or a related field • 10 or more years of experience in medical technology, healthcare, payer relations, market access, reimbursement, managed care, or a related field • At least 3 years of direct experience influencing payer coverage, medical policy, reimbursement, contracting, or access strategy • Demonstrated knowledge of U.S. commercial insurance, Medicare, Medicaid, medical policy, coding, coverage, and payment pathways for medical technologies • Experience developing strategic account plans and leading complex engagements with health-plan medical directors, policy leaders, or senior payer executives • Strong executive communication, presentation, negotiation, consultative, analytical, and project-management skills • Ability to work independently, exercise sound business judgment, and lead broad cross-functional initiatives in a matrixed environment • Ability to travel up to 75%, including occasional overnight travel • Participate in E-Verify

🏖️ Benefits

• Excellent benefits • 401k matching • Employee Stock Purchase Program (ESPP) • Flexible time off (FTO) • Tuition reimbursement • Multiple health insurance plan options • Employer contributions to Health Savings Account • Dental, Vision, Life and Disability benefits • 401k plan + employer match • Identity Protection • Employee Assistance program • Equity awards • Opportunity to participate in the ownership and success of Inspire

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