Director, Market Access – Reimbursement Strategy

Job not on LinkedIn

🔥 1 hour ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 11%

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Saluda Medical

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

💼 Consulting

🏭 Manufacturing

Healthcare • Consulting • Manufacturing

Saluda Medical is a pioneering company in the field of neuromodulation, focused on developing innovative platforms to treat chronic neurological conditions. They have created the Evoke® System, powered by their proprietary SmartLoop™ technology, which is designed to measure patients' unique biomarkers and continuously adjust stimulation to maintain therapeutic consistency. Saluda Medical is leading the way in transforming patient care through groundbreaking research and development, and their systems are widely recognized for their advanced capabilities in spinal cord stimulation therapy.

📋 Description

• Lead Saluda's U.S. market access, coverage, and reimbursement strategy • Own, manage, and continuously improve the Smart Access Reimbursement program • Oversee prior authorization support, appeals strategy, benefit investigation, and case escalation pathways • Define program KPIs and report approval rates, turnaround times, and denial overturn rates to commercial leadership • Manage vendor and hub-services relationships and support training for field teams and provider offices • Serve as escalation point for complex access cases and emerging payer barriers • Develop and execute national and regional payer strategies for SCS and closed-loop therapy • Monitor and shape CPT/HCPCS, DRG/APC, physician fee schedule, coverage, and payment dynamics across commercial, Medicare, and Medicaid channels • Track and respond to CMS policy developments, including the Ambulatory Specialty Model and other value-based initiatives • Lead value-based and shared-risk contracting frameworks using Evoke's objective ECAP data • Translate clinical and real-world evidence into payer-facing value dossiers, objection handlers, and coverage advocacy materials • Support medical policy engagement, technology assessments, draft policy responses, and payer advisory interactions • Build relationships with medical societies to advance coverage advocacy, coding initiatives, and clinical guideline development • Equip Sales and field reimbursement resources with access-conversation tools, training, and messaging • Collaborate cross-functionally with Marketing, Sales, Therapy Awareness, Clinical, Regulatory, and Finance teams • Build and mentor market access talent and manage direct reports or contracted field reimbursement resources as assigned • Represent Saluda with professional societies, coalitions, and industry groups on reimbursement and policy matters

🎯 Requirements

• Bachelor's degree required • Advanced degree (MBA, MPH, MHA, JD) preferred • 10+ years of progressive experience in medical device market access, reimbursement, or payer strategy • Neuromodulation, spine, or interventional pain experience strongly preferred • Demonstrated success managing a reimbursement support / hub-services program, including vendor oversight and KPI management • Deep working knowledge of U.S. coding, coverage, and payment systems across hospital outpatient, ASC, and physician office sites of service • Experience engaging payers directly on medical policy, coverage expansion, and contracting • Familiarity with CMS payment models and value-based care trends • Strong cross-functional leadership and executive communication skills • Experience launching or defending coverage for a novel Class III device or breakthrough technology preferred • Prior work on value-based or risk-sharing agreements using device-generated objective data preferred • Established payer and specialty-society relationships in the pain management space preferred

🏖️ Benefits

• Full-time employment • Equal opportunity employment • Diversity and inclusion commitment