Director, Payer Relations

Inspire Medical Systems

. 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

Posted 11/6/2026full-timeRemote • Minnesota • United StatesLead💰 $180,000 - $240,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in developing and executing payer engagement strategies, negotiating payer agreements, and influencing medical policy and reimbursement pathways. Proven ability to build strategic relationships with healthcare stakeholders and lead cross-functional initiatives in a complex environment.

Highest-signal resume keywords

Payer Engagement StrategiesMedical Policy InfluenceReimbursement PathwaysStrategic Account PlansExecutive Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CodingCoveragePayment PathwaysNegotiationProject ManagementAnalytical SkillsConsultative SkillsMarket AccessHealthcare EconomicsManaged Care

Soft Skills

Strong CommunicationPresentation SkillsIndependent WorkSound Business JudgmentLeadership

Industry Keywords

U.S. Commercial InsuranceMedicareMedicaidPayer RelationsHealth PlansIntegrated Delivery NetworksValue-Based ArrangementsClinical DevelopmentReal-World EvidenceE-Verify

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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