Director, U.S. Market Access en Mainstay Medical

Mainstay Medical

Mainstay Medical is a medical device company focused on marketing an innovative implantable neurostimulation system, ReActiv8®, for people with disabling chronic mechanical Low Back Pain. The company is headquartered in Dublin, Ireland, with subsidiaries operating in the United States, Australia, the United Kingdom, and Germany.

The Role:

The Director, U.S. Market Access leads coverage and policy efforts for a defined region or assigned group of payers. Position responsibilities relate to the ReActiv8 restorative neurostimulation device for chronic low back pain and any future indications or devices Mainstay Medical may pursue. This role requires deep understanding of the complexities of the healthcare ecosystem and experience engaging commercial payers, Medicare, state Medicaid plans, state and federal legislators and supporting provider customers with reimbursement issues. The candidate must have experience winning positive and expanded commercial payer coverage, improved payment rates and education of providers on billing and coding.
 
A major focus of this role involves engaging commercial and governmental payers of healthcare in the U.S. for comprehensive coverage and adequate payment of ReActiv8. This highly technical individual contributor role involves policy development with commercial payer medical directors and executives, Medicare and Medicaid. Other engagements may include elected state and federal legislators, physicians, surgeons and KOLs.
 
The successful Director level candidate must demonstrate excellent skills and independence in oral and written communication, execution, and negotiations, along with the ability to collaborate, engage and support U.S. commercial partners in sales and marketing, and high level of competence in reimbursement, health economics and coverage for medical devices in the U.S.

Position Responsibilities: 

• Develop strategy and content and lead advocacy efforts with commercial and governmental payers for a defined region or assigned payers on the coverage policies for ReActiv8.
• Advocate for optimal coverage policies 
• Advocate and lobby state Medicaid agencies and legislatures for coverage.
• Develop value messaging and content summarizing existing clinical and economic evidence to support product positioning with payers and hospital/ASC economic decision makers. 
• Monitor, analyze, and influence health care policy to ensure policy environment supports medical innovation.
• Assess and communicate the coding, coverage and payment landscape for Mainstay products to internal stakeholders.
• Support the development of tools and messaging to advocate for comprehensive coverage; including, dossiers, budget impact models, reimbursement guides, etc. 
• Work closely and in alignment with U.S. commercial colleagues in sales and marketing.
• Serves as an internal and external contact on matters related to health economics and reimbursement.
• Communicate evidence requirements and reimbursement landscape to internal stakeholders.
• Provide training and education programs on reimbursement best practices and health policy issues to internal stakeholders and provide training and education to the sales force, physicians, office administrators and hospital personnel.
• Develops relationships with professional societies, medical associations, advocacy groups, thought leaders and trade groups for the purpose of aligned advocacy on coverage of ReActiv8.

Qualifications:

• This position may require moderate business travel of 30% or more.
• Bachelor’s degree.
• Advanced degree in health policy, public health, health economics or related field of study is preferred.
• 10+ years of experience and track record of success in advocating for improved coverage and/or increased payment rates with U.S. commercial payers, Medicare and Medicaid.
• Experience developing a payer engagement strategy with supporting content and messaging.
• An in-depth understanding of the reimbursement environment to assist customers in navigating coverage and ensuring access to Mainstay Medical’s technologies. 
• Experience working closely with marketing and sales departments.
• Excellent understanding of payers, policy developments, and implications for Mainstay Medical. 
• Demonstrated ability to manage diverse portfolio of products and reimbursement needs. 
• Experience communicating reimbursement and economic information to external stakeholders.
• Experience building coalitions and managing projects with external consultants.
• Ability to give best-in-class reimbursement advice to customers and internal stakeholders. 
• Must be self-motivated, passionate, and an exceptional communicator. 
• Ability to develop and manage multiple projects.
• Highly results-oriented and action-oriented. 

The salary range for this position is $220,000 to $250,000/year; however, base pay offered will take into account a range of factors, including job-related knowledge, skills, and experience. The total compensation package includes a range of medical, dental, vision, financial, and other benefits, as well as equity.

Mainstay Medical is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to gender, race, color, religious creed, national origin, age, sexual orientation, gender identity, physical or mental disability, and/or protected veteran status. Mainstay Medical participates in E-Verify.