Regional Director – Market Access & Payer Strategy

Koya Medical Regional Director – Market Access & Payer Strategy Remote·Full time Company website Apply for Regional Director – Market Access & Payer Strategy
Koya Medical is a growth‑stage healthcare company developing breakthrough technologies for venous and lymphatic diseases. Our Dayspring platform represents a differentiated approach to compression therapy, supported by growing clinical evidence, multi‑society support, and expanding payer adoption. As Koya continues to scale, payer access and market development are becoming critical commercial growth drivers across commercial and government‑sponsored healthcare markets. We are seeking a commercially driven payer access leader to help expand regional coverage, shape payer pathways, and accelerate market access execution.

Description
Position Summary
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 advancing payer relationships across assigned commercial health plans and Medicaid managed care organizations.

This role is designed for a commercially oriented hunter with a demonstrated track record of driving payer access outcomes through strategic relationship development, medical policy engagement, and payer contracting discussions.

The ideal candidate has successfully operated in ambiguous or evolving reimbursement environments where payer pathways may not yet be fully established and success requires persistence, executive influence, strategic thinking, and independent execution.

Key Responsibilities
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

Required Qualifications

Bachelor’s degree in healthcare, life sciences, business, or related field

5+ years of successful experience in one or more of the following: strategic healthcare account management, managed care contracting, healthcare business development

Required Experience

Demonstrated success influencing commercial payer access outcomes, including favorable medical policy, reimbursement pathways, in‑network access, and payer contracting

Proven ability to independently develop and manage relationships with payer medical directors, commercial contracting executives, network leadership, and utilization management stakeholders

Track record of proactively opening strategic payer opportunities and advancing complex payer discussions through extended sales and negotiation cycles

Strong commercial orientation with demonstrated success in growth‑focused, accountable commercial environments

Demonstrated ability to operate independently with high levels of ownership, strong sense of urgency, action bias, persistence, and accountability

Strong executive communication, negotiation, and relationship management skills

Ability to communicate clinical and economic value propositions credibly in high‑stakes payer discussions

Candidates without direct commercial payer engagement and demonstrated payer access success experience will not be competitive for this role.

Strongly Preferred

Medical device or healthcare commercial sales background with direct payer‑facing responsibilities

Experience selling into reimbursement‑dependent healthcare markets

Existing commercial payer relationships within assigned geography

Experience operating within emerging or evolving reimbursement categories

Growth‑stage or startup healthcare experience

Experience within vascular, venous, lymphedema, wound care, cardiology, oncology, DME, or specialty provider markets

Core Competencies

Hunter mentality with strong commercial instincts

Executive presence and strategic negotiation skills

Resilience, persistence, and adaptability

Comfort operating in ambiguity and evolving market conditions

Travel
Up to 30%

Compensation
Competitive base salary + performance bonus + equity opportunity + full benefits

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