Director of Payer Engagement jobs in United States
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PRIA Healthcare · 1 month ago

Director of Payer Engagement

positionUnited States
timeFull-time
remoteRemote
seniorityMid, Senior Level
date5+ years exp

PRIA Healthcare is a company focused on supporting MedTech clients with coverage and reimbursement strategies. The Director of Payer Engagement will lead initiatives to advance client technologies and guide strategic interactions with payers while collaborating with internal teams to ensure effective execution of engagement strategies.

BiotechnologyClinical TrialsHealth CareHealth InsuranceLife ScienceMedical DeviceTherapeutics

Responsibilities

Lead and support specific payer engagement initiatives, leveraging existing relationships to influence policy development and reimbursement strategies across national and regional commercial payers, integrated delivery networks, independent physician associations, and Government payers
Establish and strengthen relationships with key opinion leaders (KOLs) and influential stakeholders within payer organizations and the MedTech community
Analyze and present data-driven insights, identifying trends and ensuring payer engagement programs align with client goals
Collaborate with PRIA’s Market Access team to develop and communicate strategic plans, tactics, and payer engagement initiatives
Work cross-functionally with PRIA’s Reimbursement, Health Economics, and Market Access teams to ensure comprehensive strategy execution
Manage administrative tasks associated with overseeing a portfolio of clients

Qualification

Market access experiencePayer policy developmentMedical technology expertiseData analysis skillsInterpersonal skillsResults-driven mindsetProblem-solving abilityCommunication skills

Required

Bachelor's degree required
Demonstrated success in securing payer policies and contract terms that establish medical technology as medically necessary
5+ years of experience in market access, preferably in a consulting capacity (MedTech)
Strong expertise in the development of medical policies, evidence generation, and utilization management guidelines
Experience collaborating with internal teams (e.g., billing, coding, patient access programs) to resolve coding and coverage challenges
Excellent communication and interpersonal skills, with the ability to confidently guide clients, articulate value propositions and clinical data to influence payer decision-making
Strong analytical skills to interpret data, identify trends, and develop actionable insights
Results-driven mindset, committed to exceeding client expectations and delivering measurable outcomes
Problem-solving ability, with a proactive approach to identifying client challenges and recommending solutions

Preferred

advanced degree preferred

Company

PRIA Healthcare

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PRIA Healthcare Management is a patient access and reimbursement solutions company specializing in patient based appeals of denied care.
dateFounded in 2012
location
Torrington, Connecticut, USA
people-size51-200 employees
web-link
https://www.priahealthcare.com/

Funding

Current Stage
Growth Stage
Total Funding
unknown
Key Investors
Aldrich Capital Partners
2022-01-26Private Equity

Leadership Team

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Jeffrey Sirek
Chief Executive Officer, Board Member
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Company data provided by crunchbase