Develop and maintain strategic relationships with national and regional payer organizations.
Execute payer engagement strategies that support coverage expansion, reimbursement optimization, and patient access.
Serve as the primary account lead for assigned payer accounts, coordinating communications and issue resolution.
Conduct regular business reviews and identify opportunities to strengthen coverage policies and reduce reimbursement challenges.
Collaborate with reimbursement, market access, marketing, medical affairs, and product management teams to address customer needs and advance business objectives.
Present clinical evidence, health economic analyses, and real-world outcomes data to payer decision-makers.
Provide market intelligence and customer insights to support value proposition development, evidence generation priorities, and strategic planning.
Maintain accurate account plans, engagement records, and opportunity tracking.
Communicate account performance, emerging risks, and access opportunities to leadership.

Bachelor's degree required.
5+ years of experience in payer relations, market access, managed care, reimbursement, national accounts, or a related healthcare field.
Strong understanding of U.S. reimbursement systems, including coding, coverage, payment methodologies, utilization management, and medical policy development.
Experience presenting clinical and economic value propositions to payer audiences.
Demonstrated success engaging with national and regional health plans.
Advanced degree (MBA, MPH, MHA, or related field).
Experience within medical devices, orthopaedics, sports medicine, or related healthcare sectors.
Established relationships with payer decision-makers across national and regional organizations.

National Account Manager, Payor Relations

Key skills