Director, Market Access Strategy

iRhythm Technologies, Inc.

1d • $170,000 - $221,000 • Remote

About The Position

Career-defining. Life-changing. At iRhythm, you’ll have the opportunity to grow your skills and your career while impacting the lives of people around the world. iRhythm is shaping a future where everyone, everywhere can access the best possible cardiac health solutions. Every day, we collaborate, create, and constantly reimagine what’s possible. We think big and move fast, driven by our commitment to put patients first and improve lives. We need builders like you. Curious and innovative problem solvers looking for the chance to meaningfully shape the future of cardiac health, our company, and your career About This Role: Career-defining. Life-changing. At iRhythm, you’ll have the opportunity to grow your career while making a meaningful impact on the lives of patients around the world. We are shaping a future where everyone, everywhere, can access the best possible cardiac health solutions. Every day, we collaborate, create, and reimagine what’s possible, driven by our commitment to put patients first. We need builders like you: curious, strategic problem‑solvers who want to meaningfully shape the future of cardiac health and grow alongside a high‑impact organization. About This Role iRhythm is seeking an experienced, strategic Director, Market Access Strategy to serve as a senior individual contributor driving payer contracting strategy for emerging diagnostic technologies. This role requires deep functional expertise, enterprise‑level impact, and the ability to influence strategy and outcomes both internally and externally. In this role, you will independently lead complex payer strategy initiatives, design and negotiate innovative contracting models, and translate market and reimbursement trends into actionable strategies. You will operate as a trusted thought partner to Market Access leadership and cross‑functional stakeholders, shaping access and reimbursement strategy through expertise, insight, and execution.

Requirements

• Bachelor’s degree required in life sciences, business, public health, or a related field. (Master’s degree strongly preferred: MBA, MPH, MS, or similar).
• 10–12+ years of progressive experience in payer strategy, market access, healthcare consulting, or related fields, with demonstrated enterprise‑level impact as an individual contributor.
• Deep expertise in payer contracting, reimbursement strategy, and value‑based care models across commercial and government payers.
• Strong financial and analytical acumen, including hands‑on experience with contract modeling, pricing strategy, and economic evaluation.
• Proven ability to translate clinical, HEOR, and real‑world evidence into payer‑facing value propositions.
• Exceptional communication, negotiation, and executive presence, with the ability to influence senior internal and external stakeholders.
• Strategic, data‑driven thinker with the ability to operate independently in complex, ambiguous environments.
• Demonstrated ability to drive outcomes through expertise and influence, rather than formal authority.
• Experience in diagnostics, MedTech, digital health, or healthcare innovation strongly preferred.
• Licensed clinical background (e.g., PharmD, RN) preferred but not required.
• Working knowledge of regulatory and compliance requirements related to scientific and non‑promotional communications is a plus.

Responsibilities

• Payer Strategy & Market Insight Lead the development and execution of payer strategies across Commercial, Medicare Advantage, Managed Medicaid, and employer segments to support access, adoption, and revenue growth.
• Monitor and synthesize emerging reimbursement, contracting, and policy trends across diagnostics and healthcare technology; translate insights into actionable strategic recommendations.
• Conduct competitive and market landscape analyses to inform contracting strategies, pricing approaches, and payer positioning.
• Serve as a subject‑matter expert and strategic advisor to Market Access and senior stakeholders on payer dynamics, reimbursement innovation, and market opportunities.
• Innovative Contracting & Deal Execution Independently design, negotiate, and execute innovative payer contracts, including value‑based care, outcomes‑based agreements, shared savings, subscription models, and episodic/bundled arrangements.
• Partner closely with Finance, Pricing, and Commercial Operations to evaluate contract economics, including ROI, margin impact, gross‑to‑net considerations, and risk‑sharing structures.
• Develop and maintain financial models and analytical frameworks to assess contract performance and inform negotiation strategies.
• Establish and track performance metrics and KPIs to evaluate access, utilization, revenue impact, and clinical/economic outcomes.
• Market Access Enablement & Cross‑Functional Influence Lead payer go‑to‑market planning for new diagnostic solutions and innovation pipeline initiatives, including pilot design and scaling recommendations.
• Collaborate with Payer Marketing, HEOR, Clinical, and Legal/Compliance partners to translate clinical and real‑world evidence into compelling, compliant payer value propositions and scientific communications.
• Build and maintain senior‑level relationships with payer stakeholders, representing iRhythm as a credible expert in reimbursement innovation.
• Influence outcomes in a matrixed environment, aligning cross‑functional teams and external partners around shared objectives without formal authority.
• Thought Leadership & Enterprise Impact Develop and deliver internal and external thought leadership on payer strategy, reimbursement innovation, and emerging market trends.
• Contribute payer and customer insights to enterprise strategy discussions, innovation prioritization, and long-range planning efforts.
• Act as a trusted expert resource on complex payer issues, supporting leadership decision‑making through data‑driven analysis and strategic perspective.

Benefits

• This is a full‑time position offering a competitive compensation package and comprehensive benefits, including medical, dental, and vision coverage starting on day one; paid holidays and PTO; 401(k) with company match; Employee Stock Purchase Plan; paid parental leave; pet insurance discounts; and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 501-1,000 employees