National Account Director – Market Access & Payer Strategy

Koya Medical, Inc.

35d•$175,000 - $185,000

About The Position

This strategic, field-facing market development role sits at the intersection of payer strategy, commercial execution, and healthcare market access. The National Account Director leads proactive payer engagement across an assigned national portfolio of regional and local health plans, with a focus on expanding medical policy coverage, improving reimbursement access, establishing in-network pathways, and advancing relationships across commercial health plans and Medicaid managed care organizations. This is a commercially oriented role focused on developing payer relationships and access opportunities—not reimbursement support, prior authorization, claims management, or payer operations. The successful candidate will work in evolving reimbursement environments where payer pathways may not be established and progress requires persistence, executive influence, strategic thinking, and independent execution. The role partners with sales leadership, reimbursement operations, clinical teams, marketing, and executive leadership, and serves as a national payer intelligence resource for commercial teams and Regional Market Access Directors. Travel is up to 30%. Compensation includes a competitive base salary, performance bonus, equity opportunity, and full benefits.

Requirements

Bachelor’s degree in healthcare, life sciences, business, or a related field.
At least 5 years of successful experience in one or more of the following: medical device commercial sales, strategic healthcare account management, payer market access, managed care contracting, or healthcare business development.
Demonstrated success influencing commercial payer access outcomes, including favorable medical policy, reimbursement pathways, in-network access, and payer contracting.
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 and demonstrated success in growth-focused, accountable commercial environments.
Ability to operate independently with ownership, urgency, 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.
Direct commercial payer engagement and demonstrated payer access success are essential; candidates without this experience will not be competitive.

Nice To Haves

Medical device or healthcare commercial sales background with direct payer-facing responsibilities.
Experience selling into reimbursement-dependent healthcare markets.
Existing commercial payer relationships across regional and local health plans.
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.
Hunter mentality and strong commercial instincts.
Executive presence and strategic negotiation skills.
Independent ownership mindset.
Resilience, persistence, and adaptability.
Comfort operating in ambiguity and evolving market conditions.

Responsibilities

Identify, segment, prioritize, and develop payer access opportunities across an assigned national portfolio of commercial and Medicaid managed care organizations.
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 portfolio opportunities to improve payer access, commercial scalability, and provider adoption.
Engage payer clinical leadership to influence medical policy and reimbursement positioning decisions.
Present clinical evidence, health economic data, patient outcomes, and market differentiation in payer discussions.
Leverage KOLs, advocacy partnerships, provider relationships, and market intelligence to support payer engagement strategies.
Identify and address utilization management, prior authorization, medical policy, and network barriers that limit commercial growth.
Monitor competitive access dynamics, payer policy changes, operational friction, and reimbursement trends to inform strategy and prioritization.
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.
Advance payer opportunities through extended and complex negotiation cycles.
Support resolution of high-impact payer barriers affecting commercial execution and growth objectives.
Collaborate 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 national payer intelligence resource for commercial teams and Regional Market Access Directors.