Director, Commercial Reimbursement

Commercial Payer Strategy and Policy Management:

• Develop and execute commercial reimbursement strategies aligned with company objectives and growth plans.
• Lead engagement with national, regional, and local commercial health plans.
• Drive efforts to influence, establish, or revise commercial payer medical policies.

Payer Negotiations and External Engagement:

• Serve as the primary commercial reimbursement contact for payer negotiations and senior level escalations.
• Coordinate and support peer‑to‑peer, appeal, and reconsideration efforts involving clinical and provider stakeholders.
• Apply in‑depth understanding of commercial payer processes, timelines, and decision-making frameworks.

Reimbursement Operations and Team Leadership:

• Provide direct people management and leadership for the Market Access Manager team.
• Establish and maintain standardized processes, tools, and best practices to ensure consistent field execution.
• Set performance expectations, coach team members, and support ongoing development.