Director, Payer Relations

The posting, as Inspire Medical Systems Inc. wrote it

ABOUT INSPIRE MEDICAL SYSTEMS

Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are revolutionizing the sleep industry with our FDA-approved medical device, designed to reduce OSA severity for those who cannot tolerate or get consistent benefit from CPAP. Inspire Medical Systems is committed to enhancing patients’ lives through sleep innovation. We are steadfast in our commitment to prioritize patient outcomes, act with integrity and lead with respect. With positive persistence at our core, we are committed to all those we serve.

WHY JOIN OUR FAST-GROWING TEAM

At Inspire, we value people – your diverse experiences, backgrounds, and thoughts. We elevate voices and encourage learning opportunities to build a professional network that grows into community. We embrace a people-first culture by offering excellent benefits, 401k matching, ESPP, flexible time off (FTO), and tuition reimbursement.

If you’re passionate about making a difference in people’s lives and want to work with innovative technology, come be a part of our great team!

**Fully Remote**

ESSENTIAL JOB FUNCTIONS

The Director, Payer Relations develops and executes U.S. payer engagement strategies that secure, expand, and sustain appropriate coding, coverage, payment, and patient access for the company’s current and future medical technologies. The role builds strategic relationships with national and regional commercial health plans, Medicare stakeholders, Medicaid programs, Medicare Administrative Contractors, integrated delivery networks, and other payer decision makers. Working across Market Access, Clinical and Medical Affairs, Health Economics and Outcomes Research, Regulatory, Legal, Finance, Marketing, and Sales, the Director translates clinical evidence, economic value, and customer insight into actionable account strategies and favorable access outcomes.

OPPORTUNITIES YOU WILL HAVE IN THIS ROLE

Key Responsibilities

Payer Strategy and Account Leadership

• Develop and execute payer account plans aligned with portfolio, launch, and lifecycle priorities, including objectives, stakeholder maps, engagement sequencing, evidence needs, risks, and measurable outcomes.
• Own strategic relationships with assigned national and regional commercial payers, Medicare and Medicaid stakeholders, health-plan medical directors, policy teams, pharmacy or benefit managers where relevant, and payer-affiliated integrated delivery networks.
• Lead payer engagements that address medical policy, utilization-management criteria, coding, reimbursement, payment adequacy, network considerations, and patient-access barriers.
• Negotiate and implement appropriate payer agreements or value-based arrangements in partnership with Legal, Finance, Compliance, and senior leadership, when applicable.

Coverage, Coding, Payment, and Policy

• Monitor and analyze payer policies, coverage criteria, claims exp

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$240,000 USD

BENEFITS AND OTHER COMPENSATION

Inspire offers a highly competitive benefits package including ( general description of the benefits and other compensation offered ):

• Multiple health insurance plan options.
• Employer contributions to Health Savings Account.
• Dental, Vision, Life and Disability benefits.
• 401k plan + employer match.
• Identity Protection.
• Flexible time off.
• Tuition Reimbursement.
• Employee Assistance program.
• All employees have the opportunity to participate in the ownership and success of Inspire. Employees at all levels can participate through equity awards and the Employee Stock Purchase Program.

Inspire Medical Systems provides equal employment opportunity (EEO) to all employees and applicants without regard to race, color, religion, creed, sex, national origin, age, disability, marital status, familial status, sexual orientation, status regarding public assistance, membership or activity in a local commission, military or veteran status, genetic information, pregnancy or childbirth, or any other status protected by applicable federal, state, and local laws. This policy applies to all aspects of the employment relationship, including recruitment, hiring, compensation, promotion, transfer, disciplinary action, layoff, return from layoff, training, and social and recreational programs. Inspire Medical Systems complies with applicable laws governing non-discrimination in employment in every location in which Inspire Medical Systems has facilities. All such employment decisions will be made without unlawfully discriminating on any prohibited basis.

Inspire Medical Systems is an equal opportunity employer with recruitment efforts focused on ensuring a diverse workforce. Applicants with a disability that need accommodation to complete the Inspire Medical Systems application process should contact Human Resources at 844-672-4357 or email careers@inspiresleep(dot)com

Inspire Medical Systems participates in E-Verify.