National Account Director – Market Access & Payer Strategy — Remote (United States)
Koya Medical — Remote (United States)
Koya Medical gives the location as Remote (United States).
Stated in the posting
Experience: 5+ years
Travel: Up to 30%
Koya Medical is a growth-stage healthcare company developing breakthrough technologies for venous and lymphatic diseases. Our mission is to improve patient outcomes and empower self-care through innovative, people-centric solutions.
Our Dayspring platform represents a differentiated approach to compression therapy, supported by growing clinical evidence, multi-society support, and expanding payer adoption.
As Koya continues to scale, payer access and market development are becoming critical commercial growth drivers across commercial and government-sponsored healthcare markets. We are seeking a commercially driven payer access leader to help expand payer coverage, shape payer pathways, and accelerate market access execution across a national portfolio of regional and local health plans.
Position Summary
This is a strategic, field-facing market development role operating at the intersection of payer strategy, commercial execution, and healthcare market access.
The National Account Director – Market Access & Payer Strategy will lead proactive payer engagement efforts across an assigned national portfolio of regional and local health plans, focused on expanding medical policy coverage, improving reimbursement access, establishing in-network pathways, and advancing payer relationships across commercial health plans and Medicaid managed care organizations.
This is not a traditional reimbursement support, prior authorization, claims management, or payer operations role.
This role is designed for a commercially oriented hunter with a demonstrated track record of driving payer access outcomes through strategic relationship development, medical policy engagement, and payer contracting discussions.
The ideal candidate has successfully operated in ambiguous or evolving reimbursement environments where payer pathways may not yet be fully established, and success requires persistence, executive influence, strategic thinking, and independent execution.
Key Responsibilities
Strategic Payer Market Development
Proactively identify, segment, prioritize, and develop payer access opportunities across an assigned national portfolio of commercial and Medicaid managed care organizations, focusing resources on accounts with the greatest access, commercial, and strategic opportunity
Independently 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 opportunities across the national account portfolio to improve payer access, commercial scalability, and provider adoption
Medical Policy & Coverage Expansion
Engage payer clinical leadership to influence favorable medical policy and reimbursement positioning decisions
Present compelling clinical evidence, health economic data, patient outcomes, and market differentiation in a persuasive and commercially credible manner
Leverage KOLs, advocacy partnerships, provider relationships, and market intelligence to support payer engagement strategies
Identify and proactively address utilization management, prior authorization, medical policy, and network barriers limiting commercial growth
Monitor competitive access dynamics, payer policy changes, operational friction, and reimbursement trends to inform national account strategy and portfolio prioritization
Contracting & Access Strategy
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
Drive payer opportunities through extended and complex negotiation cycles
Support resolution of high-impact payer barriers affecting commercial execution and growth objectives across the assigned national account portfolio
Commercial & Cross-Functional Collaboration
Partner closely 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
Required Qualifications
Bachelor’s degree in healthcare, life sciences, business, or related field
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
Healthcare business development
Required Experience
Demonstrated success influencing commercial payer access outcomes, including favorable medical policy, reimbursement pathways, in-network access, and payer contracting
Proven 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 with demonstrated success in growth-focused, accountable commercial environments
Demonstrated ability to operate independently with high levels of ownership, strong sense of urgency, action biased, 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
Candidates without direct commercial payer engagement and demonstrated payer access success experience will not be competitive for this role.
Strongly Preferred
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
Core Competencies
Hunter mentality with strong commercial instincts
Executive presence and strategic negotiation skills
Independent ownership mindset
Resilience, persistence, and adaptability
Comfort operating in ambiguity and evolving market conditions
Travel: Up to 30%
Compensation: Competitive base salary + performance bonus + equity opportunity + full benefits