[Hiring] Director of Market Access & Reimbursement Strategy @Saluda Medical

Role Description

The Director of Market Access & Reimbursement Strategy will lead Saluda's U.S. market access, coverage, and reimbursement strategy, with direct ownership of the Smart Access Reimbursement program. This leader will ensure patients and providers have a clear, reliable path to therapy access from prior authorization through payment, while building the payer strategies, evidence narratives, and value-based contracting frameworks that position Saluda's closed-loop technology for long-term commercial success.

This is a high-visibility role reporting to the VP of Marketing, working cross-functionally with Sales, Clinical, Regulatory, and Finance, and engaging directly with payers, providers, and policy stakeholders.

What You’ll Do:

• Smart Access Reimbursement Program
  • Own, manage, and continuously improve the Smart Access Reimbursement program, including prior authorization support, appeals strategy, benefit investigation, and case escalation pathways.
  • Define program KPIs (approval rates, turnaround times, denial overturn rates) and report performance to commercial leadership.
  • Manage vendor and hub-services relationships supporting the program; ensure field teams and provider offices are trained and supported.
  • Serve as the escalation point for complex access cases and emerging payer barriers.
• Payer & Reimbursement Strategy
  • Develop and execute national and regional payer strategies to establish, maintain, and expand coverage for SCS and closed-loop therapy.
  • Monitor and shape coding, coverage, and payment dynamics (CPT/HCPCS, DRG/APC, physician fee schedule) across commercial, Medicare, and Medicaid channels.
  • Track and respond to CMS policy developments, including the Ambulatory Specialty Model (ASM) and other value-based initiatives affecting the chronic pain and neuromodulation space.
  • Lead development of value-based and shared-risk contracting frameworks that leverage Evoke's objective ECAP data as a differentiator.
• Evidence & Value Communication
  • Lead the translation of clinical and real-world evidence into payer-facing value dossiers, objection handlers, and coverage advocacy materials.
  • Support medical policy engagement, including responses to draft policies, technology assessments, and payer advisory interactions.
  • Build and manage relationships with relevant medical societies (e.g., NANS, INS, ASPN, ASIPP) to advance coverage advocacy, coding initiatives, and clinical guideline development supporting SCS access.
  • Equip Sales and field reimbursement resources with tools, training, and messaging to navigate access conversations confidently.
• Cross-Functional & Team Leadership
  • Collaborate with Marketing, Sales, and Therapy Awareness teams to integrate access messaging into commercial campaigns and launch plans.
  • Build and mentor market access talent as the function scales; manage direct reports and/or contracted field reimbursement resources as assigned.
  • Represent Saluda with professional societies, coalitions, and industry groups on reimbursement and policy matters.

Qualifications

• Bachelor's degree; advanced degree (MBA, MPH, MHA, JD) preferred.
• 10+ years of progressive experience in medical device market access, reimbursement, or payer strategy; neuromodulation, spine, or interventional pain experience strongly preferred.
• Demonstrated success managing a reimbursement support / hub-services program, including vendor oversight and KPI management.
• Deep working knowledge of U.S. coding, coverage, and payment systems across sites of service (hospital outpatient, ASC, physician office).
• Experience engaging payers directly on medical policy, coverage expansion, and contracting.
• Familiarity with CMS payment models and value-based care trends.
• Strong cross-functional leadership and executive communication skills.

Preferred

• Experience launching or defending coverage for a novel Class III device or breakthrough technology.
• Prior work on value-based or risk-sharing agreements using device-generated objective data.
• Established payer and specialty-society relationships in the pain management space.

Competencies for Success:

• Strategic and hands-on: comfortable setting payer strategy and personally driving a stuck prior auth to resolution.
• Data-driven storyteller: converts clinical evidence and program metrics into narratives that move payers and executives.
• Cross-functional connector: builds trust quickly across Sales, Clinical, and Finance.
• Bias for action: thrives in a growth-stage company where the playbook is still being written.

Our Core Values:

• People – Our first responsibility is to the patients we serve.
• Integrity – Do the right thing.
• Pioneering – Lead Boldly, Change Lives, Disrupt the Status-Quo.
• Performance – Win together – Deliver with Excellence.

Saluda Medical embraces diversity and equal opportunity. We are committed to building a team representative of a variety of backgrounds, perspectives and skills. We believe people are the source of our inspiration and innovation.

Saluda Medical does not accept non-solicited resumes or candidate submittals from search/recruiting agencies not already on Saluda Medical’s approved agency list. Unsolicited resumes or candidate information submitted to Saluda Medical by search/recruiting agencies not already on Saluda Medical’s approved agency list shall become the property of Saluda Medical.