Koya Medical, Inc.

Compensation

Full Description

Koya is always looking for curious and passionate individuals who want to join a fast-paced team for a career in transforming venous and lymphatic care through innovative people-centric technologies that improve lives and empower self-care. Koya values integrity, humility, hard-work, camaraderie, and fun. We offer a base + bonus compensation package, and a competitive benefits program. About Koya Medical Koya Medical, a privately held company founded in 2018, is a transformative healthcare company developing breakthrough treatments for venous diseases and lymphedema to enable joint contractions, patient mobility, and personalized care that is unavailable with traditional compression therapy. Koya is always looking for curious and passionate individuals who want to join a fast-paced team for a career in transforming venous and lymphatic care through innovative people-centric technologies that improve lives and empower self-care. Koya values integrity, humility, hard-work, camaraderie, and fun. We offer a base + bonus compensation package, and a competitive benefits program. Description The Regional Account Manager is responsible for securing and expanding payer access for Koya products by engaging directly with commercial health plans and Medicaid Managed Care Organizations across the assigned region. This role focuses on achieving favorable medical policy, in-network status, and reduced access barriers to ensure patients and providers can fully benefit from Koya’s technology. The position plays a critical role in building and sustaining strong, strategic relationships with key regional payers. Success requires frequent engagement with senior medical directors, contracting leaders, and other health plan decision makers, as well as close collaboration with the Koya leadership team. Exceptional communication, strategic thinking, and presentation skills are essential. This position will report to the Senior Director, Market Access. The role is full-time and remote, Western US. Essential Duties and Responsibilities The essential functions include, but are not limited to the following: • Develop and execute payer access strategies for assigned regional health and Managed Medicaid plans. • Engage key medical policy stakeholders to drive adoption and coverage of Koya’s products • Engage key payer contracting stakeholders to negotiate and establish in-network contracts for Koya’s products • Identify and resolve coverage and prior authorization barriers to product adoption and utilization • Serve as the primary point of contact for payer decision makers (medical directors, contracting, network management, policy teams) • Develop strong relationships with targeted payers and build a working knowledge of their key processes including medical policy, utilization review, provider contracting, quality management, and claims processing. • Partner with Payer Relations/Payer Operations teammates for the development and execution of payer coverage, reimbursement, pricing, and contracting strategies in order to ensure commercial viability and improve patient access to novel therapies. • Design and implement strategies that leverage KOL’s, patient advocacy groups, state regulations and clinical and economic data to secure favorable medical policy and coverage decisions from payer • Monitor competitors’ strategies and market dynamics to identify opportunities and threats in payer contracting and medical policy. Use insights to inform strategy and stay ahead in the market. Education, Experience and Training • Bachelor’s degree in Life Science, Healthcare, Business or related field. • Minimum of 5 years of experience in market access, payer contracting, reimbursement strategy, or related roles within the medical device/diagnostics/pharmaceutical industry. • Demonstrated success securing positive medical policies, and driving in-network contracting with regional payers. • Deep understanding of medical policy development, credentialing, contracting, and reimbursement processes across commercial, Medicare and Medicaid programs. • Proven ability to manage multiple payer accounts and projects simultaneously with a focus on achieving measurable results. • Strong clinical acumen with the ability to effectively communicate clinical and economic value to medical directors and other key payer stakeholders • Excellent negotiation, communication, presentation, and relationship-building skills. • Strong analytical skills with the ability to analyze payer trends, competitive dynamics, and market access opportunities to inform strategy. • Strategic mindset with the ability to work independently and drive results. • Strategic, self-motivated, and results-driven, with strong problem-solving abilities and attention to detail. • Ability to adapt to the fast-changing healthcare and reimbursement environment. • Must be able to travel at least 30% of the time Tools and Technology G Suite, Microsoft Office Suite, Adobe, Salesforce CRM, etc. Physical Functions and Work Environment The physical functions described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers; handle or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is usually low to moderate. Note This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other jobrelated instructions and to perform any other job-related duties requested by any Koya manager authorized to provide instruction or assign work. Duties, responsibilities, and activities may change at any time with or without notice. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship. Koya Medical, Inc. is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote Salary $150,000 - $160,000 per year