PRIA Healthcare

Compensation

Full Description

Position Overview The Director of Payer Engagement leads PRIA’s efforts to support MedTech clients in advancing coverage, reimbursement, and policy objectives across the U.S. payer landscape. This individual contributor will leverage both PRIA’s extensive payer relationships and their own established network within national and regional commercial payers, integrated delivery networks, independent physician associations, and government programs to advocate for client technologies and guide strategic payer interactions. The Director will cultivate, strengthen, and expand relationships with key opinion leaders and influential stakeholders across payer organizations and the broader MedTech community. They will provide high-level, data-driven insights; identify payer trends; and ensure that engagement strategies are aligned with each client’s goals, evidence strategy, and commercialization milestones. This role partners closely with PRIA’s Market Access, Reimbursement, and Health Economics teams to shape comprehensive payer engagement strategies and oversee their execution. The Director will also manage the operational and administrative aspects of a portfolio of client engagements, ensuring exceptional service delivery, strategic alignment, and consistent communication with both internal teams and clients. Key Responsibilities • Lead and support specific payer engagement initiatives, leveraging existing relationships to influence policy development and reimbursement strategies across national and regional commercial payers, integrated develivery networks, independent physician associations, and Government payers. • Establish and strengthen relationships with key opinion leaders (KOLs) and influential stakeholders within payer organizations and the MedTech community. • Analyze and present data-driven insights, identifying trends and ensuring payer engagement programs align with client goals. • Collaborate with PRIA’s Market Access team to develop and communicate strategic plans, tactics, and payer engagement initiatives. • Work cross-functionally with PRIA’s Reimbursement, Health Economics, and Market Access teams to ensure comprehensive strategy execution. • Manage administrative tasks associated with overseeing a portfolio of clients. Qualifications • Bachelor’s degree required; advanced degree preferred. • Demonstrated success in securing payer policies and contract terms that establish medical technology as medically necessary. • 5+ years of experience in market access, preferably in a consulting capacity (MedTech). • Strong expertise in the development of medical policies, evidence generation, and utilization management guidelines. • Experience collaborating with internal teams (e.g., billing, coding, patient access programs) to resolve coding and coverage challenges. • Excellent communication and interpersonal skills, with the ability to confidently guide clients, articulate value propositions and clinical data to influence payer decision-making. • Strong analytical skills to interpret data, identify trends, and develop actionable insights. • Results-driven mindset, committed to exceeding client expectations and delivering measurable outcomes. • Problem-solving ability, with a proactive approach to identifying client challenges and recommending solutions.