Director, Payer Relations

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 experience, reimbursement pathways, policy-review cycles, and emerging federal and state developments that may affect access.
• Identify barriers to adoption and create focused action plans to obtain favorable, evidence-based coverage and appropriate payment for eligible patients and providers.
• Partner with reimbursement, coding, and health-policy experts on Medicare, commercial, Medicaid, facility, and physician payment strategies.
• Support engagement with relevant government, payer, and assessment bodies, including health technology assessment organizations when applicable.

Evidence and Value Communication

• Provide payer insights that shape clinical-development, real-world evidence, health-economics, outcomes-research, and evidence-generation priorities.
• Collaborate on payer value propositions, evidence dossiers, payer presentations, budget-impact and cost-effectiveness materials, coding and billing resources, and other access tools.
• Organize and facilitate payer advisory boards, medical-director discussions, executive account meetings, and clinical-expert engagements.
• Communicate field intelligence, policy trends, competitive access developments, and account risks to cross-functional leadership with clear recommendations.

Cross-Functional Execution and Leadership

• Partner with Medical Affairs, Clinical Affairs, Regulatory, HEOR, Marketing, Sales, Patient Access, Legal, Compliance, and Finance to execute integrated market-access plans.
• Coordinate launch-readiness and lifecycle initiatives against defined milestones, dependencies, budgets, and performance measures.
• Train internal stakeholders on payer policy, reimbursement pathways, value messaging, and compliant payer engagement.
• May lead employees, consultants, or project teams, including coaching, performance guidance, resource planning, and budget oversight.

Measures of Success

• Progress toward favorable or improved payer policies and reduction of inappropriate access barriers.
• Quality, reach, and strategic value of payer relationships and executive engagements.

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