Director, Market Access Strategy

iRhythm Technologies, Inc. is a leading digital healthcare company shaping a future where everyone can access the best possible cardiac health solutions. They are seeking a strategic Director, Market Access Strategy to drive payer contracting strategy for emerging diagnostic technologies and lead complex payer strategy initiatives to support access and revenue growth.

Responsibilities:

• Lead the development and execution of payer strategies across Commercial, Medicare Advantage, Managed Medicaid, and employer segments to support access, adoption, and revenue growth
• Monitor and synthesize emerging reimbursement, contracting, and policy trends across diagnostics and healthcare technology; translate insights into actionable strategic recommendations
• Conduct competitive and market landscape analyses to inform contracting strategies, pricing approaches, and payer positioning
• Serve as a subject‑matter expert and strategic advisor to Market Access and senior stakeholders on payer dynamics, reimbursement innovation, and market opportunities
• Independently design, negotiate, and execute innovative payer contracts, including value‑based care, outcomes‑based agreements, shared savings, subscription models, and episodic/bundled arrangements
• Partner closely with Finance, Pricing, and Commercial Operations to evaluate contract economics, including ROI, margin impact, gross‑to‑net considerations, and risk‑sharing structures
• Develop and maintain financial models and analytical frameworks to assess contract performance and inform negotiation strategies
• Establish and track performance metrics and KPIs to evaluate access, utilization, revenue impact, and clinical/economic outcomes
• Lead payer go‑to‑market planning for new diagnostic solutions and innovation pipeline initiatives, including pilot design and scaling recommendations
• Collaborate with Payer Marketing, HEOR, Clinical, and Legal/Compliance partners to translate clinical and real‑world evidence into compelling, compliant payer value propositions and scientific communications
• Build and maintain senior‑level relationships with payer stakeholders, representing iRhythm as a credible expert in reimbursement innovation
• Influence outcomes in a matrixed environment, aligning cross‑functional teams and external partners around shared objectives without formal authority
• Develop and deliver internal and external thought leadership on payer strategy, reimbursement innovation, and emerging market trends
• Contribute payer and customer insights to enterprise strategy discussions, innovation prioritization, and long‑range planning efforts
• Act as a trusted expert resource on complex payer issues, supporting leadership decision‑making through data‑driven analysis and strategic perspective

Requirements:

• Bachelor's degree required in life sciences, business, public health, or a related field
• 10–12+ years of progressive experience in payer strategy, market access, healthcare consulting, or related fields, with demonstrated enterprise‑level impact as an individual contributor
• Deep expertise in payer contracting, reimbursement strategy, and value‑based care models across commercial and government payers
• Strong financial and analytical acumen, including hands‑on experience with contract modeling, pricing strategy, and economic evaluation
• Proven ability to translate clinical, HEOR, and real‑world evidence into payer‑facing value propositions
• Exceptional communication, negotiation, and executive presence, with the ability to influence senior internal and external stakeholders
• Strategic, data‑driven thinker with the ability to operate independently in complex, ambiguous environments
• Demonstrated ability to drive outcomes through expertise and influence, rather than formal authority
• Master's degree strongly preferred: MBA, MPH, MS, or similar
• Experience in diagnostics, MedTech, digital health, or healthcare innovation strongly preferred
• Licensed clinical background (e.g., PharmD, RN) preferred but not required
• Working knowledge of regulatory and compliance requirements related to scientific and non‑promotional communications is a plus