Sr. Director, Payer Relations

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Senior Management Plymouth, MN, US

2 days ago Requisition ID: 1322

Salary Range: $225,000.00 To $275,000.00 Annually

HistoSonics is a commercial-stage medtech company advancing the Edison® System, a novel non‑invasive sonic beam therapy based on histotripsy. Since receiving FDA De Novo grant for the non‑invasive destruction of liver tumors in 2023, the company has progressed beyond initial market entry into commercial expansion, reimbursement momentum, and ongoing clinical and pipeline development. In addition to its current liver tumor indication, HistoSonics is pursuing future indications across multiple applications including kidney, pancreas, prostate, neuro, women’s health, and other significant underserved human health areas, to realize the broader potential histotripsy across multiple disease states and medical specialties.

We offer an exciting work culture where cutting‑edge science meets real‑world application, and each team member’s contribution is important to our success in ensuring our physicians and their patients get what they need most.

Location: Plymouth, MN - Hybrid

Position Summary (Why this role matters)

The Senior Director, Payer Relations is a strategic leadership role responsible for setting and driving HistoSonics' national payer engagement strategy to advance coverage and physician payment, enabling patient access and commercial adoption of HistoSonics' histotripsy technology, with an initial focus on the liver indication. This leader serves as the senior payer strategy executive for HistoSonics, setting the direction that aligns provider and patient needs, clinical evidence, and economic value narratives to shape favorable coverage and reimbursement policy nationally. The Senior Director builds and leads a team of Payer Relations Managers, is accountable for the strategic relationships with providers, medical societies, and advocacy entities that support payer coverage, and partners at the executive level with field reimbursement, prior authorization, sales, and account management leadership, as well as externally with providers, medical societies, legislative entities, and advocacy organizations. Working cross‑functionally with senior leadership across HistoSonics, this position is the organization's principal strategic authority on payer‑related issues.

Key Responsibilities (What you’ll do)

• Own and drive HistoSonics' national payer relations strategy across commercial insurers, Medicare, Medicaid, Medicare Advantage, and self‑funded plans, setting the strategic direction for coverage and reimbursement of histotripsy across current and future indications.
• Build, lead, and develop a team of Payer Relations Managers, setting priorities, coaching performance, and ensuring consistent execution of payer strategy across geographies and accounts.
• Serve as the senior payer engagement executive for HistoSonics, representing the company in high‑level negotiations and relationship‑building with national and regional payer medical and policy leadership.
• Anticipate and respond to payer medical policy reviews, technology assessments, and coverage determinations at a national level, directing escalation strategy for complex or precedent‑setting coverage decisions.
• Cultivate and manage executive‑level relationships with medical societies, key opinion leaders, patient advocacy organizations, and legislative and regulatory bodies to advance favorable, durable payer policy.
• Direct the creation of payer‑facing advocacy strategy, materials, and evidence tools, ensuring consistency and impact across the organization.
• Own budget, planning, and resource allocation for the payer relations function, and report progress, risks, and opportunities to VP of Reimbursement.
• Design and deliver training, playbooks, and strategic guidance to internal teams on payer policy, coverage trends, and advocacy execution.

Qualifications and Skills

• Bachelor's degree required; Master's degree or MBA preferred.
• 12+ years of progressive experience in field reimbursement, payer relations, and market access, including significant experience in a strategic or leadership capacity.
• 5+ years of people leadership experience, with a demonstrated ability to build, manage, and develop high‑performing teams.
• 5+ years of experience with Category III CPT codes,
• Deep, national‑level understanding of U.S. reimbursement systems and evolving reimbursement pathways for new and emerging technologies; oncology experience strongly preferred.
• Demonstrated track record of influencing national and regional payer coverage and reimbursement decisions for medical devices or new and emerging technologies with Category III CPT codes.
• Established relationships with medical societies, professional associations, patient advocacy organizations, and legislative entities, with experience shaping policy at a national level.
• Experience directing the development of payer documentation and value narratives that clearly communicate clinical, economic, and value‑based evidence to payers and healthcare stakeholders.
• Exceptional executive presence and communication skills, with a proven ability to influence C‑suite, board‑level, and senior payer and provider audiences.
• Strong business and financial acumen, including experience owning budgets and resource planning for a strategic function.
• Demonstrated ability to lead cross‑functionally and align multiple senior stakeholders around a shared strategy.

Benefits:

We offer a comprehensive benefits package for full‑time employees. This includes health, dental, and vision insurance, life, short‑term and long‑term disability insurance, 401(k), paid time off, and more.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

U.S. Work Authorization & Sponsorship:

Employer will not sponsor visas for position.