The Director, US Payer Development will be responsible for spearheading the establishment and advancement of a Payer-focused channel within the U.S. market and exploring diverse commercial models. This position will play a crucial role in shaping the future of healthcare delivery while making a meaningful impact on patient outcomes.
Let's talk about the role
Responsible for exploring, building and driving new Payer solutions within the U.S. market.
Explore various commercial models and viability with key payer types (commercial payers, self-funded payers etc) within the U.S. market (non-government). Works in partnership with Market Access to deliver.
Conduct thorough market research to identify trends, opportunities, and challenges in the US healthcare payer landscape. Analyze competitor offerings and industry dynamics to inform a strategy and execution plan.
Cultivate and maintain strong relationships with key payers, and managed care organizations in the U.S. Establish partnerships and collaborations that enhance the company's presence and influence within the payer space.
Work with the relevant teams required to build solutions that streamline and improve treatment for sleep and respiratory care patients.
Lead contract negotiations with payers (as required). Work with Legal, Finance, Market Access teams to ensure compliance and mitigate risks.
Develop and lead pilots to develop and prove out payer offers and programs.
Bring together cross-functional groups of capabilities at the right time to execute various stages of the Payer Development strategy
Work in close partnership with the Sales organization to drive value for customers.
Let's talk about you
Top Skills
Commercial and Business acumen – Possess a deep understanding of market dynamics, customer behaviors, and financial principles, enabling effective decision-making that optimizes business performance and drives sustainable growth.
Strategic Thinking - Thinks big picture and is able to strategically think through how channel evolution (including maintenance of existing channels) can benefit the entire market not just their own area.
Change management – Able to effectively work with teams through channel conflict and build the desire for channel diversification across markets.
Highly collaborative – Acts as an incubator of channels, and works across marketing, sales, product and functions to pilot new channels whilst balancing channel conflict and driving business performance.
Established relationships and expertise – Have a network of payers to call on and relationships to leverage as we build offerings and get feedback.
Mindsets & Behaviors
Build Relationships (Collaboration): Establish connections with others to accomplish work.
Develop people: Help others become more effective through strengths, expectations, encouragement and coaching.
Lead Change: Recognize that change is essential, set goals for change and lead purposeful adaptations to work that align with a stated vision.
Inspire others: Inspire others through vision, confidence, challenge and recognition.
Think critically: Seek information, critically evaluate information, apply knowledge and solve problems.
Communicate clearly: Listen, share information concisely with purpose, and be open to opinions.
Create accountability: Hold self and others responsible for performance.
We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the world’s best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance.
Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.
Individual pay decisions are based on a variety of factors, such as the candidate’s geographic work location, relevant qualifications, work experience, and skills.
At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range for this position is:
Total Base Pay Range
182,000- 274,000USD Annual
Subject to the absolute discretion of the company, this role is eligible for an annual cash bonus payment based on company, business unit, and/or individual performance.
#LI-CF #LI-CB1
Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.