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FloodGate Medical
2026-2027 MedTech Compensation Guide

National Accounts

National account success extends beyond securing a contract. Leaders must connect enterprise agreements with local adoption, utilization, and measurable customer value.

For 2026-2027 planning, evaluate national account talent against contracting complexity and coordination across commercial, clinical, and market access teams. Incentives should recognize adoption, utilization, and sustainable account performance.

National Accounts Manager and Director

National Accounts Manager

$185k
Average total compensation
$155k
Average base salary
Base salary range
$135k to $205k
Total compensation range
$180k to $280k

National Accounts Director

$255k
Average total compensation
$190k
Average base salary
Base salary range
$150k to $220k
Total compensation range
$195k to $300k

The definition

The individuals considered for these roles are tenured sales people with 2 years or more focusing on the institutional sale of IDN and/or Payors for contracting. These two position types have two very distinct customer segments but the role of contracting and driving adoption/utilization of the contracts they negotiate are very similar. The manager role is an individual contributor while the director role oversees a small team.

VP of National Accounts

Vice President of National Accounts

$320k
Average total compensation
$220k
Average base salary
Base salary range
$200k to $250k
Total compensation range
$250k to $400k

The definition

A VP of National Accounts is a senior commercial leader responsible for driving strategic relationships and revenue growth across the organization's most important customers, typically Integrated Delivery Networks (IDNs), Group Purchasing Organizations (GPOs), national hospital systems, and large distributors.

The market

A VP of National Accounts aligns enterprise relationships, contracting strategy, and field execution. Evaluate experience navigating complex purchasing structures, building senior stakeholder relationships, and translating agreements into adoption. Account scope and concentration should inform compensation.

Compensation

Benchmark packages against portfolio size, revenue responsibility, contracting complexity, and team leadership. Examine how incentives reward contract wins, utilization, retention, and margin. Validate current expectations for the specific role rather than assuming a uniform annual increase.

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