Sr Manager, Commercial Technology & Enablemen

This position is onsite in the San Diego office.

Mainstay Medical is a medical device company focused on marketing an innovative implantable neurostimulation system, ReActiv8®, for people with disabling chronic mechanical Low Back Pain. The company is headquartered in Dublin, Ireland, with subsidiaries operating in the United States, Australia, the United Kingdom, and Germany.

The Senior Manager, Commercial Technology & Enablement is responsible for owning, scaling, and continuously optimizing the commercial technology ecosystem that supports Sales, Marketing, Patient Access, Prior Authorization, Case Management, and Analytics. This role is responsible for strategy, operational execution, and technology enablement, ensuring that commercial tools are thoughtfully aligned and designed across functions, efficiently deployed, consistently adopted, and measurably impactful.

This individual will operate as both a strategic leader and a hands‑on executor, capable of moving quickly in a dynamic environment while maintaining structure, governance, and long‑term vision. Success in this role requires the ability to translate complex and evolving business needs into clear technical solutions, prioritize competing demands, and proactively communicate direction, progress, and trade‑offs.

Salesforce will serve as a foundational platform, but this role spans a broader commercial technology ecosystem that may include payer portals, field intelligence tools, marketing tools, analytics and business intelligence platforms, automation solutions, and integrated downstream systems. The Senior Manager will be accountable not only for delivery, but for adoption, data integrity, and realized business outcomes.

• Own the end‑to‑end commercial technology roadmap, from intake and prioritization through delivery, deployment, and post‑launch optimization.
• Translate high‑level commercial objectives and operational challenges into structured, executable technology initiatives with clear scope, timelines, dependencies, and success metrics.
• Balance near‑term execution needs with longer‑term platform scalability, technical debt management, and future‑state architecture.
• Proactively communicate roadmap priorities, sequencing, and changes to stakeholders to ensure transparency, alignment, and realistic expectations.
• Establish and maintain decision rights and governance structures to reduce ambiguity, minimize ad‑hoc requests, and drive disciplined execution.

• Serve as the strategic owner and solution architect for Salesforce and related commercial systems.
• Ensure system design reflects how teams actually work in the field and operationally, not just theoretical best practices.
• Lead continuous optimization of objects, workflows, automation, dashboards, and integrations to support commercial performance.
• Partner closely with Sales Operations, Patient Access, Case Management, Marketing, Reimbursement, Finance, and IT to ensure systems enable efficient, compliant, and scalable ways of working.
• Evaluate emerging tools and technologies to determine fit, value, and integration potential within the broader commercial ecosystem.

• Establish and manage a formal intake process for new technology requests, enhancements, and issues.
• Create clear expectations around scope, timing, and ownership for all approved initiatives.
• Drive accountability through completion, ensuring work does not stall or drift without resolution.
• Implement structured follow‑up mechanisms post‑deployment to confirm solutions are being used as intended and are delivering value.
• Reduce rework and repeated one‑off requests by standardizing solutions and reinforcing consistent ways of working.

• Enforce data accuracy, reliability, and governance standards across all commercial systems.
• Partner with Leadership & Finance to define and maintain KPIs that demonstrate operational efficiency, asset utilization, adoption, and business impact.
• Ens…