Director of Sales, International

Synergy Spine Solutions Inc.; Greater London; Hybrid; GBP 180,000 - 240,000; Full time

Job summary

Synergy Spine Solutions is seeking a Director of Sales (International) to own and grow the business outside the United States. You will lead and scale distributor networks across EMEA, APAC, and Canada, while shaping market access, training, and regional strategy.

Collaborating with Regulatory, Clinical, and Marketing teams, you will drive international revenue growth, manage forecasts, and engage with KOLs and partner societies worldwide, traveling extensively as needed.

Qualifications

• 5+ years of progressive sales leadership in medical devices with international experience.
• Experience managing distributor networks across multiple regions.
• Proven success launching products internationally and navigating regulatory/market access.
• Track record of meeting international revenue targets.
• Strong negotiation skills and experience with distribution agreements.
• Excellent cross-cultural communication.

Responsibilities

• Develop and execute Synergy Spine’s international (OUS) sales strategy and annual operating plan, including revenue targets, market prioritization, and resource allocation.
• Own, manage, and grow the company’s existing distributor network across EMEA, APAC, and Canada (SAP), ensuring distributors meet performance, compliance, and brand standards.
• Identify, evaluate, recruit, and contract new in-country distribution partners in priority growth markets, negotiating agreements that protect margin and support long-term brand positioning.
• Build and manage the international sales forecast and pipeline, providing accurate, timely reporting to the CCO, CEO, and Board of Directors.
• Partner with Regulatory Affairs and Clinical teams to support product registrations, CE marking/other OUS regulatory pathways, and market access activities in target countries.
• Design and implement distributor and surgeon training, certification, and clinical education programs to ensure safe, effective, and consistent product adoption.
• Cultivate relationships with key opinion leaders (KOLs), surgeon champions, and professional societies internationally to drive clinical advocacy and case volume.
• Represent Synergy Spine Solutions at international medical congresses, trade shows, and distributor meetings.
• Monitor competitive dynamics, reimbursement environments, and pricing conditions by region, and adjust strategy accordingly.
• Ensure all international commercial activity complies with the U.S. Foreign Corrupt Practices Act (FCPA), local laws, and company policy.
• Collaborate with Marketing on the development of region-specific sales tools, messaging, and campaigns.
• Build and, over time, lead a lean international sales/support team as the business scales.

Skills

Sales leadership

International/OUS markets

Distributor networks

Negotiation

Cross-cultural communication

Regulatory/market access knowledge

Strategic planning

Travel 60%+

Spine/orthopedics domain

International product launches

Tools

SAP

Job description

Synergy Spine Solutions is a medical device company focused on improving the quality of life for patients undergoing spine surgery. We develop motion-preserving technologies that treat degenerative disc disease while supporting the spine’s natural curvature. Our flagship product, the FDA-approved Synergy Disc ® , is the first and only artificial cervical disc designed to improve sagittal alignment through a built-in 6-degree lordotic core while delivering intentional motion preservation using time-tested, trusted materials. There is over 10 years of clinical experience with the Synergy Disc outside the United States in more than 10 countries, where the device has been commercially available and implanted in thousands of patients.

ABOUT THE ROLE

The Director of Sales (International) will own and grow Synergy Spine Solutions’ business outside the United States (OUS). This is a strategic, hands-on leadership role responsible for the performance of our existing international distributor network, the identification and onboarding of new distribution partners in priority markets, and the development of the commercial infrastructure (training, KOL engagement, pricing, market access support) needed to scale international revenue. The successful candidate will combine strategic sales leadership with the operational discipline required of an early commercial-stage medical device company, and will work closely with the Chief Commercial Officer, CEO, and cross-functional leaders in Regulatory, Clinical, and Marketing.

KEY RESPONSIBILITIES

• Develop and execute Synergy Spine’s international (O.U.S.) sales strategy and annual operating plan, including revenue targets, market prioritization, and resource allocation.
• Own, manage, and grow the company’s existing distributor network across EMEA, APAC, and Canada (SAP), ensuring distributors meet performance, compliance, and brand standards.
• Identify, evaluate, recruit, and contract new in-country distribution partners in priority growth markets, negotiating agreements that protect margin and support long-term brand positioning.
• Build and manage the international sales forecast and pipeline, providing accurate, timely reporting to the CCO, CEO, and Board of Directors.
• Partner with Regulatory Affairs and Clinical teams to support product registrations, CE marking/other OUS regulatory pathways, and market access activities in target countries.
• Design and implement distributor and surgeon training, certification, and clinical education programs to ensure safe, effective, and consistent product adoption.
• Cultivate relationships with key opinion leaders (KOLs), surgeon champions, and professional societies internationally to drive clinical advocacy and case volume.
• Represent Synergy Spine Solutions at international medical congresses, trade shows, and distributor meetings.
• Monitor competitive dynamics, reimbursement environments, and pricing conditions by region, and adjust strategy accordingly.
• Ensure all international commercial activity complies with the U.S. Foreign Corrupt Practices Act (FCPA), local laws, and company policy.
• Collaborate with Marketing on the development of region-specific sales tools, messaging, and campaigns.
• Build and, over time, lead a lean international sales/support team as the business scales.

QUALIFICATIONS

Required

• 5+ years of progressive sales leadership experience in medical devices, with significant direct experience managing international/OUS markets and distributor networks.
• Demonstrated track record of building, managing, and growing distributor relationships across multiple countries or regions.
• Experience in spine, orthopedics, or related surgical implant categories.
• Proven success launching products in international markets and navigating OUS regulatory/market access processes.
• Track record of consistently meeting or exceeding international revenue targets.
• Strong commercial negotiation skills and experience structuring distribution agreements and pricing frameworks.
• Excellent cross-cultural communication and relationship-building skills.
• Willingness and ability to travel internationally 60% or more.

Preferred

• Experience with cervical or lumbar motion-preservation technology (artificial disc replacement).
• Existing relationships with spine distributors and surgeon KOLs in Europe and/or Asia-Pacific.
• Prior experience in a small or emerging growth-stage medical device company scaling from limited to broad commercial infrastructure.