Hiring Guide

W2 vs 1099 Medical Sales
What Employers Should Know

The right hiring model depends on your product, sales cycle, and coverage strategy. This guide helps you choose between W2 and 1099 when building or expanding a sales team.

Quick takeaways

W2 = control + long-term growth

Best for complex cycles, training, and consistent territory execution.

1099 = speed + flexible coverage

Great for rapid expansion, niche products, or testing new regions.

Compliance is non-negotiable

Ensure classification and contracting processes are clean.

Comp must match motion

Commission structure should align to cycle length and margins.

When W2 is the best fit

  • You require clinical training or in-services to drive adoption.
  • You have a longer sales cycle and need consistent pipeline management.
  • You want exclusive rep focus and standardized messaging.
  • You need tighter oversight on territories and account strategies.

When 1099 makes sense

  • You want fast coverage in new territories without a full team buildout.
  • You have a focused product line and a clear commission model.
  • You want to validate a market before investing in W2 headcount.
  • You’re leveraging existing rep relationships in a category.

How MedSales Network helps employers

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