Manager, Market Access – Reimbursement

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist in the formulation and implementation of market access and reimbursement strategies for icobrain within the U.S. market.

• Analyze coding, coverage, payment, and reimbursement factors that impact customer and patient access.

• Convert reimbursement and payer data into actionable insights for internal business teams.

• Identify barriers to access, assess potential solutions, and facilitate their execution.

• Keep abreast of developments in CMS, Medicare Administrative Contractor, commercial payer, coding, and reimbursement policies.

• Leverage data, research, and stakeholder perspectives to prioritize market access initiatives.

• Aid in fostering relationships with commercial and government payers, providers, medical societies, advocacy groups, and other healthcare stakeholders.

• Create materials for payers that effectively communicate icobrain’s clinical, economic, and patient-related value.

• Collaborate with Clinical, Commercial, Evidence Generation, HEOR, Advocacy, and additional teams.

• Prepare for and engage in discussions with payers, providers, and customers.

• Gather stakeholder input and translate it into actionable recommendations and follow-up tasks.

• Develop resources, presentations, guides, tools, and educational materials related to reimbursement.

• Offer guidance on inquiries related to reimbursement, coding, coverage, and payment.

• Facilitate training for internal teams concerning reimbursement pathways and market access factors.

• Research and interpret ICD-10-CM, CPT, HCPCS, CMS, and payer-specific guidelines.

• Analyze coding and policy changes and communicate their business implications.

• Advance reimbursement and market access initiatives from concept to execution.

• Manage multiple priorities, take ownership of projects, and contribute to the development of new processes and tools.

• Drive progress through collaboration rather than relying solely on direct reporting authority.

⛳️ Requirements

• Bachelor’s degree in healthcare, health policy, life sciences, engineering, business, health economics, public health, or a related discipline.

• At least 5 years of pertinent experience in U.S. healthcare, medical devices, diagnostics, digital health, pharmaceuticals, biotechnology, health technology, or a similar environment.

• A minimum of 2 years of direct experience in U.S. reimbursement, market access, coding, coverage, payment, payer strategy, health policy, or a closely aligned field.

• Proficient knowledge of the U.S. healthcare reimbursement landscape, including coding, coverage, payment, and payer factors.

• Experience in supporting or leading projects that necessitated research, analysis, stakeholder coordination, and implementation.

• Capability to convey complex information clearly to diverse audiences.

• Strong analytical, problem-solving, interpersonal, and organizational abilities.

• Proven ability to adapt quickly, manage shifting priorities, and function effectively in a dynamic environment.

• Ability to work independently while maintaining close collaboration with cross-functional partners.

• Must possess legal authorization to work in the United States.

• Must successfully pass a drug screening, if applicable.

• CPC, CCS, or a relevant certification is advantageous but not mandatory.

🏝️ Benefits

• Performance-based incentive compensation, which may include cash bonuses and/or long-term incentives (LTI).

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Paid time off.

• 401(k) plan with opportunities for employee and company contributions.

• Life insurance.

• Disability insurance.

• Accident insurance.

• Tuition reimbursement.

• Professional development opportunities.

• Relocation assistance is not available.