Senior Manager, Market Access, Reimbursement

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

📋 Description

• Oversee the creation and implementation of strategies for U.S. market access and reimbursement to obtain, sustain, and enhance payer coverage for icobrain.

• Act as the subject matter expert and strategic leader for reimbursement, collaborating across functions to drive business results.

• Formulate and execute commercial payer account plans to facilitate coverage, coding, and payment enhancements.

• Proactively engage with payers to convey icobrain’s value proposition and influence their coverage determinations.

• Keep abreast of regional MAC and CMS policy developments and their implications.

• Build and nurture relationships with key stakeholders, decision makers, and influencers within major payer organizations.

• Work alongside Evidence Generation/HEOR and Clinical teams to present compelling value propositions, clinical evidence, and economic models to payers and providers.

• Collaborate with U.S. Advocacy to foster connections with patient advocacy groups, physician KOLs, and medical societies to enhance patient access.

• Partner closely with the Field Commercial team to address reimbursement inquiries, offer guidance, and eliminate access obstacles.

• Create and deliver focused reimbursement and coding education to support payer engagement and provider adoption strategies.

• Develop educational resources, including manuals, presentations, and e-learning modules.

• Serve as a resource for coding and reimbursement-related queries across teams and clients.

• Maintain extensive knowledge of ICD-10-CM, CPT, HCPCS, and payer-specific regulations.

• Conduct coding audits and provide insights to enhance accuracy and compliance.

• Stay updated with CMS regulations, payer changes, and industry best practices.

• Collaborate with clinical documentation improvement (CDI) teams to enhance provider documentation.

• Lead projects and foster alignment among cross-functional stakeholders without direct reporting authority.

⛳️ Requirements

• Bachelor’s degree in Health Information Management or a related field.

• CPC, CCS, or equivalent certification (mandatory).

• At least 10 years of experience in the U.S. healthcare, medical device, or pharmaceutical sector.

• Minimum of 5 years of direct experience in U.S. market access with extensive knowledge of reimbursement and payment processes.

• In-depth understanding of ICD-10-CM, CPT, HCPCS, and CMS guidelines.

• Proven track record in leading reimbursement strategy and execution.

• Demonstrated capability to collaborate effectively and spearhead cross-functional initiatives.

• Strong problem-solving, decision-making, communication, and presentation skills.

🏝️ Benefits

• Medical coverage.

• Dental insurance.

• Vision insurance.

• Paid time off.

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

• Life insurance.

• Disability insurance.

• Accident insurance.

• Tuition reimbursement.