Senior Manager, Market Access, Reimbursement

🕒 Julho 15

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $145.600 - $218.400 / ano

⏰ Tempo Integral

🟠 Sênior

👔 Gerente

🦅 Patrocina Visto H1B

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👻 Score fantasma 15%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of GE HealthCare

GE HealthCare

10.000+ funcionários

Fundada em 1892

🏥 Saúde

💊 Farmacêutico

Healthcare • Medical Technology • Pharmaceuticals

A GE HealthCare é líder em cuidado de precisão, dedicada a oferecer tecnologias inovadoras e soluções integradas que elevam a qualidade dos serviços de saúde. Como empresa independente, tem foco em diagnóstico por imagem, ultrassom e TI em saúde, capacitando profissionais de saúde e melhorando os desfechos dos pacientes por meio de tecnologias médicas avançadas e soluções de cuidado personalizado. Com investimento significativo em pesquisa e desenvolvimento (P&D), a GE HealthCare busca transformar a área da saúde, tornando os hospitais mais eficientes e as terapias mais precisas.

Descrição

• Lead the development and execution of U.S. market access and reimbursement strategies to secure, maintain, and expand payer coverage for icobrain. • Serve as the subject matter expert and strategic lead for reimbursement, partnering cross-functionally to drive business outcomes. • Develop and execute commercial payer account plans to support coverage, coding, and payment optimization. • Actively engage with payers to educate on icobrain’s value proposition and influence coverage decisions. • Monitor and maintain expertise in regional MAC and CMS policy changes and their impact. • Establish and maintain relationships with key stakeholders, decision makers, and influencers across major payer organizations. • Collaborate with Evidence Generation/HEOR and Clinical teams to deliver compelling value propositions, clinical evidence, and economic models to payers and providers. • Partner with U.S. Advocacy to build relationships with patient advocacy groups, physician KOLs, and medical societies to support patient access. • Work closely with the Field Commercial team to address reimbursement questions, provide guidance, and remove access barriers. • Design and deliver targeted reimbursement and coding education to support payer engagement and provider adoption strategies. • Develop educational materials, including manuals, presentations, and e-learning modules. • Serve as a resource for coding and reimbursement-related questions across teams and customers. • Maintain deep expertise in ICD-10-CM, CPT, HCPCS, and payer-specific guidelines. • Conduct coding audits and provide insights to improve accuracy and compliance. • Stay current with CMS regulations, payer updates, and industry best practices. • Partner with clinical documentation improvement (CDI) teams to enhance provider documentation. • Lead initiatives and drive alignment across cross-functional stakeholders without direct reporting authority.

🎯 Requisitos

• Bachelor’s degree in Health Information Management or related field • CPC, CCS, or equivalent certification (required) • Minimum of 10 years of experience in U.S. healthcare, medical device, or pharmaceutical industry • Minimum of 5 years of direct experience in U.S. market access with deep knowledge of reimbursement and payment mechanisms • Strong knowledge of ICD-10-CM, CPT, HCPCS, and CMS guidelines • Proven experience leading reimbursement strategy and implementation • Demonstrated ability to collaborate effectively and lead cross-functional initiatives • Strong problem-solving, decision-making, communication, and presentation skills

🏖️ Benefícios

• medical • dental • vision • paid time off • a 401(k) plan with employee and company contribution opportunities • life • disability • accident insurance • tuition reimbursement

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