Senior Manager, Market Access, Reimbursement

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $145.6k - $218.4k / year

⏰ Full Time

🟠 Senior

👔 Manager

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GE HealthCare

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1892

💊 Pharmaceuticals

Healthcare • Medical Technology • Pharmaceuticals

GE HealthCare is a leader in precision care, dedicated to providing innovative technologies and integrated solutions that enhance healthcare services. As a stand-alone company, it focuses on imaging, ultrasound, and healthcare IT, empowering clinicians and improving patient outcomes through advanced medical technologies and personalized care solutions. With a significant investment in research and development, GE HealthCare aims to transform healthcare by making hospitals more efficient and therapies more precise.

📋 Description

• 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.

🎯 Requirements

• 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

🏖️ Benefits

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