Manager, Market Access and Reimbursement

Accountabilities:

• Serve as a reimbursement subject-matter expert for Sales teams and their agencies, providing education on U.S. coding, coverage, payment, contracting, and reimbursement considerations.
• Deliver reimbursement training through in-person sessions, virtual meetings, and on-demand consultations.
• Partner with Marketing, Sales, Product Management, and Regulatory teams to anticipate market needs and support the development of customer-facing resources, economic models, and reimbursement tools.
• Collaborate with Sales leadership to identify and prioritize customer engagements, providing education and value-based messaging designed to support patient access.
• Develop and execute market access, reimbursement, and value-based strategies aligned with broader commercial objectives.
• Build and maintain relationships with physician champions and other key stakeholders who can support payer and intermediary interactions.
• Support the execution of field reimbursement initiatives and broader market access strategies.
• Monitor reimbursement-related opportunities and challenges across the assigned territory and provide relevant insights to internal stakeholders.
• Ensure activities comply with applicable policies, regulations, and organizational compliance standards.
• Manage multiple priorities and projects while maintaining responsiveness and a strong sense of urgency.
• Travel regularly throughout the assigned territory and, when required, other areas of the United States.

Requirements

• 5+ years of experience in healthcare delivery or administration, health insurance, medical devices, or a closely related healthcare environment.
• Bachelor’s degree required; a Master’s degree or other advanced qualification is a plus.
• Experience in orthopedic medical devices and/or field reimbursement is preferred but not required.
• Strong knowledge of medical device billing and coding, including CPT, HCPCS, and ICD-10.
• Detailed understanding of payer coverage requirements, prior authorization, claims submission, adjudication, and appeals processes.
• Knowledge of U.S. healthcare policy, payment systems, and contracting methodologies, including Medicare and commercial payers across inpatient, outpatient, physician office, ASC, and HOPD settings.
• Certified Professional Coder (CPC) certification is a plus.
• Ability to explain complex reimbursement, coding, coverage, and contracting concepts clearly and effectively to both individuals and groups.
• Strong customer service, account management, interpersonal, and relationship-building skills, with the ability to influence stakeholders at multiple organizational levels.
• Demonstrated ability to manage multiple projects and workstreams, establish priorities, and deliver results in a dynamic environment.
• Comfortable working independently with minimal supervision while also contributing effectively to functional and cross-functional teams.
• Adaptable and comfortable navigating ambiguity and changing business requirements.
• Experience using CRM platforms such as Salesforce, Microsoft Office Suite, and analytics or business intelligence tools.
• Strong communication skills, responsiveness, sound judgment, and a proactive approach to problem-solving.
• Valid driver's license with a clean motor vehicle record and ability to travel throughout the United States by air, train, or vehicle.

Benefits

• Salary range of $136,000–$170,000.
• Medical, dental, and vision insurance.
• Company-provided life insurance and voluntary life insurance options.
• Flexible Spending Account (FSA).
• Supplemental insurance options, including accident, cancer, hospital, and critical illness coverage.
• Matching 401(k) retirement plan.
• Annual bonus opportunity.
• Wellness incentive program.
• Gym reimbursement program.
• Tuition reimbursement program.
• Paid parental leave.
• Paid time off and volunteer PTO.
• Employee Assistance Program (EAP).
• Trip of a Lifetime program.
• Eligibility for a discretionary long-term incentive program.
• Remote work environment with opportunities for cross-functional collaboration and professional development.