Director of Reimbursement

Key Responsibilities

• Own coding, coverage, and payment strategy for assigned products, from launch through lifecycle
• Track and interpret CMS rules (OPPS, PFS, IPPS), LCDs, and commercial payer policy changes
• Prepare coding/payment submissions to CMS, AMA CPT panel, and other bodies
• Be the internal expert for reimbursement questions from Sales, Marketing, and customers
• Build payer, medical society, and where applicable governmental relationships to advocate for favorable coverage
• Partner with the Finance team, Clinical, Legal, and Med Affairs to close evidence gaps for coverage decisions
• Spot reimbursement trends and competitive shifts; brief Senior Leadership team on impact
• Support field teams on denials/appeals guidance and training materials
• Represent the company at coding committee meetings, government hearings, conferences, and payer engagements in the best way possible to drive increased market access for patients

Qualifications

• Bachelor's degree; MBA/MPH/MHA a plus
• 10+ years in reimbursement, market access, or health policy with the majority spent in the medical device space
• Fluent in CPT/HCPCS/ICD-10 coding and CMS payment methodologies
• Proven success in coverage expansion working directly with private and public payers on coverage for new product launches, label expansions, or newly approved clinical indications.

Pay & Benefits

$172-$228K Base - Compensation will be determined based on several factors, including but not limited to skill set, years of experience, and geographic location.

Benefits:

• Medical, Dental & Vision Insurance
• Voluntary Life
• 401KRSU
• 529 plan
• ESPP Program
• Health & Wellness Program
• Generous Paid Time Off plus eleven paid holidays
• FSA & Commuter Benefits

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