Senior Manager, Market Access & Reimbursement

Strategic individual-contributor role leading U.S. reimbursement and market-access efforts for icobrain. Develop and execute payer engagement strategies, influence coverage decisions, and drive patient access through partnerships with payers, providers, and internal stakeholders.

Responsibilities

• 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.
• Influence internal teams including Commercial, Clinical, HEOR, and Advocacy to support access strategies and business objectives.

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.

Preferred Qualifications

• Experience working with U.S. payer organizations and influencing coverage policy decisions.
• Familiarity with electronic health record (EHR) systems.
• Experience creating engaging training and educational content.
• Strong analytical and problem-solving capabilities.
• Experience in imaging, diagnostics, or radiopharmaceuticals.
• Knowledge of the evolving managed care and payer landscape.
• Established relationships with payer or provider organizations.

What Success Looks Like

• Quickly assumes ownership of reimbursement strategy with minimal ramp-up time.
• Successfully develops and implements payer engagement strategies.
• Builds strong relationships with payers and internal teams.
• Drives measurable improvements in coverage, coding, and reimbursement pathways.
• Operates as a trusted expert and strategic leader in market access.

Ideal Candidate Profile

• Strategic thinker with hands-on execution capability.
• Proven track record influencing payer decisions and driving reimbursement outcomes.
• Comfortable operating in a fast-moving, ambiguous environment.
• Strong communicator who can influence without direct authority.
• Passionate about improving patient access to innovative healthcare solutions.

Pay

For U.S.-based positions, the pay range is $145,600.00–$218,400.00 annually. It is not typical for an individual to be hired at or near the top of the range; compensation decisions depend on skills, qualifications, experience, and location. This position may also be eligible for performance-based incentive compensation, including cash bonuses and/or long-term incentives (LTI).

Benefits

• Medical, dental, and vision coverage.
• Paid time off.
• 401(k) plan with employee and company contribution opportunities.
• Life, disability, and accident insurance.
• Tuition reimbursement.