Senior Manager, Market Access & Reimbursement

Key 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.
• Maintain expertise in regional MAC and CMS policy changes and their impact.

Payer & Stakeholder Engagement

• 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.

Reimbursement Education & Support

• 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.

Compliance, Coding & Policy Expertise

• 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.

Cross-Functional Leadership

• 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.