Director of Reimbursement
About The Position
NeuroPace is a commercial-stage medical device company focused on transforming the lives of people suffering from epilepsy by reducing or eliminating the occurrence of debilitating seizures. Its novel and differential RNS System is the first and only commercially available, brain-responsive platform that delivers personalized, real-time treatment at the seizure source. NeuroPace is seeking a Director of Reimbursement to join the Accounting & Finance team. Reporting to the CFO, the Director of Reimbursement drives coding, coverage, and payment strategy for NeuroPace. This individual will be the company's go-to reimbursement and market access expert, advising the Executive Team, Sales, Marketing, and Clinical, engaging payers directly, and shaping how providers get paid for NeuroPace products. This is an individual contributor role with no direct reports. The 'Director' leveling reflects a need for deep expertise, ability to influence at all levels inside and outside the organization, and executive presence.
Requirements
- 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.
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
Benefits
- Medical, Dental & Vision Insurance
- Voluntary Life
- 401K
- RSU
- 529 plan
- ESPP Program
- Health & Wellness Program
- Generous Paid Time Off plus eleven paid holidays
- FSA & Commuter Benefits
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What This Job Offers
Job Type
Full-time
Career Level
Director
