Reimbursement Coding & Strategy Director

bioMérieux

5d • $170,000 - $269,800

About The Position

The Reimbursement Coding & Strategy Director leads the development and execution of U.S. coding strategies for new and existing in vitro diagnostic products. The role assesses coding pathways and gaps, defines evidence and documentation requirements, and integrates coding considerations into product development, launch readiness, and lifecycle planning. Working cross-functionally with Market Access, Medical Affairs, Regulatory Affairs, HEOR, Marketing, Government Affairs, and global teams, and alongside the VP Market Access North America, the Director translates complex coding requirements into clear recommendations, implementation plans, and customer-facing resources. The role serves as the organization’s subject-matter expert for diagnostic coding strategy and monitors changes that may affect product access, reimbursement, and commercial execution.

The role leads coding pathway development and applications, supports evidence generation and documentation, and integrates coding into product development, launch, and lifecycle activities. It monitors coding intelligence and industry developments, establishes governance practices and resources, and educates internal stakeholders. The position performs work in compliance with company quality procedures and standards, attends relevant industry organizations, and performs other duties as assigned.

Requirements

• Bachelor's degree in Health Policy, Political Science, Life Sciences, Law, Public Health, Economics, or Business.
• At least 7 years of healthcare experience in clinical laboratory and/or biotechnology industries.
• At least 3 years of Medicare Policy experience.
• Demonstrated knowledge and experience of the U.S. healthcare policy and market access landscape.
• Proven track record in building relationships and advocating for policy changes.
• Strong strategy, innovation, collaboration, and analytical skills.
• Strong communication skills, including leading and creating tailored communications to educate and mobilize stakeholders.
• Deep understanding of the U.S. Market Access environment, including the payer system, coding, payment, coverage, and stakeholder engagement.
• Ability to work independently and collaboratively in cross-functional matrix teams.
• Proactive, self-motivated approach and awareness of broader business needs and implications.
• Ability to prioritize multiple priorities, model leadership behaviors, and build partnerships across functions.
• Highest standards of ethics and integrity.
• Ability to remain stationary, often standing, for prolonged periods.
• Ability to ascend and descend stairs, ladders, ramps, and similar structures.
• Ability to travel domestically 20%.

Nice To Haves

• Advanced degree preferred, such as an MBA or MPH.
• Diagnostic or medical device experience preferred, including familiarity with laboratory diagnostic technologies, regulatory impacts, commercialization, and reimbursement considerations.

Responsibilities

• Lead U.S. coding strategies for pipeline, launch, and on-market diagnostic products.
• Assess CPT, PLA, HCPCS, and ICD-10 coding pathways and recommend options suited to intended use, site of service, and reimbursement objectives.
• Identify coding gaps, risks, dependencies, and decision points during product development and provide actionable recommendations.
• Develop coding roadmaps with milestones, evidence needs, submission timing, ownership, and contingency approaches.
• Evaluate whether existing codes are appropriate or a new or revised code may be needed, documenting rationale, business impact, and implementation considerations.
• Adjust coding strategies for existing products in response to product changes, utilization patterns, coding updates, or reimbursement barriers.
• Lead or coordinate coding applications, supporting narratives, technical documentation, and evidence packages with relevant internal experts.
• Define clinical, technical, utilization, and economic evidence needs for coding objectives and incorporate them into evidence-generation plans.
• Ensure coding submissions accurately describe product characteristics, intended use, clinical utility, and diagnostic pathway.
• Maintain records of coding decisions, assumptions, submission history, status, risks, and outcomes.
• Coordinate internal review and approval of coding materials in accordance with company requirements and applicable standards.
• Represent Market Access and coding strategy in U.S. go-to-market, pipeline, and lifecycle governance processes.
• Integrate coding considerations into product profiles, evidence plans, launch sequencing, pricing and reimbursement planning, and commercial readiness.
• Provide U.S. coding insights to global teams and adapt global market access tools to U.S. coding requirements.
• Partner with brand and commercial teams on coding-related launch plans, customer resources, internal training, and objection-handling tools.
• Assess operational implications of coding decisions for laboratories, providers, revenue cycle teams, sales teams, and customer support.
• Monitor coding publications, code-set updates, application cycles, and industry developments affecting products.
• Analyze potential business and access impacts, communicate findings, and recommend response plans.
• Establish coding governance tools, decision frameworks, standard operating practices, and performance measures.
• Develop and maintain approved coding guides, reimbursement resources, training materials, and internal reference tools.
• Educate internal stakeholders on diagnostic coding concepts, pathways, limitations, and appropriate use of coding information.
• Collect field and customer insights about coding barriers and use them to refine product strategies and close access gaps.
• Attend or represent the organization at AMA, ADLM, ACLA, CAP, and AMP.
• Perform all work in compliance with company quality procedures and standards.
• Perform other duties as assigned.

Benefits

• Variable annual bonus based on company, team, and individual performance.
• Choice of medical, prescription, dental, and vision plans with nationwide coverage and telemedicine options.
• Company-provided life and accidental death insurance.
• Short- and long-term disability insurance.
• Retirement plan with employer contribution and employer match.
• Adoption assistance.
• Wellness programs.
• Employee assistance program.
• Commuter benefits.
• Voluntary benefit offerings.
• Discount programs.
• Parental leaves.

What This Job Offers

• Job Type: Full-time
• Career Level: Director