Senior Manager, Market Access & Reimbursement

GE HealthCare•Waukesha, WI

1d•$145,600 - $218,400•Hybrid

About The Position

The Senior Manager, Market Access & Reimbursement is a strategic individual contributor responsible for leading U.S. reimbursement and market access efforts for icobrain. This role will develop and execute payer engagement strategies, influence coverage decisions, and drive patient access through strong partnerships with payers, providers, and internal stakeholders. This position plays a critical role in enabling patient access to innovative imaging solutions by ensuring appropriate reimbursement pathways and payer adoption. The ideal candidate brings deep expertise in reimbursement strategy and can operate independently to deliver results with minimal ramp-up time.

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

Nice To Haves

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

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.