Remotely
data analysisleadershipreimbursementpayer_policy
Job Description
📋 Description
- Lead payer coverage strategy and reimbursement operations across national, regional, and local
- Manage and develop Market Access Manager team; set priorities and coach members.
- Build standardized reimbursement processes and tools to improve field execution.
- Collaborate with Commercial, Sales, Medical Affairs, Legal, Compliance, and Finance on planning and
- Influence payer policies, address denials, appeals, and establish coverage pathways.
- Lead escalations with complex payer policy disputes and high-stakes issues.
🎯 Requirements
- Bachelor’s degree required; advanced degree preferred (health policy/health services
- 8+ years in reimbursement/market access in medical devices or healthcare; Senior Manager/Director
- Experience working with commercial health plans; payer policy review, negotiations, escalations.
- Strong knowledge of prior authorization, claims processing, appeals, reimbursement, coding
- Experience using payer data and claims datasets to analyze coverage and decision-making.
- Travel up to 40%; must be legally authorized to work in the United States.
🎁 Benefits
- Competitive base salary of $210,000–$225,000, plus variable incentive plan.
- Stock options and opportunity to participate in growth.
- Healthcare insurance, comprehensive benefits.
- 401(k) plan.
- Paid vacation.
- Collaborative, high-achieving environment with growth opportunities.