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Senior Manager, Market Access, Reimbursement
GE HealthCareSenior Manager overseeing U.S. reimbursement and market access for icobrain solutions.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Expertise in U.S. market access and reimbursement strategies, with a strong focus on ICD-10-CM, CPT, and HCPCS guidelines. Proven ability to lead cross-functional initiatives and develop educational materials to enhance payer engagement and provider adoption.
Highest-signal resume keywords
U.S. Market Access StrategyReimbursement Strategy DevelopmentICD-10-CM, CPT, HCPCS ExpertiseCPC, CCS CertificationCross-Functional Collaboration
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Reimbursement StrategyMarket AccessCoding AuditsPayer Coverage OptimizationClinical Evidence Development
Soft Skills
Problem-SolvingDecision-MakingCommunicationPresentation
Tools & Technologies
E-Learning ModulesEducational Materials
Certifications & Qualifications
CPCCCS
Industry Keywords
HealthcareMedical DevicePharmaceuticalCMS GuidelinesPayer Organizations
About the role
Key responsibilities & impact- 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.
Requirements
What you’ll need- 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
Benefits
Comp & perks- medical
- dental
- vision
- paid time off
- a 401(k) plan with employee and company contribution opportunities
- life
- disability
- accident insurance
- tuition reimbursement