Senior Manager, Upstream Reimbursement Strategy

Intuitive

Upstream Reimbursement Strategist architecting long-range market access strategies for medical devices in the U.S. Collaborating with clinical and regulatory teams to ensure successful reimbursement processes.

Posted 7/9/2026full-timeRemote • Sunnyvale • California • 🇺🇸 United StatesSenior💰 $188,600 - $271,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in reimbursement strategy and health economics, with a strong focus on evidence generation and alignment with regulatory and payer needs. Proven ability to lead cross-functional collaboration and develop comprehensive market access strategies for medical devices.

Highest-signal resume keywords

Reimbursement StrategyHealth EconomicsEvidence GenerationCPT Code ApplicationsCMS OPPS/PFS/ASC Payment Systems

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Reimbursement StrategyHealth EconomicsEvidence GenerationRWE Study DesignHealth Economic ModelingCPT Code ApplicationsClaims Data AnalysisCost Report InterpretationCMS RulemakingAPC Mechanics

Soft Skills

Analytical SkillsCross-Functional Collaboration

Industry Keywords

Market AccessMedical DevicePayer NeedsRegulatory ComplianceGlobal HEORCategory III Code ConversionsDescriptor Modifications

About the role

Key responsibilities & impact

The Upstream Reimbursement Strategist is the architect of the organization’s long-range reimbursement and market access strategy across the U.S. product portfolio.
Responsible for generating all strategies for all upstream programs and dovetailing those strategies with global market access for ex-U.S. projects.
Shape the narrative for why a product deserves reimbursement and build the data package to support it.
Partner with HEOR to design, commission, and oversee health economic and outcomes research studies that support reimbursement across the product portfolio.
Ensure evidence generation aligns with regulatory, payer, and provider needs.
Lead the strategy for new code applications, Category III code conversions, and descriptor modifications.
Conduct ongoing analysis of OPPS, PFS, and ASC payment policy.
Serve as the connective tissue between U.S. evidence needs and global HEOR and OUS markets.
Generate and own the reimbursement strategy for all upstream programs across the full product portfolio.

Requirements

What you’ll need

4 year degree
8+ years of progressive experience in medical device market access, health economics, reimbursement strategy, or related field
Deep working knowledge of CMS OPPS/PFS/ASC payment systems, APC mechanics, and facility payment methodology
Experience with CPT code applications, AMA Editorial Panel processes, and HCPCS coding pathways
Demonstrated expertise in evidence generation, RWE study design, and health economic modeling
Strong analytical skills with experience interpreting claims data, cost reports, and CMS rulemaking documents
Ability to work cross-functionally with clinical, regulatory, HEOR, and commercial teams

Benefits

Comp & perks

Health insurance
401(k) matching
Paid time off
Flexible work arrangements
Professional development opportunities