Senior Manager, Market Access & Reimbursement

Mass Digital Health; Massachusetts; On-site; USD 145,600 - 218,400; Full time

Job summary

GE HealthCare is seeking a Senior Manager, Market Access & Reimbursement to lead U.S. reimbursement efforts for icobrain.

You will craft payer engagement strategies, influence coverage decisions, and drive patient access through collaboration with payers, providers, and internal teams. The ideal candidate has deep reimbursement strategy expertise and can deliver results with minimal ramp‑up time, while staying current with CMS rules and payer landscape.

Qualifications

• Bachelor’s degree in Health Information Management or related field required.
• CPC, CCS, or equivalent certification required.
• Minimum 10 years of experience in U.S. healthcare, medical device, or pharmaceutical industry.
• Minimum 5 years of direct U.S. market access experience with reimbursement knowledge.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, and CMS guidelines.
• Proven track record leading reimbursement strategy and implementation.

Responsibilities

• Lead development and execution of U.S. market access and reimbursement strategies to secure payer coverage.
• Serve as SME and strategic lead for reimbursement across cross‑functional teams.
• Develop payer account plans to support coverage, coding, and payment optimization.
• Engage with payers to educate on icobrain value proposition and influence decisions.
• Monitor CMS policy changes and their impact on reimbursement pathways.
• Collaborate with Evidence Generation/HEOR and Clinical teams on value propositions.

Skills

CPC/CCS cert

Healthcare reimbursement

Cross-functional collaboration

Presentation skills

Education

Bachelor’s degree in Health Information Management

Tools

EHR systems

Job description

Job Description Summary

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.

Job Description

Key Responsibilities

Market Access & Reimbursement Strategy

• 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.

Payer & Stakeholder Engagement

• 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.

Reimbursement Education & Support

• 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.

Compliance, Coding & Policy Expertise

• 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.

Cross‑Functional Leadership

• 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.

Basic Qualifications

• 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

Preferred Qualifications

• 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

What Success Looks Like

• Quickly assumes ownership of reimbursement strategy with minimal ramp‑up time
• Successfully develops and implements payer engagement strategies
• Builds strong relationships with payers and internal teams
• Drives measurable improvements in coverage, coding, and reimbursement pathways
• Operates as a trusted expert and strategic leader in market access

Ideal Candidate Profile

• Strategic thinker with hands‑on execution capability
• Proven track record influencing payer decisions and driving reimbursement outcomes
• Comfortable operating in a fast‑moving, ambiguous environment
• Strong communicator who can influence without direct authority
• Passionate about improving patient access to innovative healthcare solutions

We will not sponsor individuals for employment visas, now or in the future, for this job opening. For U.S. based positions only, the pay range for this position is $145,600.00-$218,400.00 Annual. It is not typical for an individual to be hired at or near the top of the pay range and compensation decisions are dependent on the facts and circumstances of each case. The specific compensation offered to a candidate may be influenced by a variety of factors including skills, qualifications, experience and location. In addition, this position may also be eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). GE HealthCare offers a competitive benefits package, including medical, dental, vision, paid time off, a 401(k) plan with employee and company contribution opportunities, life, disability, and accident insurance, and tuition reimbursement.

GE HealthCare offers a great work environment, professional development, challenging careers, and competitive compensation. GE HealthCare is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.

GE HealthCare will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable).

While GE HealthCare does not currently require U.S. employees to be vaccinated against COVID-19, some GE HealthCare customers have vaccination mandates that may apply to certain GE HealthCare employees.

Relocation Assistance Provided: No