Senior Manager, Operations & Market Access

Intuitive; Sunnyvale (CA); Remote; USD 180,000 - 270,000; Full time

Job summary

Intuitive is seeking a Senior Manager of Operations & Market Access to lead reimbursement and field market access for the U.S. be the main liaison to providers, payers, and field teams.

This remote role blends payer-facing and provider-facing responsibilities, including value dossiers, coding implementation, and field collateral generation. The role oversees midstream and downstream activities, transitions to downstream focus with scaling teams, and collaborates with Upstream Strategist.

Qualifications

• 4 year degree is required.
• 6+ years of progressive experience in medical device or pharmaceutical reimbursement, field market access, or payer relations
• Direct experience developing billing guides, coding tip sheets, and provider reimbursement education materials
• Strong working knowledge of CPT, HCPCS, ICD-10 coding systems and hospital billing workflows (OPPS, ASC, physician office)
• Experience managing payer relationships, developing value dossiers, and executing advisory boards
• Demonstrated ability to work closely with sales and marketing teams in a commercial support capacity
• Strong project management skills; ability to manage multiple simultaneous deliverables across products
• CPC (Certified Professional Coder) certification strongly preferred
• Experience with field reimbursement team management (outsourced or in-house)
• Familiarity with FCA/AKS compliance requirements for manufacturer-provided reimbursement guidance
• Experience with business intelligence platforms

Responsibilities

• Billing guides: create, maintain, and distribute comprehensive billing and coding guides for all products.
• Customer reimbursement support: primary contact for management of customer reimbursement vendor(s).
• Code implementation logistics: manage field logistics for CPT/HCPCS/ICD-10 codes.
• Sales & marketing support: generate field collateral in support of sales/marketing.
• Value dossiers: coordinate with Upstream; distribute payer-facing evidence packages.
• Key account management: manage payer engagement at key accounts.
• Policy monitoring & implementation: track payer policies and translate to field tools.
• Field personnel management: direct field personnel in payer campaigns; coordinate resources.
• Code acquisition support: support CPT/HCPCS code acquisition with Upstream Strategist.
• Payment policy implementation: translate CMS changes into field guidance.
• Reimbursement tools: develop estimation tools for sales and provider accounts.

Skills

Reimbursement experience

Payer relations

Billing guides development

Coding knowledge CPT/HCPCS/ICD-10

Field market access collaboration

Sales/marketing support collaboration

Project management

Education

Bachelor's degree

Tools

BI platforms

CPC certification

Job description

Senior Manager, Operations & Market Access

• Full-time
• Shift: Day
• Max. Salary Region 2: 229500 USD
• Max. Salary Region 1: 270000 USD
• Ways of Working: Remote - This job will be remote and/or the job is designed to be performed outside of the office. Employees will come onsite when requested by the leader.
• Employee Type: Employee
• Min. Salary Region 1: 180000 USD
• Global Job Level (HCM): Management 4, Sr Mgr (14)
• Min. Salary Region 2: 153000 USD

It started with a simple idea: what if surgery could be less invasive and recovery less painful? Nearly 30 years later, that question still fuels everything we do at Intuitive. As a global leader in robotic-assisted surgery and minimally invasive care, our technologies—like the da Vinci surgical system and Ion—have transformed how care is delivered for millions of patients worldwide.

We’re a team of engineers, clinicians, and innovators united by one purpose: to make surgery smarter, safer, and more human. Every day, our work helps care teams perform with greater precision and patients recover faster, improving outcomes around the world.

The problems we solve demand creativity, rigor, and collaboration. The work is challenging, but deeply meaningful—because every improvement we make has the potential to change a life.

If you’re ready to contribute to something bigger than yourself and help transform the future of healthcare, you’ll find your purpose here.

Position Overview

The Reimbursement Operations & Field Market Access lead is the execution engine of the U.S. HEMA organization. This role is the closest link to the sales and marketing organization and serves as the primary tactical interface with providers, payers, and field teams.

This is both a payer-facing and provider-facing role. On the payer side, this person develops value dossiers, manages payer advisory boards, and supports key account engagement. On the provider side, this person generates billing guides, fields customer reimbursement questions, develops provider education materials, and supports all field logistics related to coding implementation.

In Phase 1, this role carries both midstream and downstream responsibilities—from code acquisition and payment policy implementation through to field collateral generation and customer support. This person generates code and billing manuals, is responsible for all field logistics requiring implementation of new or existing codes, and directly fields customer questions regarding reimbursement.

This role carries shared responsibility for midstream/payment policy activities with the Upstream Strategist until a dedicated Midstream hire is made (~18 months). At that point, this role transitions to full downstream focus with outsourced or in-sourced field pull-through teams supporting product launches.

Core Responsibilities

Provider-Facing

• Billing Guide Development: Create, maintain, and distribute comprehensive billing and coding guides for all products. Ensure guides are CPC-reviewed, compliance-approved, and updated with each code cycle.
• Customer Reimbursement Support: Serve as the primary point of contact for management of customer reimbursement vendor(s). Manage vendor, monitor performance, and retain required documentation.
• Code Implementation Logistics: Manage all field logistics associated with the implementation of new or existing CPT, HCPCS, and ICD-10 codes. Coordinate with provider sites to ensure smooth adoption of coding changes and cost capture.
• Sales & Marketing Support: Generate evidence-driven, compliant field collateral in direct support of the sales and marketing organization.

Payer-Facing

• Value Dossier Development: Coordinate with Upstream and distribute value dossiers and payer-facing evidence packages that communicate the clinical and economic value of the product portfolio.
• Key Account Management: Manage fractional headcount resources and coordinate payer engagement at key accounts.
• Policy Monitoring & Implementation: Track payer coverage policies, MAC LCDs, and commercial payer guidelines. Translate upstream payment policy developments into actionable field tools and communications.
• Field Personnel Management for Payer Campaigns: Manage and direct field personnel in support of payer-focused campaigns. Coordinate field reimbursement specialists, outsourced resources, and account-level teams to execute payer engagement strategies, coverage initiatives, and pull-through programs at targeted accounts.

Shared Midstream / Payment Policy

• Code Acquisition Support: Support CPT/HCPCS code acquisition activities in partnership with the Upstream Strategist, including preparation of supporting materials for AMA and CMS submissions.
• Payment Policy Implementation: Translate CMS OPPS/PFS payment policy changes into operational guidance for the field. Develop communications for code changes, payment updates, and coverage determinations.
• Reimbursement Calculator & Tools: Develop and maintain compliance-accurate reimbursement estimation tools for use by the sales team and provider accounts.

Qualifications

Required

• 4 year degree is required.
• 6+ years of progressive experience in medical device or pharmaceutical reimbursement, field market access, or payer relations
• Direct experience developing billing guides, coding tip sheets, and provider reimbursement education materials
• Strong working knowledge of CPT, HCPCS, ICD-10 coding systems and hospital billing workflows (OPPS, ASC, physician office)
• Experience managing payer relationships, developing value dossiers, and executing advisory boards
• Demonstrated ability to work closely with sales and marketing teams in a commercial support capacity
• Strong project management skills; ability to manage multiple simultaneous deliverables across products

Preferred

• CPC (Certified Professional Coder) certification strongly preferred
• Experience with field reimbursement team management (outsourced or in-house)
• Familiarity with FCA/AKS compliance requirements for manufacturer-provided reimbursement guidance
• Experience with business intelligence platforms

Due to the nature of our business and the role, please note that Intuitive and/or your customer(s) may require that you show current proof of vaccination against certain diseases including COVID-19. Details can vary by role.

Intuitive is an Equal Opportunity Employer.We provide equal employment opportunities to all qualified applicants and employees, and prohibit discrimination and harassment of any type, without regard to race, sex, pregnancy, sexual orientation, gender identity, national origin, color, age, religion, protected veteran or disability status, genetic information or any other status protected under federal, state, or local applicable laws.

U.S. Export Controls Disclaimer:In accordance with the U.S. Export Administration Regulations (15 CFR §743.13(b)), some roles at Intuitive Surgical may be subject to U.S. export controls for prospective employees who are nationals from countries currently on embargo or sanctions status.

Certain information you provide as part of the application will be used for purposes of determining whether Intuitive Surgical will need to (i) obtain an export license from the U.S. Government on your behalf (note: the government’s licensing process can take 3 to 6+ months) or (ii) implement a Technology Control Plan (“TCP”) (note: typically adds 2 weeks to the hiring process).

For any Intuitive role subject to export controls, final offers are contingent upon obtaining an approved export license and/or an executed TCP prior to the prospective employee’s start date, which may or may not be flexible, and within a timeframe that does not unreasonably impede the hiring need. If applicable, candidates will be notified and instructed on any requirements for these purposes.

We will consider for employment qualified applicants with arrest and conviction records in accordance with fair chance laws.

Preference will be given to qualified candidates who do not reside, or plan to reside, in Alabama, Arkansas, Delaware, Florida, Indiana, Iowa, Louisiana, Maryland, Mississippi, Missouri, Oklahoma, Pennsylvania, South Carolina, or Tennessee.

This position may be filled at a different job level than listed here depending
business need and/or on the selected candidate’s experience, knowledge and skills.
Compensation will be based primarily on the job level at which the role is filled and the
candidate’s qualifications, consistent with applicable law.

Accommodation & Accessibility Notice:

Intuitive is committed to providing reasonable accommodations to qualified individuals with disabilities. If you require assistance or an accommodation during any part of the application or interview process, please contact People Services at [e-mail].

We provide market-competitive compensation packages, inclusive of base pay, incentives, benefits, and equity. It would not be typical for someone to be hired at the top end of range for the role, as actual pay will be determined based on several factors, including experience, skills, and qualifications. The target compensation ranges are listed.

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