Principal US Market Access and Reimbursement Specialist
Core
Define and own US reimbursement strategy, coding, and coverage pathways for pre-launch growth platforms, advising senior leaders on commercial viability and evidence requirements.
Role type
Principal US Market Access and Reimbursement Specialist
Builds
Pre-launch reimbursement pathways, innovative payment applications (NTAP/TPT/NT-APC), and payer engagement strategies for medical devices.
Domain
US Healthcare / Medical Device Market Access
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
US reimbursement strategy, CPT/HCPCS/ICD-10 coding expertise, Medicare payment methodologies (OPPS/MPFS/IPPS), innovative payment pathways (NTAP/TPT/NT-APC), provider economics, health economics modeling, payer landscape assessment, clinical study design integration, regulatory pathway alignment, competitive intelligence.
Preferred skills
International reimbursement or HTA experience, claims data analysis, business development diligence.
Technologies
CMS systems, Definitive Healthcare, HEOR modeling tools
Responsibilities
Define reimbursement strategy and sequencing for new platforms; conduct coding applicability and payment analysis; lead innovative payment pathway applications; execute early payer engagement and advisory boards; integrate reimbursement milestones with clinical and regulatory timelines; perform reimbursement diligence on candidate technologies.
Seniority
Principal, hands-on IC
