Director Market Access and Reimbursement

4DMedical

$150K — $200K *
US-AnywhereRemote in United States
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 3-5 years of experience in Payor, Reimbursement, and Market Access.
  • Strong understanding of CPT coding, billing, and reimbursement processes.
  • Bachelor's degree required.
  • Proven ability to collaborate cross-functionally in a player/coach role.
  • Experience in imaging, software, AI, and category 3 products preferred.

Responsibilities

  • Lead all market access initiatives for CMS, Medicare, Medicaid, and commercial payers.
  • Develop reimbursement strategies and policies to enhance reimbursement outcomes.
  • Collaborate with the Demand Generation team to facilitate case approvals and manage denials.
  • Engage with top payors to advocate for coverage of CT:VQ.
  • Partner with societies and federal advocacy groups for support and guidance.

Benefits

  • Flexible working hours to support work-life balance.
  • Option for remote work to enhance flexibility.
  • MBO incentive scheme as a performance reward.
  • Comprehensive health, dental, and vision insurance coverage.
Full Job Description
The Director of Reimbursement is responsible for leading 4DMedicals reimbursement (coding, coverage, payment) strategy and execution. This role has accountability for public and private payer coverage strategy, implementation plans, and tactical execution that aligns with the overall commercialization plan for the company's portfolio of products.

Responsibilities/Duties

  • Lead all market access efforts, including CMS/Medicare/Medicaid, and commercial payers. Reimbursement strategy, policy development, and cross-functional execution to improve reimbursement outcomes.
  • To work alongside the Demand Generation team to ensure cases are being approved, reimbursed, and share how to amend a denial if applicable.
  • Partner with Top Payors to learn more about CT:VQ for future coverage.
  • Partner with Societies and federal advocacy with support and guidance.

Experience required

  • 3-5 Years of Payor, Reimbursement, Market Access experience.
  • High knowledge of CPT coding, billing, and reimbursement.
  • College Degree.
  • The ability to work cross functional in a player/coach role.

• Working with imaging, software, AI, and category 3 products.

  • Reaching out and educating payors on products.
  • Partnering with key Stakeholders and Societies.
  • Teamwork with Sales and Clinical teams.


Desirable experience.

  • Worked in imaging or CT space
  • Key relationship with main Societies.


Additional Information:

  • Flexible working hours
  • Opportunity to work from home
  • MBO incentive scheme
  • Full Health Dental and Vision insurance


How to Apply

Please submit a current CV and a Cover Letter (Mandatory) which details your alignment with the requirements of the role. Applications that do not have a Cover Letter will not be considered.

For more company information visit our website: www.4dmedical.com



The pay range for this role is:

150,000 - 200,000 USD per year (Remote)

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