[Hiring] Senior Manager, Reimbursement Operations & Field Market Access @Intuitive

Role Description

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:

• Payer Side: Develops value dossiers, manages payer advisory boards, and supports key account engagement.
• Provider Side: 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:

• Code acquisition and payment policy implementation through to field collateral generation and customer support.
• Generates code and billing manuals and is responsible for all field logistics requiring implementation of new or existing codes.
• 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

• 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 Qualifications

• 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.

Additional Information

• 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.

Compensation

• Max. Salary Region 2: 280500 USD
• Max. Salary Region 1: 330000 USD
• Min. Salary Region 1: 220000 USD
• Min. Salary Region 2: 187000 USD

Ways of Working

• 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.