Senior Manager, Market Access & Reimbursement

GE HealthCare is seeking a Senior Manager, Market Access & Reimbursement to lead U.S. reimbursement and market access efforts for icobrain. This strategic role involves developing payer engagement strategies, influencing coverage decisions, and ensuring patient access to innovative imaging solutions.

Responsibilities:

• 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
• 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
• 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
• 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
• 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

Requirements:

• 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
• 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