Director, Market Access & Reimbursement, Americas

Posted 15 Days Ago
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Hiring Remotely in US
Remote
Expert/Leader
Healthtech
The Role
Lead Americas market access and reimbursement strategy for MR-guided Focused Ultrasound. Develop coding, coverage, payment, and access initiatives; engage CMS, MACs, commercial payers, HTA bodies, societies, and advocates; support product launches and evidence generation; create reimbursement tools; and build and lead a US/ Americas market access team to drive adoption and commercial success.
Summary Generated by Built In
Description

Insightec is a growing medical technology company transforming patient lives through innovative incisionless surgery.

Our culture is as unique as our people, a diverse global team, with different ideas, skills, interests, and cultural backgrounds driven by our core values – Our Patients, Integrity, Team, Quality and Innovation.

Our dedication to making a real impact on the lives of millions of people and paving the path to a bright future for healthcare, is what bonds us as a Team. We work together in a dynamic collaborative environment to deliver successfully while believing and driving a life-work balance philosophy that encourages our employees to do things that are meaningful outside of work. Every role is significant, your voice is heard, and your ideas are encouraged. We challenge and empower our people to be great at what they do while providing a flexible work environment.

Walking through our corridors, you will be inspired by stories of career journeys at Insightec. We take pride in growing internal talent and encourage our employees to achieve their professional ambitions. With employees in Israel - Haifa and K. Ono, Miami and Dallas, Shanghai, Tokyo and Europe, we offer in each region competitive perks and benefits.

Do the most meaningful work of your career by joining us on our mission to transform tomorrows, today.

Position Summary

The Director, Market Access & Reimbursement is responsible for leading the development and execution of reimbursement and market access strategies that accelerate patient access and drive commercial success for INSIGHTEC’s MR-guided Focused Ultrasound (MRgFUS) portfolio.

Reporting to the Global Head, Vice President - Market Access & Reimbursement, this senior leader will have a strong voice and serve as the Americas region reimbursement leader, partnering across Commercial, Medical Affairs, Clinical, Health Economics-Value, Regulatory, Government Affairs, and Product Management to ensure favorable coding, coverage, payment, and access strategies are developed and implemented across key markets.

Key Responsibilities

  • Develop and execute Americas reimbursement and market access strategies with an emphasis on the US market supporting commercialization, product adoption, and business growth.
  • Lead coverage, coding and payment, and overall reimbursement initiatives for existing and future indications.
  • Build strategic relationships with CMS national, Medicare Administrative Contractors, commercial payers, Medicaid agencies, and Americas region reimbursement agencies.
  • Partner with government agencies, health technology assessment organizations, and key stakeholders to support evidence-based coverage decisions.
  • Develop partnerships with professional societies, advocacy organizations, and industry associations to advance reimbursement objectives.
  • Create reimbursement tools and educational resources for providers, hospitals, patients, and commercial teams.
  • Collaborate with Product Management, Clinical, Medical Affairs, Regulatory, Health Economics-Value, and Commercial Leadership to align market access strategies with business objectives.
  • Support product launches, geographic expansion, and evidence generation from a market access perspective.
  • Build, mentor, and lead a high-performing Americas market access and reimbursement organization including a US-based field team of 2 FTEs to support claims adjudication.

Qualifications

  • Bachelor’s degree required; advanced degree (MBA, MPH, MHA, or equivalent) preferred.
  • 10+ years of progressive experience in med tech market access, reimbursement, or healthcare policy within the medical device or broader healthcare industry.
  • Demonstrated success securing reimbursement for innovative medical technologies across government and commercial payers in the US market. Some extended experience in Canadian market is preferred.
  • Expertise in expanding coverage both in Medicare Administrative Contracting (MACs) developing submissions and driving establishment of Local Coverage Decisions (LCD’s) and Commercial payer markets including the Nationals, BCBS and regional payers
  • Experience and exposure to the AMA CPT Editorial Panel process, leading initiatives to obtain CPT codes and alignment from key stakeholder groups
  • Knowledge of CMS annual rulemaking (ex. OPPS, PFS) and a track record of engaging the agency to achieve annual reimbursement objectives
  • Proven ability to influence executive stakeholders and lead cross-functional initiatives within a global organization.
  • Prior experience launching a disruptive technology requiring new CPT/APC coding
  • Ability to grow with the organization and willingness to assume additional responsibilities over time
  • Analytical competencies to structure complex issues, synthesize key points, communicate and present in an easily understandable manner
  • Strong computer skills with a working knowledge of Word, Excel, PowerPoint & Outlook

Leadership Competencies

  • Strategic, commercially minded with executive presence.
  • Exceptional communication and stakeholder management skills both internally and externally – represent Insightec at external events.
  • Collaborative, results-oriented, and innovative.
  • Strong business acumen with the ability to drive organizational change
  • Takes prudent risks and manages impact accordingly
  • Organization skills to deliver key programs on time and point. 

Travel

  • Domestic and some international travel (ex. Americas region) of approximately 20-30% may be required.

Skills Required

  • Bachelor's degree
  • Advanced degree (MBA, MPH, MHA, or equivalent)
  • 10+ years progressive experience in med tech market access, reimbursement, or healthcare policy
  • Proven success securing reimbursement from US government and commercial payers
  • Experience with Medicare Administrative Contractors (MACs) and driving Local Coverage Decisions (LCDs)
  • Experience engaging commercial payers including national and regional plans (e.g., BCBS)
  • Experience with AMA CPT Editorial Panel process and obtaining CPT codes
  • Knowledge of CMS annual rulemaking (OPPS, PFS) and agency engagement
  • Prior experience launching disruptive technology requiring new CPT/APC coding
  • Proven ability to influence executive stakeholders and lead cross-functional global initiatives
  • Analytical competencies to structure complex issues and present findings clearly
  • Strong computer skills with working knowledge of Word, Excel, PowerPoint, and Outlook
  • Ability to build, mentor, and lead a high-performing Americas market access and reimbursement organization
  • Some extended experience in the Canadian market
  • Willingness to assume additional responsibilities over time and grow with the organization
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The Company
HQ: Tirat Karmel
470 Employees
Year Founded: 1999

What We Do

Insightec is a global healthcare company creating the next generation of patient care by realizing the therapeutic power of acoustic energy. The company's Exablate Neuro platform focuses sound waves, safely guided by MRI, to provide tremor treatment to patients with medication-refractory Essential Tremor and Parkinson's Disease. Research for future applications in the neuroscience space is underway in partnership with leading academic and medical institutions. Insightec is headquartered in Haifa, Israel, and Miami, Florida, with additional offices in Dallas, Shanghai, and Tokyo. Follow us on Facebook, LinkedIn and Twitter or visit www.insightec.com for more information.

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