Principal US Market Access and Reimbursement Specialist

Role Overview

The Principal US Market Access & Reimbursement Strategy works upstream and day to day with Clinical Affairs, Regulatory Affairs, HEOR, Medical Affairs, Business Development, and R&D to define the optimal reimbursement pathway for each platform from first-in-human through launch readiness.

What You Will Do

Define and own the US reimbursement strategy for each Future Forward growth platform, including pathway selection, sequencing, timelines, and critical dependencies; advise senior leaders on the trade-offs and decision points for programs with ambiguous or novel payment pathways.

Why It Might Be a Fit

The successful candidate will have health economics and evidence generation experience, will work independently in the codes and the data, and will present directly to senior management and executives.

Requirements

• Minimum 15 years of related experience in US market access, reimbursement, coding, or health policy roles within medical device, biotech, consultancy, payer, or hospital settings with a bachelor’s degree; or 12 years with a master’s degree; or a PhD with 8 years of experience; or an equivalent combination of education and experience.
• Bachelor’s degree required; advanced degree (MS, MBA, MPH, PhD, or equivalent) preferred.
• AAPC Certified Professional Coder (CPC) or equivalent (COC, CRC, AHIMA CCS) strongly preferred and highly valued; candidates without certification should demonstrate equivalent working fluency in procedural coding and a willingness to obtain CPC within 12 months of hire.
• Track record of developing and executing US reimbursement strategy for novel or first-of-kind procedural technologies, from early pipeline through launch, and of personally producing the underlying reimbursement analyses, coding assessments, and payer policy reviews rather than directing a team.
• Demonstrated experience with CMS innovative payment pathways (NTAP, TPT, NT-APC), including at least one application taken through to decision.
• Experience working directly with Clinical Affairs and Regulatory Affairs on device programs, including contributing reimbursement input to study design, endpoint selection, indication wording, or FDA pathway decisions.
• Health economics and evidence generation experience: contributing to budget impact or cost-effectiveness models, shaping clinical or real-world evidence plans to meet payer and CMS requirements, and working with published economic and clinical literature.
• Demonstrated track record of executing early payer engagement activities (advisory boards, payer interviews, payer perception research) and KOL engagement in a pre-launch setting.
• Experience in a pre-launch or early-pipeline environment where reimbursement strategy had to be built ahead of clinical evidence, ideally taking a procedural technology from feasibility through launch readiness.
• International reimbursement, market access, or HTA experience (e.g., NICE, G-BA, HAS, MHLW/Chuikyo, MSAC) strongly preferred; working familiarity with claims and hospital databases (e.g., Definitive Healthcare) preferred.

Benefits

• Market-competitive compensation packages, inclusive of base pay, incentives, benefits, and equity
• Health, dental, and vision insurance
• 401(k) or equivalent retirement plan
• Paid time off and holidays
• Flexible work arrangements
• Professional development opportunities
• Employee assistance program
• Wellness programs
• Visa sponsorship (for international candidates)
• Relocation assistance (for international candidates)
• Stock options (for equity participation)