Materialise
Senior Market Access Specialist — Cardiology
Materialise, Plymouth, Michigan, United States, 48170
Senior Market Access Specialist — Cardiology
What you will do
Partner with hospitals and structural heart teams to integrate pre‑procedural planning workflows within Epic or other EHR systems, ensuring interoperability and clinical efficiency
Support pre‑authorization and reimbursement workflows, including documentation templates, medical necessity letters, and payer submissions
Conduct onsite or virtual training for hospital billing, coding, and case management teams
Act as the primary point of contact for operational launch readiness, ensuring smooth adoption and long‑term utilization of our solutions
Market access and reimbursement
Develop and execute US reimbursement guidelines for pre‑procedural planning and digital imaging solutions in structural heart interventions
Identify and establish appropriate coding (CPT/HCPCS), coverage, and payment pathways
Collaborate with payers, professional societies, and advocacy groups to support equitable patient access
Support the development of health economics and outcomes evidence to strengthen value messaging and payer discussions
Cross‑functional collaboration
Work closely with product, clinical, and sales teams to translate market access insights into product strategy and hospital support programs
Contribute to the mid‑ and long‑term reimbursement roadmap, including new code applications, policy engagement, and economic modeling
Monitor changes in CMS and commercial payer policies impacting digital planning and structural heart procedures
Collect and analyze information on code usage and payment rates for relevant reimbursement pathways
Partner with internal teams to develop training materials, reimbursement toolkits, and payer education resources
Your profile
Bachelor’s degree in health economics, healthcare administration, nursing, public health, or a related field (required)
Master’s degree (MHA, MPH, MBA) preferred
5 – 10+ years of experience in market access, reimbursement, or hospital implementation within medical devices, structural heart, cardiovascular imaging, or digital health
Hands‑on experience with Epic (or Cerner/Meditech) integration, pre‑authorization processes, and hospital workflow optimization
Strong understanding of CPT/HCPCS coding, coverage determination, and payer policy development
Background in cardiology or interventional cardiology is strongly preferred
Excellent communication and relationship management skills with both clinical and administrative stakeholders
Location and type of contract
Plymouth, USA
Full‑time
Remote
Mid‑senior level position
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Partner with hospitals and structural heart teams to integrate pre‑procedural planning workflows within Epic or other EHR systems, ensuring interoperability and clinical efficiency
Support pre‑authorization and reimbursement workflows, including documentation templates, medical necessity letters, and payer submissions
Conduct onsite or virtual training for hospital billing, coding, and case management teams
Act as the primary point of contact for operational launch readiness, ensuring smooth adoption and long‑term utilization of our solutions
Market access and reimbursement
Develop and execute US reimbursement guidelines for pre‑procedural planning and digital imaging solutions in structural heart interventions
Identify and establish appropriate coding (CPT/HCPCS), coverage, and payment pathways
Collaborate with payers, professional societies, and advocacy groups to support equitable patient access
Support the development of health economics and outcomes evidence to strengthen value messaging and payer discussions
Cross‑functional collaboration
Work closely with product, clinical, and sales teams to translate market access insights into product strategy and hospital support programs
Contribute to the mid‑ and long‑term reimbursement roadmap, including new code applications, policy engagement, and economic modeling
Monitor changes in CMS and commercial payer policies impacting digital planning and structural heart procedures
Collect and analyze information on code usage and payment rates for relevant reimbursement pathways
Partner with internal teams to develop training materials, reimbursement toolkits, and payer education resources
Your profile
Bachelor’s degree in health economics, healthcare administration, nursing, public health, or a related field (required)
Master’s degree (MHA, MPH, MBA) preferred
5 – 10+ years of experience in market access, reimbursement, or hospital implementation within medical devices, structural heart, cardiovascular imaging, or digital health
Hands‑on experience with Epic (or Cerner/Meditech) integration, pre‑authorization processes, and hospital workflow optimization
Strong understanding of CPT/HCPCS coding, coverage determination, and payer policy development
Background in cardiology or interventional cardiology is strongly preferred
Excellent communication and relationship management skills with both clinical and administrative stakeholders
Location and type of contract
Plymouth, USA
Full‑time
Remote
Mid‑senior level position
#J-18808-Ljbffr