[Remote] Market Access & Reimbursement Consultant
Note: The job is a remote job and is open to candidates in USA. Elemed is a well-funded, clinical-stage US MedTech company approaching the commercialization of an innovative new medical technology. They are seeking a fractional Market Access/Health Economics consultant to own and build the company's US reimbursement and health economic strategy ahead of launch.
Responsibilities
- Reimbursement Strategy: Develop coding, coverage and payment strategy across inpatient and outpatient sites of service
- Health Economics: Build the health economic value case (complication and cost-avoidance modelling) to support payer and hospital adoption
- Local Value Story: Shape hospital-level value materials (e.g. value analysis committee resources) alongside the national payer approach
- Payer Engagement: Define evidence requirements and engagement strategy across commercial payers and CMS/Medicare
- Strategic Advisory: Report into commercial leadership, translating reimbursement insight into commercialisation strategy
Skills
- Hands-on US market access and reimbursement expert with deep command of coding, coverage and payment (CPT/HCPCS, DRG, APC, pass-through)
- Proven track record building reimbursement pathways for pre-commercial or newly launched medical technologies
- Strong health economics background, including value proposition development, budget impact / cost-avoidance modelling, and payer evidence generation
- Able to operate autonomously in a small, fast-moving company and advise executive leadership
- Fluent English. US-based
Company Overview