Manager, US Reimbursement & Market Access
About this role
We are a fast-growing medical device company developing advanced Software as a Medical Device (SaMD) solutions for interventional cardiology and structural heart procedures. Our flagship technology integrates real-time fluoroscopy with pre-procedure 3D CT annotations to provide precise intra-procedural guidance, enhancing safety and clinical outcomes.
Our innovation combines CT preprocessing, fluoroscopy preprocessing, AI-driven detection and tracking, anatomical landmark detection, and personalized DRR-based network training with cutting-edge registration protocols. We operate with a small, highly skilled in-house engineering team, supplemented by specialized contractors across several continents.
Manager, US Reimbursement & Market Access
The role
CARA Medical is hiring a Manager, US Reimbursement & Market Access to own the United States reimbursement function for the CARA System. A newly issued CPT Category III code describing the core service performed with the System takes effect on 1 January 2027. The role exists to convert the company's coding position into reliable payment and coverage — through CMS rulemaking, Medicare contractors, commercial payers, and the hospitals that bill for the technology — and is measured by outcomes: applications decided, claims paid, committees cleared.
About CARA Medical
CARA Medical develops the CARA System, an FDA-cleared platform that makes the cardiac conduction system — invisible on conventional imaging — available to the operator during cardiac procedures, by registering a patient-specific, CT-derived model of the conduction system onto live fluoroscopy. The technology serves conduction system pacing, catheter ablation, and structural heart interventions. US clinical and commercial activity is expanding; reimbursement sets its pace.
What you will do
- Author CMS applications and rulemaking comments and carry them to decision, across the hospital outpatient (OPPS), inpatient (IPPS), and Physician Fee Schedule cycles.
- Secure Medicare Administrative Contractor pricing for carrier-priced codes; build commercial and Medicare Advantage coverage through medical-policy dossiers, payer presentations, and contracting support.
- Equip hospitals to bill correctly from the first case: value-analysis-committee dossiers, budget-impact models, coding guidance, denial resolution.
- Work within the AMA CPT process and with specialty societies on the technology's long-term coding position.
- Align evidence generation with payer requirements, direct external reimbursement consultants, and report progress and risk to executive leadership.
What you bring
Required
- At least six years in US medical device or digital health reimbursement, including personal authorship of at least one CMS application or rulemaking comment carried to decision (for example, New Technology APC, NTAP, or transitional pass-through).
- Working command of OPPS mechanics — status indicators, APC assignment, packaging logic, quarterly updates — and of the CPT process, including the Category III lifecycle and Category I criteria.
- Direct experience with Medicare Administrative Contractors and with commercial payer medical-policy development.
- Hospital revenue-cycle fluency: institutional claim flow, chargemaster, coding edits; able to train site billing staff.
- Technical writing at the standard of a federal comment docket.
Preferred
- Experience in cardiology, electrophysiology, or structural heart interventions.
- Payment experience with software-based medical technologies.
- Established relationships with specialty societies and contractor medical directors.
- Advanced degree (MPH, MHA, MBA, PharmD, JD) or equivalent experience.
Who you are
- A finisher. You measure your work in decisions obtained and claims paid, not in meetings held or policies monitored.
- Wide in altitude. You are equally at home drafting a federal comment letter and sitting with a hospital billing office, and you move between the two in the same week.
- You state claims no more strongly than the evidence permits; your numbers reconcile; your citations check out.
- You own the function, build its calendar from rulemaking deadlines, and raise blockers early rather than missing them quietly.
- A builder of working relationships. CMS staff, contractor medical directors, society staff, and hospital committees take your calls because your submissions are accurate and your asks are specific.
Position details
Parameter
Value
Employment
Full-time
Location
United States, remote
Travel
~30% — clinical sites, CMS and AMA meetings, society conferences
Reports to
CEO
Compensation
Open
To apply
Email:
Katie Nicholson, EA to Prof. Shlomo Ben-Haim -
Michelle Montella, Operations Manager, CARA Medical -
CARA Medical is an equal opportunity employer.
We are currently expanding our team. As a start-up, we are fast paced and have a shared goal to succeed in developing unmet healthcare needs in the most efficient way. If you share this vision and are interested in joining us - please apply. We look forward to hearing from you.
Originally posted on Himalayas