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

CARA Medical is an equal opportunity employer.