Sr Consultant - Device Coding, Coverage & Payment (3Cs) Strategy

We are seeking an experienced Senior Consultant with strong expertise in medical device reimbursement - coding, coverage, and payment (the "3Cs") to lead development of 3Cs strategy roadmaps, CPT/HCPCS coding dossiers, and CMS payment pathway applications (NTAP, RAPID, transitional pathways, OPPS device pass-through). This is a consulting/on-demand role, where the consultant will lead project execution, interact with device and diagnostic clients, and play a key role in building internal team capability through training and guidance. Beyond closing the teams zero-coverage gap in device coding/coverage/payment, this hire also adds a second qualified resource for device medical writing and device/pharma subject knowledge - both currently resting on a single internal consultant. The ideal candidate should be able to independently assess a devices coding, coverage, and payment posture and build the evidence and application package needed to close reimbursement gaps.

• Lead end-to-end development of 3Cs (Coding-Coverage-Payment) strategy roadmaps, sequencing code applications, coverage-support evidence, and payment-pathway filings against launch and access milestones
• Develop submission-ready CPT/HCPCS coding & reimbursement dossiers, including clinical evidence, utilization data, comparator coding, and economic rationale for AMA/CMS code-setting bodies
• Prepare and manage CMS payment pathway applications (NTAP, RAPID, transitional pathways, OPPS device pass-through), building the case on newness, cost, and substantial clinical improvement
• Advise on device-specific evidence roadmaps where coding, coverage, or payment gaps threaten market access
• Track and interpret CMS policy changes (including 2026 pathway changes) and translate implications into client strategy
• Engage directly with device/diagnostic clients to scope reimbursement strategy and present findings and recommendations
• Add second-resource depth for device-focused medical/scientific writing and device & pharmaceuticals subject knowledge, reducing single-person dependency on these skills
• Provide training, mentorship, and reusable frameworks to internal MadeAi team members on device coding and reimbursement methodology
• Perform quality control and review of coding dossiers and payment-pathway applications before submission
  

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