Agent
Jobs
Applied
Tracker
Profile
    1. Jobs for you
    2. Job

    Job · 12265844

    CapeStart logo

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

    CapeStart · Nagercoil · onsite · Posted 64d ago

    Undisclosed6–11 yrsfulltimeSourced fromNaukri

    About a minute. You'll make an account on the way through.

    About this role

    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


    Disclaimer: This job posting & Location has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

    Sourced from naukri

    Skills

    CMSConsultingManager Quality ControlDiagnosticsmedical writingscientific writingPathwayTrainingcodingPharma

    About CapeStart

    CapeStart logo

    CapeStart

    IT Services & Consulting

    681

    employees

    2013

    13 years old

    Nagercoil, Tamil Nadu

    India

    ₹5.4L PA avg

    Avg at CapeStart

    About

    CapeStart is a technology and AI services provider offering a range of solutions tailored for businesses across industries such as healthcare, life sciences, finance, retail, telecom, and legal.

    Industries

    IT Services & Consulting

    Employee ratings

    0 reviews

    4.4/ 5

    Employees rate it well for

    Company Culture45Job Security45

    Find them on

    WebsiteLinkedInAmbitionBox reviews

    Sr Consultant - Device Coding, Coverage & Payment (3Cs) Strategy · waiting for your command