Reimbursement Access Manager

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🕒 Maio 20

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iRhythm Technologies, Inc.

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1001 - 5000 funcionários

Fundada em 2006

⚕️ Seguro de Saúde

🧬 Biotecnologia

Healthcare Insurance • Biotechnology • Medical Technology

A iRhythm Technologies, Inc. é uma empresa de tecnologia em saúde que se especializa em soluções de monitoramento cardíaco. Seu produto principal, o monitor Zio ECG, é projetado para o conforto e aderência do paciente, permitindo que os profissionais de saúde forneçam diagnósticos precisos de arritmias através de análise avançada de dados e inteligência artificial. O serviço abrangente da iRhythm transforma a experiência de monitoramento cardíaco, facilitando melhores resultados para os pacientes e fluxos de trabalho eficientes para profissionais de saúde em todo o mundo.

Descrição

• Serve as the primary field-facing contact for all access and reimbursement-related inquiries from assigned accounts. • Analyze and resolve reimbursement barriers, working cross-functionally with providers, internal revenue cycle teams, and payers when needed. • Track and report access challenges, trends, and opportunities in real-time. • Train provider staff on co-pay support, prior authorization processes, and coverage requirements to reduce delays and denials. • Act as a regional subject matter expert on payer policy coverage, reimbursement pathways, acquisition models, and claims workflows. • Support pull-through of payer coverage policies, LCM decisions, and ensure alignment with commercial and market access strategy. • Identify evolving payer policies or state/federal regulation shifts and proactively communicate their impact to internal stakeholders. • Collaborate with the Market Access team to build and execute regional access strategies. • Maintain deep knowledge of CMS policies (especially Medicare Parts B & D), commercial payer processes, and HIPAA compliance. • Use data to identify trends in denials, access delays, or payer barriers, and share insights to improve access pathways.

🎯 Requisitos

• Bachelor’s degree in healthcare administration, Life Sciences, Business, or related field preferred, commensurate experience may be considered. • 5+ years in healthcare reimbursement, revenue cycle management, market access, or payer relations. • Strong understanding of coding (CPT/ICD-10), billing, coverage policies, and payer adjudication. • Experience interfacing with healthcare providers in a consultative, field-based role. • Proven ability to manage complex accounts, including IDNs, large health systems, and specialty practices. • Proficient in Microsoft Office Suite, CRM systems, and virtual communication platforms. • The ability to travel 50% or more based on territory needs. • CPC or relevant coding/billing certification preferred. • Specialty pharmacy or diagnostics experience strongly preferred. • Prior experience with field-based roles in Market Access or Access & Reimbursement. • Knowledge of Medicare Advantage, Medicaid, and commercial payer landscape. • Strong business acumen and the ability to connect reimbursement strategy to commercial growth.

🏖️ Benefícios

• Health insurance • 401(k) matching • Flexible work hours • Paid time off • Professional development opportunities