Market Access & Payer Manager

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🔥 16 hours ago

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iRhythm Technologies, Inc.

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2006

⚕️ Healthcare Insurance

🧬 Biotechnology

Healthcare Insurance • Biotechnology • Medical Technology

iRhythm Technologies, Inc. is a medical technology company that specializes in digital healthcare solutions for the management of cardiac arrhythmias. The company is best known for its ZioSuite, a comprehensive platform designed to deliver a streamlined solution for assessing heart health through advanced analytics and patient-centered data collection. iRhythm focuses on improving patient outcomes and optimizing the efficiency of healthcare providers through innovative technology in the cardiac monitoring space.

📋 Description

• Establish and maintain strong relationships with regional and national commercial payers, government programs, and managed care organizations. • Support contract negotiations, reimbursement rate discussions, and payer credentialing processes. • Monitor and analyze payer policy changes, prior authorization trends, and reimbursement updates to provide strategic insights to internal teams. • Collaborate with cross-functional teams to develop and communicate iRhythm’s value proposition to payers. • Assist in the execution of strategies to expand coverage and streamline reimbursement pathways. • Work with Revenue Cycle and Market Access teams to resolve payer-related coverage and reimbursement issues. • Track and report payer interactions, policy updates, and coverage trends to identify opportunities and risks. • Provide analytical support for payer performance metrics, reimbursement rates, and market access initiatives. • Assist in developing educational materials, presentations, and tools for internal and external stakeholders. • Partner with Government Affairs to track Medicare and Medicaid policy changes and assess their impact on iRhythm’s services.

🎯 Requirements

• Bachelor’s degree in business, healthcare administration, life sciences, or a related field required. • 5+ years of direct experience in market access, payer relations, health policy, reimbursement, or a related field in the healthcare, medical device, or pharmaceutical industry. • Strong understanding of commercial and government payer systems, reimbursement policies, and managed care dynamics. • Experience with CPT, ICD-10, and HCPCS coding, as well as payer credentialing and contracting processes. • Familiarity with prior authorization processes and payer utilization management requirements. • Proficiency in working cross-functionally within a matrixed organization.

🏖️ Benefits

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