Market Access & Payer Manager

Job not on LinkedIn

🔥 17 minutes ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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