Strategic Payer Partner Lead

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $115k - $149k / year

⏰ Full Time

🟠 Senior

🪙 Affiliate Manager

👻 Ghost score 0%

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iRhythm Technologies, Inc.

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2006

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

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

• Support oversight, mentorship, and performance auditing of the Strategic Payor Partner team • Support and manage regional payer assignments • Serve as a go-to resource for regionally assigned SPPs and triage complex payer issues • Review and advise on escalations, including field versus payer source identification • Conduct audits of root cause findings and ensure consistency in resolution documentation • Oversee payer performance trends across assigned regions to identify systemic gaps • Partner with Market Access, DMAs, and RCM liaisons to coordinate multi-team response plans • Support leadership with KPI dashboards, payer performance summaries, and compliance reporting • Help develop SOPs, standard templates, and escalation workflows • Mentor newer SPPs and assist with onboarding and role-based development • Communicate findings to RCM managers and/or billing vendors • Track execution and follow-through of payer remediations • Contribute to process improvement and automation recommendations • Create and manage team scorecards and process quality standards • Perform additional duties supporting departmental goals and operational efficiency

🎯 Requirements

• At least 7 years in healthcare revenue cycle or payer performance roles • Ability to interpret data trends, model performance, and identify actionable insights • Strong communication skills with ability to navigate cross-functional teams • Proficient in Excel and data visualization tools • Exposure to denial management, EOB interpretation, and AR/cash collection strategies • Experience working in a matrixed environment with cross-functional teams • Experience supporting or leading a payer-focused team • Strong analytical, communication, and collaboration skills • Comfort reviewing dashboards, audit trails, and payer trend data • Advanced root cause analysis and data interpretation skills • Strong understanding of payer behavior, reimbursement trends, and post-claim RCM workflows • Experience leading or mentoring revenue cycle or payer-focused teams • Excellent communication and stakeholder engagement skills • Skilled in cross-functional alignment and escalation resolution • Familiarity with AR management processes and billing vendor coordination • High attention to detail with strong documentation and audit trail discipline • Proficient in Excel and payer performance dashboards (e.g., Power BI, Tableau) • Ability to coach team members and support training initiatives • Organized, proactive, and results-oriented with strong follow-through • Bachelor’s Degree in Healthcare Administration, Business, or a related field • Ability to travel up to 25%

🏖️ Benefits

• Medical, dental and vision insurance • Paid holidays • Paid time off • 401K with company match • Employee Stock Purchase Plan • Annual organizational/cultural committee events • Reasonable accommodations for qualified individuals with disabilities