Manager, Patient Access Operations

🕒 October 14

🏄 California – Remote

🏄 California – Remote

💵 $90k - $115k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

👻 Ghost score 0%

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Mainstay Medical

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2008

🏥 Healthcare

🔧 Hardware

💰 $5M Debt on 2025-06

Healthcare • Hardware

Mainstay Medical is a medical device company that develops and commercializes ReActiv8, an implantable restorative neurostimulation system for treating mechanical chronic low back pain. The ReActiv8 therapy is positioned as a restorative approach that stimulates the nerves controlling key lumbar stabilizing muscles, delivered via a minimally-invasive procedure; the system is described as MRI-conditional and supported by clinical data and physician resources. The company provides information and resources for patients and healthcare practitioners, including clinical data, procedure overviews, safety guidance, and physician/physical therapist materials.

📋 Description

• Provide day-to-day leadership, coaching, and performance management for the patient access team • Work closely with Case Managers and internal reimbursement and market access partners to provide operational leadership, prioritize workload, resolve barriers, and support complex cases • Ensure consistent execution of established workflows and processes • Serve as a subject-matter resource for payer requirements, prior authorization processes, and patient access operations • Maintain direct responsibility for patient access activities and cases as needed • Identify operational trends, improve efficiency, and reinforce accountability • Help build scalable processes that reduce avoidable delays, preventable denials, and administrative burden on physician offices and field sales teams • Lead and develop the Prior Authorization Specialist, Benefit Verification, and Intake Coordinator team as a hands-on player/coach • Ensure patients move efficiently from initial intake through authorization with accuracy, urgency, and consistent follow-through

🎯 Requirements

• Bachelor’s degree and 5+ years of related experience, or an advanced degree with relevant experience, or equivalent work experience • Experience in patient access, prior authorization, reimbursement, utilization review, or a related healthcare setting • Prior supervisory, team lead, coaching, training, or other people-leadership experience preferred • Strong understanding of prior authorization requirements, payer processes, coverage criteria, documentation standards, and health insurance industry practices • Experience with Medicare, Medicaid, Tricare, Workers’ Compensation, and Commercial Insurance • Demonstrated ability to coach and develop others while balancing people leadership with hands-on case and workflow responsibilities • Strong problem-solving skills • Ability to collaborate across functions and appropriately escalate complex issues • Superior oral and written communication skills, excellent organizational skills, and attention to detail • Proficiency in Microsoft Office (Word, Outlook, Excel, PowerPoint) • Experience with platforms such as Salesforce, Availity, eFax systems, and basic database management programs • Caring, empathetic, and patient-centric approach in all interactions • Willingness to work from the main office in San Diego, California, with quarterly travel as required

🏖️ Benefits

• Medical benefits • Dental benefits • Vision benefits • Financial benefits • Other benefits • Equity

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