Payer Relationship Manager
AlmaFull Time
Mid-level (3 to 4 years), Senior (5 to 8 years)
Candidates should possess a Bachelor’s degree in a related field such as Business Administration, Healthcare Administration, or a comparable qualification, along with a minimum of 5 years of experience in market access and payer relations within the healthcare industry. Strong analytical skills and knowledge of healthcare reimbursement models, including Medicare, Medicaid, and commercial payer contracts are essential. Demonstrated experience in contract negotiation, payer engagement, and market access strategy development is required, along with proficiency in data analysis and reporting.
The Market Access & Payer Relations Manager will be responsible for implementing and refining credentialing procedures, maintaining credentialing records, and managing a secure repository for sensitive organizational information. They will establish and maintain strong relationships with payers, support contract negotiations, monitor payer policy changes, and collaborate with cross-functional teams to expand coverage and streamline reimbursement pathways. Additionally, the role involves working with Revenue Cycle and Market Access teams to resolve payer-related issues, tracking payer interactions, and providing analytical support for market access initiatives, while also partnering with Government Affairs and Legal teams on policy changes and regulatory compliance.
Advanced cardiac monitoring solutions provider
iRhythm Technologies focuses on cardiac monitoring solutions, with its main product being the Zio Patch, a wearable device that tracks heart rhythms for up to 14 days. This extended monitoring helps healthcare providers detect irregular heart rhythms that shorter monitoring might miss, making it especially useful for patients at risk. The company serves both patients and healthcare providers, generating revenue by selling the Zio Patch and offering data analysis services to interpret the collected heart data. iRhythm aims to improve patient outcomes and streamline healthcare workflows in the cardiac health sector.