Head, Market Access
Orca BioFull Time
Expert & Leadership (9+ years)
Candidates should possess a Bachelor's degree in healthcare administration, life sciences, business, or a related field, with commensurate experience. A strong understanding of payer policy, billing workflows, claims adjudication, and patient assistance programs is essential. Knowledge of CMS policies, commercial payer processes, HIPAA compliance, and experience in a field-based, commercially focused role are also required.
The Reimbursement & Access Manager will serve as the primary field-facing contact for access and reimbursement inquiries, analyzing and resolving barriers with providers and payers. They will train provider staff on billing, coding, prior authorization, and coverage determination, while also acting as a regional subject matter expert on payer policies and regulations. This role involves partnering with sales, revenue cycle, and patient support teams to ensure seamless account engagement, coordinating onboarding, and utilizing data to identify trends and improve access pathways.
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.