Strategic Payer Partner Lead

United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare Technology, Medical Devices, Cardiac HealthIndustries

Requirements

Candidates must possess at least 7 years of experience in healthcare revenue cycle or payer performance roles, with proficiency in Excel and data visualization tools. Strong analytical, communication, and collaboration skills are essential, along with experience in denial management, EOB interpretation, and AR/cash collection strategies. Experience working in a matrixed environment and supporting or leading payer-focused teams is required, as is a strong understanding of payer behavior, reimbursement trends, and post-claim RCM workflows. The ability to travel up to 25% is also necessary.

Responsibilities

The Strategic Payer Partner Lead will oversee, mentor, and audit the Strategic Payor Partner team, serving as a resource for complex payer issues and advising on escalations. Responsibilities include conducting audits of root cause findings, overseeing payer performance trends to identify systemic gaps, and partnering with cross-functional teams on response plans. This role involves supporting leadership with KPI dashboards and compliance reporting, developing SOPs and workflows for the SPP team, and tracking the execution of payer remediations. Additionally, the lead will contribute to process improvement recommendations, create team scorecards, and manage process quality standards.

Skills

Payer Strategy

Revenue Cycle Management

Root Cause Analysis

Team Coordination

Stakeholder Management

Payer Accountability

Revenue Recovery

Data Analysis

iRhythm Technologies

Advanced cardiac monitoring solutions provider

About iRhythm Technologies

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.

San Francisco, CaliforniaHeadquarters

2006Year Founded

$102.8MTotal Funding

IPOCompany Stage

Biotechnology, HealthcareIndustries

1,001-5,000Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Health Savings Account/Flexible Spending Account

Unlimited Paid Time Off

Paid Vacation

Paid Holidays

401(k) Retirement Plan

401(k) Company Match

Employee Stock Purchase Plan

Mental Health Support

Hybrid Work Options

Pet Insurance

Risks

Increased competition from emerging cardiac monitoring technologies threatens market share.

FDA warning letter may lead to regulatory scrutiny and potential fines.

Shareholder investigation could result in legal challenges and financial liabilities.

Differentiation

Zio Patch offers up to 14 days of uninterrupted cardiac monitoring.

iRhythm's Zio Patch is the smallest and least conspicuous cardiac diagnostic device.

The company provides data analysis services for actionable insights from Zio Patch data.

Upsides

Wearable health tech market growth aligns with iRhythm's business model.

Telehealth expansion increases demand for remote monitoring solutions like Zio Patch.

AI integration enhances arrhythmia detection accuracy in iRhythm's Zio Patch.

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