Payer Relations Manager - Central

About the role

Heartflow, a medical technology company behind the AI-driven non-invasive cardiac test FFRCT Analysis, is hiring a Payer Relations Manager for its central region. The person identifies, develops and manages strategic relationships with payers and organizations that influence payer decisions, works closely with the regional Market Access team and acts as a resource for resolving payer-related issues. The goal is to minimize access barriers and secure favorable coverage and reimbursement contracts.

Key responsibilities

• Implement projects that increase covered lives and revenue, and maintain knowledge of third-party reimbursement rules and regulations.
• Serve as primary contact for assigned private payers and coach physicians on reimbursement advocacy for Heartflow products.
• Lead discussions with payers to reach positive coverage determinations and optimize contract terms.
• Negotiate and manage regional contracts with managed care plans, ACOs, health systems, insurers and potentially self-insured employers.
• Support key opinion leader development from a payer perspective and refine supporting materials for physician advocacy.
• Support medical policy development, help define regional payer strategy and tactics, and act as liaison on administrative matters.
• Work with regional sales teams on field sales plans and represent the company at trade shows and meetings as needed.
• Build relationships with health plan medical directors, practice administrators and key opinion leaders, and implement the regional reimbursement plan.

Required profile

• Minimum 5+ years of experience in healthcare, managed care and reimbursement.
• BS required; MBA or advanced degree preferred.
• Early-stage company experience preferred.
• Ability to work with multiple stakeholders and excellent written and verbal communication skills.
• Willingness to comply with regulatory and quality system requirements.

Required skills

• Experience closing commercial payers and negotiating rates for medical devices or diagnostics (hospital contracting a plus).
• Understanding of coverage, coding, payment and reimbursement policies, and private payer policy infrastructure.
• Experience developing physician advocates and supporting sales teams in the field.

What we offer

• Estimated base salary of $140,000-$145,000 per year.
• Variable pay of up to $50,000 per year.