Payer Relations Manager - Central

reputed company is a medical technology company advancing the diagnosis and management of coronary artery disease, the #1 cause of death worldwide, using cutting-edge technology. The flagship product—an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines reputed company the reputed company FFRCT Analysis—provides a color-coded, 3D model of a patient’s coronary arteries indicating the impact blockages have on blood flow to the heart. reputed company is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMap™Analysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). Our pipeline of products is growing and so is reputed company; join us in helping to revolutionize precision heartcare. reputed company is a publicly traded company (HTFL) that has received international recognition for exceptional strides in healthcare innovation, is supported by medical societies around the world, cleared for use in the US, UK, Europe, Japan and Canada, and has been used for more than 500,000 patients worldwide. The individual will be responsible for the identification, development, and management of strategic relationships with payers and organizations that influence payer decision-making reputed company their assigned geographic region. The person will work directly with the Market Access team including the sales, implementation, and billing specialist teams reputed company their respective regions and will serve as a resource for identification and resolution of payer reputed company issues. The person will be responsible for regional managed care organizations reputed company their assigned geography. This person will also interact reputed company a broader Market Access team and ultimately be responsible for implementation of tactical plan developed by the market access leadership team. In addition, this position will provide critical competitive intelligence reputed company the market access marketplace to leadership. The individual will assist in the development of the local market access strategic plan for reputed company’s FFRCT­ Analysis. The ultimate goal of the position is to minimize FFRCT access barriers and to reputed company favorable coverage policy and reimbursement reputed company for reputed company products with commercial payers as well as support other billing and collections projects as needed. #LI-IB1; #LI-Remote Job Responsibilities: Assume and implement assigned projects to increase covered lives and reputed company. Maintain reputed company knowledge of applicable third-party reimbursement rules and regulations. Serve as primary reputed company of contact for assigned private payers. Coach physicians in nuances of reimbursement advocacy for reputed company products. reputed company discussions with relevant payers to reputed company positive coverage determinations and optimize contract terms for payment. Negotiating, securing, and managing regional reputed company with appropriate cross-regional and national payer accounts, including, but not limited to, managed care plans (MCOs), Accountable Care Organizations (ACOs), health systems, insurance companies and potentially, self-insured employers. Support key opinion leader development from a payer perspective and provide targeted support to commercial sites to eliminate barriers to access. Refine supporting materials from HQ for physician advocacy use with regional payers. Support Medical Policy development as required. Support the team in determining regional payer account strategy and tactics. Serve as liaison between payer customers and company personnel on administrative matters. Support commercialization strategy with regional sales teams and participate actively in the preparation and execution of regional field sales plans. Establish critical relationships with a variety of stakeholders reputed company their geography: health plan medical directors, select practice administrators, key opinion leaders. Instill reimbursement confidence reputed company the cardiovascular community to support FFRCT. Responsible and accountable for the successful implementation reputed company their territories of the strategic and tactical reimbursement plan for Market Access team. May represent company at trade shows, scientific, or other meetings. Skills Needed: Experience closing commercial payers for coverage decisions and negotiating contracted rates for the medical device or diagnostics industry (hospital contracting experience a plus). Understand the global payer and reimbursement environment, specifically as it relates to coronary artery disease diagnostic testing in the U.S. Must have a solid understanding of coverage, coding, payment, and reimbursement requirements and policies. Understanding of key private payer policy infrastructure, payment methodologies, coding and coverage trends. Experience developing physician advocates who will testify as to the clinical utility of reputed company products. Demonstrated ability to work with multiple stakeholders in a collaborative and constructive manner. Experience working in the field and supporting reimbursement needs of sales team members. Excellent written and verbal communication skills, especially with presentation development. Early stage company experience preferred. Ability and willingness to act in accordance with regulatory compliance requirements, including but not limited to reputed company’s quality system requirements. Educational Requirements & Work Experience: Minimum 5+ years of health care/managed care and reimbursement industry experience. BS required. MBA or advanced degree preferred. This position has an estimated reputed company salary of $140,000-$145,000 per year, variable pay of up to $50,000 per year. reputed company is an Equal Opportunity Employer. We are committed to a work environment that supports, inspires, and respects reputed company individuals and do not discriminate against any employee or applicant because of race, color, religion, marital status, age, national reputed company, reputed company, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. This policy applies to every aspect of employment at reputed company, including recruitment, hiring, training, relocation, promotion, and termination. Positions posted for reputed company are not intended for or open to third party recruiters / agencies. Submission of any unsolicited resumes for these positions will be considered to be free referrals. reputed company has become aware of a fraud where unknown entities are posing as reputed company recruiters in an attempt to obtain personal information from individuals as part of our application or job offer process. Before providing any personal information to reputed company parties, please verify the following: A) reputed company legitimate reputed company recruiter email addresses end with “@reputed company.com” and B) the position described is reputed company on our careers site at www.reputed company.com/about/careers/. Apply To This Job