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iRhythm Technologies, Inc.

Market Access & Payer Manager

RemoteUnited States only
Published
Experience
Senior
Employment
Full-time
Company size
Enterprise
$94k–$122k/yr
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Open to US only. Set where you work from to check your eligibility.

No BS summary

Mid-to-senior market access/payer manager with 5+ years in market access, payer relations, reimbursement or health policy in healthcare/device/pharma. Must know CPT/ICD-10/HCPCS coding, payer credentialing, prior authorization processes. US-remote role requiring travel up to 30–40%.

Core skills

payer relationsmarket access

Required skills

CPTICD-10HCPCSpayer credentialingcontractingprior authorizationMicrosoft ExcelPowerPointWordCRM

What you'll do

  • Establish and maintain strong relationships with regional and national commercial payers, government programs, and managed care organizations.
  • Support contract negotiations, reimbursement rate discussions, and payer credentialing processes.
  • Monitor and analyze payer policy changes, prior authorization trends, and reimbursement updates to provide strategic insights to internal teams.
  • Collaborate with cross-functional teams to develop and communicate iRhythm’s value proposition to payers.
  • Assist in the execution of strategies to expand coverage and streamline reimbursement pathways.
  • Work with Revenue Cycle and Market Access teams to resolve payer-related coverage and reimbursement issues.
  • Track and report payer interactions, policy updates, and coverage trends to identify opportunities and risks.
  • Provide analytical support for payer performance metrics, reimbursement rates, and market access initiatives.
  • Assist in developing educational materials, presentations, and tools for internal and external stakeholders.
  • Partner with Government Affairs to track Medicare and Medicaid policy changes and assess their impact.
  • Work with Clinical and Evidence Generation teams to leverage data for payer engagement and policy advocacy.
  • Support Sales and Provider Engagement teams by addressing payer-related concerns and reimbursement challenges.
  • Collaborate with Legal and Compliance teams to ensure payer interactions align with regulatory requirements.

What they require

  • Bachelor’s degree in business, healthcare administration, life sciences, or a related field required.
  • 5+ years of direct experience in market access, payer relations, health policy, reimbursement, or a related field in the healthcare, medical device, or pharmaceutical industry.
  • Strong understanding of commercial and government payer systems, reimbursement policies, and managed care dynamics.
  • Experience with CPT, ICD-10, and HCPCS coding, as well as payer credentialing and contracting processes.
  • Familiarity with prior authorization processes and payer utilization management requirements.
  • Proficiency in working cross-functionally within a matrixed organization.
  • Strong analytical and problem-solving skills with a data-driven approach to decision-making.
  • Excellent verbal and written communication skills with the ability to present complex information effectively.
  • Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word) and CRM tools.
  • Ability to work independently, manage multiple projects simultaneously, and meet deadlines in a fast-paced environment.
  • Must be able to travel up to 30-40% for payer meetings, conferences, and internal stakeholder engagements.

Benefits

  • Opportunity to grow skills and career while impacting patient lives.
  • Inclusive workforce and reasonable accommodations for qualified individuals with disabilities.
  • Standard company benefits implied by US employment (referenced recruiting/contact processes and mention of accommodations).

iRhythm is a leading digital healthcare company that creates trusted solutions that detect, predict, and prevent disease. Combining wearable biosensors and cloud-based data analytics with powerful proprietary algorithms, iRhythm distills data from millions of heartbeats into clinically actionable information.

HealthcareEnterprise
$94k–$122k/yr