Payer Relations Manager - Central

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 Heartflow products.

Experience working in the field and supporting reimbursement needs of sales team members.

Maintain current knowledge of applicable third-party reimbursement rules and regulations.

Coach physicians in nuances of reimbursement advocacy for Heartflow products.

Lead discussions with relevant payers to reach positive coverage determinations and optimize contract terms for payment.

Negotiating, securing, and managing regional contracts 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.