[Hiring] Payer Relations Manager @Heartflow

Role Description

The individual will be responsible for the identification, development, and management of strategic relationships with payers and organizations that influence payer decision-making within the assigned geographic region. The person will work directly with the Market Access team including sales, implementation, and billing specialists within their region. The role will be a resource for identification and resolution of payer-related issues.

The role is responsible for regional managed care organizations within their assigned geography, by interacting within a broader Market Access team and ultimately be responsible for implementation of tactical plans developed by the market access leadership team.

In addition, this position will provide critical competitive intelligence within the market access marketplace to leadership. The individual will assist in the development of the local market access strategic plan for Heartflow’s FFRCT Analysis. The goal of the position is to minimize FFRCT access barriers and to achieve favorable coverage policy and reimbursement contracts for Heartflow products with commercial payers as well as support other billing and collections projects as needed.

Qualifications

• 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.
• 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.
• 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 Heartflow’s quality system requirements.

Requirements

• Minimum 5+ years of health care/managed care and reimbursement industry experience.
• BS required. MBA or advanced degree preferred.

Benefits

• This position has an estimated base salary of $140,000-$145,000 per year, variable pay of up to $50,000 per year.

Company Description

Heartflow 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 called the Heartflow FFR CT Analysis—provides a color-coded, 3D model of a patient’s coronary arteries indicating the impact blockages have on blood flow to the heart.

Heartflow 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 (FFR CT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). Our pipeline of products is growing and so is our team; join us in helping to revolutionize precision heartcare.

Heartflow 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 750,000 patients worldwide.