Payer Relations Manager

HeartFlow, Inc

. Identify, develop, and manage strategic relationships with payers and organizations influencing payer decision-making within the assigned geographic region .

Posted 11/2/2026full-timeRemote • United StatesMid-LevelSenior💰 $140,000 - $145,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in payer relationship management, reimbursement strategies, and negotiation within the healthcare sector, particularly in the context of coronary artery disease diagnostics. Proven ability to collaborate with diverse stakeholders and develop effective advocacy materials to enhance coverage and reimbursement outcomes.

Highest-signal resume keywords

Payer Relationship ManagementNegotiation of Coverage DecisionsReimbursement Strategy DevelopmentHealthcare Compliance KnowledgeMarket Access Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Coverage RequirementsCoding PoliciesPayment MethodologiesReimbursement StrategiesContract NegotiationStakeholder CollaborationMarket Access PlanningPhysician Advocacy DevelopmentCompetitive Intelligence AnalysisField Sales Support

Soft Skills

Excellent Communication SkillsCollaborative Problem SolvingPresentation Development

Certifications & Qualifications

BS DegreeMBA or Advanced Degree Preferred

Industry Keywords

HealthcareManaged CarePayer Decision-MakingCardiovascular CommunityFFRCT AnalysisThird-Party ReimbursementHealth SystemsInsurance CompaniesACOsClinical Utility

About the role

Key responsibilities & impact

Identify, develop, and manage strategic relationships with payers and organizations influencing payer decision-making within the assigned geographic region
Work directly with the regional Market Access team, including sales, implementation, and billing specialists
Identify and resolve payer-related issues
Implement tactical plans developed by Market Access leadership
Provide competitive intelligence to leadership
Assist in developing the local market access strategic plan for Heartflow’s FFRCT Analysis
Minimize FFRCT access barriers and achieve favorable coverage policies and reimbursement contracts
Assume and implement projects to increase covered lives and revenue
Maintain knowledge of third-party reimbursement rules and regulations
Serve as primary contact for assigned private payers
Coach physicians on reimbursement advocacy
Lead payer discussions to secure positive coverage determinations and optimize payment contract terms
Negotiate, secure, and manage regional contracts with payer accounts, managed care plans, ACOs, health systems, insurance companies, and potentially self-insured employers
Support key opinion leader development and commercial-site access initiatives
Refine physician advocacy materials for regional payers
Support Medical Policy development
Support regional payer account strategy and tactics
Liaise between payer customers and company personnel on administrative matters
Support commercialization strategy with regional sales teams and participate in regional field sales plans
Establish relationships with health plan medical directors, practice administrators, and key opinion leaders
Build reimbursement confidence within the cardiovascular community
Implement the strategic and tactical reimbursement plan within assigned territories
Represent the company at trade shows, scientific meetings, and other meetings as needed

Requirements

What you’ll need

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
Ability and willingness to act in accordance with regulatory compliance requirements, including Heartflow’s quality system requirements
Minimum 5+ years of health care/managed care and reimbursement industry experience
BS required
MBA or advanced degree preferred