Market Access & Payer Manager
Career-defining. Life-changing.
At iRhythm , you’ll have the opportunity to grow your skills and your career while impacting the lives of people around the world. iRhythm is shaping a future where everyone, everywhere can access the best possible cardiac health solutions. Every day, we collaborate, create, and constantly reimagine what’s possible. We think big and move fast, driven by our commitment to put patients first and improve lives. We need builders like you. Curious and innovative problem solvers looking for the chance to meaningfully shape the future of cardiac health, our company, and your career
About This Role:
About iRhythm :
iRhythm is a leading digital healthcare company focused on redefining the way cardiac arrhythmias are clinically diagnosed. By combining wearable bio-sensing technology with powerful cloud-based data analytics and artificial intelligence capabilities, we strive to be the premier provider of ambulatory ECG monitoring. With over 4 million patients served, iRhythm is committed to innovation, improving patient outcomes, and expanding healthcare accessibility.
Position Summary:
iRhythm is seeking a Market Access & Payer Relations Manager to support the execution of payer engagement strategies, maintain relationships with key stakeholders in the payer ecosystem, and ensure optimal market access for iRhythm ’s services. This individual contributor role is integral in driving reimbursement strategies, expanding coverage policies, and supporting operational initiatives to enhance patient access to iRhythm ’s diagnostic services. This role will work cross-functionally with Market Access, Government Affairs, Clinical, Sales, and Revenue Cycle teams to strengthen iRhythm ’s payer positioning and reimbursement frameworks.
Essential Job Functions:
Payer Engagement & Market Access Strategy
- 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.
Operational Support & Analytics
- 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.
Cross-Functional Collaboration
- Partner with Government Affairs to track Medicare and Medicaid policy changes and assess their impact on iRhythm ’s services.
- 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.
Qualifications:
- Education: Bachelor’s degree in business, healthcare administration, life sciences, or a related field required.
- Experience:
- 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 contr