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Magnus Medical · 2 months ago

Payer Relations Manager

United States

Full-time

Remote

Senior Level

$140K/yr - $150K/yr

5+ years exp

Magnus Medical is a neurotechnology company revolutionizing depression treatment through precision-guided brain stimulation. The Payer Relations Manager will be responsible for managing strategic relationships with payers and government agencies to enhance patient access to SAINT® therapy and influence reimbursement decisions.

Health CareHealth DiagnosticsMedicalNeuroscience

Responsibilities

Serve as the primary point of contact for assigned commercial and government payer accounts, including regional MCOs, national & federal plans, ACOs, and state Medicaid agencies

Lead discussions with payers to secure positive coverage determinations, pilot opportunities, or pathway inclusion for SAINT® therapy

Engage with key government agencies (Medicare Administrative Contractors, Medicaid departments, VA/DoD Community Care offices) to address access pathways and reimbursement alignment

Support development and submission of payer dossiers, coverage requests, and medical policy evidence summaries

Partner with the sales and field reimbursement teams to resolve payer access barriers at provider sites

Collaborate with internal and external stakeholders to align payer strategies across regions and inform national market access priorities

Provide payer insights and competitive intelligence to Market Access leadership to shape national coverage and policy strategies

Support commercialization and reimbursement readiness activities for SAINT® expansion

Coach physician and site partners on payer advocacy, prior authorization processes, and appeals pathways

Support development of payer-focused materials, training, and talking points for internal and external use

Build relationships with payer medical directors, behavioral health leaders, and influential stakeholders to promote awareness of SAINT®’s clinical and economic value

Monitor payer policy updates, competitive coverage shifts, and relevant state/federal reimbursement trends

Provide regular market intelligence reports to Market Access leadership

Track payer engagement metrics, coverage progress, and access outcomes for the assigned region

Qualification

Payer relationsReimbursement experienceNegotiating coverageHealthcare reimbursement systemsBehavioral health knowledgeRelationship managementCommunication skillsPresentation skillsCollaboration skills

Required

Bachelor's degree required

Minimum 5+ years of direct managed care, payer relations, and reimbursement experience in the medical device, digital health, or behavioral health industry

Proven track record in negotiating payer coverage or payment decisions for innovative therapies or technologies

Strong understanding of payer policy structures, coverage determination processes, and medical policy review frameworks

Working knowledge of U.S. healthcare reimbursement systems including Medicare, Medicaid, and commercial payer landscapes

Excellent communication, presentation, and relationship management skills

Ability to work collaboratively in a dynamic, cross-functional, early-stage environment