Cubby Beds · 1 month ago
Payer Relations Manager
Cubby Beds is a fast-growing startup focused on improving the lives of families with cognitive conditions through innovative smart beds. The Payer Relations Manager will lead initiatives to secure and maintain coverage for Cubby Beds, negotiating with payers to expand access and reimbursement policies.
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Responsibilities
Develop and execute a comprehensive payer strategy across commercial, Medicare, and Medicaid plans to expand coverage for Cubby Beds in all 50 states
Lead policy and coverage negotiations and relationship management with key payers to secure and maintain optimal reimbursement rates and policies
Collaborate cross-functionally with Sales, Finance, and Operations teams to implement a structured appeals process, assisting our DME partners in securing coverage for Cubby Beds
Analyze market access trends, payer policy changes, and coverage landscape to proactively adapt strategy
Act as the primary point of contact for payer-related inquiries and issues
Develop and manage the repository of payer-specific resources, educational materials, and documentation to support the internal team and providers
Ability to travel approximately one time per month for key payer meetings and conferences
Qualification
Required
5+ years of experience in payer relations, market access, or managed care within the medical device, durable medical equipment (DME), or healthcare industry
Proven track record of successful contract negotiation and management with large commercial and/or government payers
Deep understanding of the payer landscape, including reimbursement methodologies, prior authorization processes, and claims appeals
Excellent analytical, communication, and presentation skills
Ability to work autonomously, manage multiple high-priority projects, and thrive in a fast-paced, high-growth startup environment
Ability to travel approximately one time per month for key payer meetings and conferences
Preferred
Experience working with products covered under the Durable Medical Equipment (DME) benefit category
Established relationships with decision-makers at major national and regional health plans
Proficiency in CRM software (e.g., Salesforce) for tracking contracts, negotiations, and key payer data
Bachelor's degree in Business, Healthcare Administration, or a related field
Benefits
Stock Options - Equity Ownership
Health, Dental, and Vision Insurance (90% paid premiums for employees, 50% for partners and dependents)
Unlimited PTO & Sick/Wellness Hours
12 paid holidays, 1 paid volunteer day, 1 paid “powder day” to take advantage of Colorado’s great weather!
401k with a company match
Hybrid Work Model: Monday-Wednesday in the office, optional work from home Thursday-Friday
Mac, standing desk, and high-end accessories at the office + a work-from-home stipend to purchase equipment needed for home offices
Paid parking
Annual staff retreat
Stocked kitchen and bimonthly team lunches in our beautiful Denver HQ
Growth opportunities at a start-up with a life-changing mission
Company
Cubby Beds
We manufacture and sell smart beds to improve sleep, safety, and sensory control for people with complex conditions and special needs.