Heartflow · 1 day ago
Payer Relations Manager - East Coast
Atlanta, GA
Full-time
Onsite
Senior Level
$140K/yr - $145K/yr
5+ years expHeartflow is a medical technology company advancing the diagnosis and management of coronary artery disease using cutting-edge technology. The Payer Relations Manager will be responsible for identifying, developing, and managing strategic relationships with payers and organizations that influence payer decision-making, ensuring favorable coverage policies and reimbursement contracts for Heartflow products.
Artificial Intelligence (AI)BiotechnologyHealth CareHealth DiagnosticsMedical
Responsibilities
Assume and implement assigned projects to increase covered lives and revenue
Maintain current knowledge of applicable third-party reimbursement rules and regulations
Serve as primary point of contact for assigned private payers
Coach physicians in nuances of reimbursement advocacy for Heartflow products
Lead discussions with relevant payers to reach positive coverage determinations and optimize contract terms for payment
Negotiating, securing, and managing regional contracts with appropriate cross-regional and national payer accounts, including, but not limited to, managed care plans (MCOs), Accountable Care Organizations (ACOs), health systems, insurance companies and potentially, self-insured employers
Support key opinion leader development from a payer perspective and provide targeted support to commercial sites to eliminate barriers to access
Refine supporting materials from HQ for physician advocacy use with regional payers
Support Medical Policy development as required
Support the team in determining regional payer account strategy and tactics
Serve as liaison between payer customers and company personnel on administrative matters
Support commercialization strategy with regional sales teams and participate actively in the preparation and execution of regional field sales plans
Establish critical relationships with a variety of stakeholders within their geography: health plan medical directors, select practice administrators, key opinion leaders
Instill reimbursement confidence within the cardiovascular community to support FFRCT
Responsible and accountable for the successful implementation within their territories of the strategic and tactical reimbursement plan for Market Access team
May represent company at trade shows, scientific, or other meetings
Qualification
Required
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. Must have a 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 but not limited to Heartflow's quality system requirements
Minimum 5+ years of health care/managed care and reimbursement industry experience
BS required
Preferred
Early stage company experience preferred
MBA or advanced degree preferred
Benefits
Initial stock grant
Company
Heartflow
Heartflow is a medical technology company that provides various methods of diagnosis and treatment of cardiovascular disease.
501-1000 employees
H1B Sponsorship
Heartflow has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (5)
2024 (3)
2023 (6)
2022 (9)
2021 (12)
2020 (5)
Funding
Current Stage
Public CompanyTotal Funding
$890.72MKey Investors
Bain Capital Life SciencesPanorama Point PartnersCapricorn Investment Group
2025-08-08IPO
2025-03-26Convertible Note· $98M
2023-04-06Series F· $215M
Leadership Team
John Farquhar
President and Chief Executive Officer
Tim Fonte
Chief Technology Officer
Recent News
The Motley Fool
2025-12-19
Company data provided by crunchbase