Market Access & Payer Relations 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, Finance, and Revenue Cycle teams to strengthen iRhythm’s payer positioning and reimbursement frameworks.

Essential Job Functions:
 

Application Management

• Implementing and refining credentialing procedures, compliance reviews, audits, and other regulatory standards interdepartmentally.

• Maintaining credentialing records in the current database management system(s) and communicating expirable items, changes, or new additions.

• Manages a secure repository for sensitive organizational information necessary to maintain credentialing and contract alignment with payers and payer organizations.
   

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, increase process efficiencies with contract implementation, 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.

• 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.

• Monitor risk associated with SOX Oxley mitigation pertaining to the implementation and representation of payer contracts. Including, but not limited too, standardized language, subcontracting, and implementation gaps.

Qualifications:

Education & Experience:

• Bachelor’s degree in business, healthcare administration, life sciences, or a related field required.

• 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 contracting processes. Experience with CMS 1500 claims forms a plus.

• Familiarity with prior authorization processes and payer utilization management requirements.

• Proficiency in working cross-functionally within a matrixed organization.
   

Skills:

• Strong analytical and problem-solving skills with a data-driven approach to decision-making.

• Excellent verbal and written communication skills with the ability to present complex information effectively.

• Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word) and CRM tools.

• Ability to work independently, manage multiple projects simultaneously, and meet deadlines in a fast-paced environment.

• Strong attention to detail, problem solving abilities, and communication skills to liaise with providers, insurance companies, internal stakeholders, and patients.

Travel Requirements:

• Must be able to travel up to 30-40% for payer meetings, conferences, and internal stakeholder engagements.

Why Join Us?

At iRhythm, we are committed to innovation, improving patient outcomes, and expanding healthcare accessibility. Join a dynamic team that is transforming the future of cardiac care and making a meaningful impact on patient lives.

Location:

Actual compensation may vary depending on job-related factors including knowledge, skills, experience, and work location.

Estimated Pay Range

As a part of our core values, we ensure an inclusive workforce. We welcome and celebrate people of all backgrounds, experiences, skills, and perspectives. iRhythm Technologies, Inc. is an Equal Opportunity Employer. We will consider for employment all qualified applicants with arrest and conviction records in accordance with all applicable laws.

iRhythm provides reasonable accommodations for qualified individuals with disabilities in job application procedures, including those who may have any difficulty using our online system. If you need such an accommodation, you may contact us at taops@irhythmtech.com

About iRhythm Technologies
iRhythm is a leading digital healthcare company that creates trusted solutions that detect, predict, and prevent disease. Combining wearable biosensors and cloud-based data analytics with powerful proprietary algorithms, iRhythm distills data from millions of heartbeats into clinically actionable information. Through a relentless focus on patient care, iRhythm’s vision is to deliver better data, better insights, and better health for all.

Make iRhythm your path forward. Zio, the heart monitor that changed the game.