Payer Strategy Architect – Cardiology Diagnostics

Heartflow; Columbus (OH); On-site; USD 140,000 - 145,000; Full time

Job summary

Heartflow, located in Columbus, Ohio, is looking for a candidate to manage payer communications and projects aimed at increasing coverage for their innovative cardiac products. The role requires extensive experience in healthcare reimbursement and effective negotiation skills.

Ideal applicants will possess a BS, with a preference for advanced degrees, and are expected to work closely with healthcare professionals and stakeholders. The position offers a competitive salary ranging between $140,000-$145,000, plus variable pay.

Qualifications

• 5+ years of healthcare/managed care and reimbursement industry experience.
• Understanding of coverage, coding, payment, and reimbursement requirements.

Responsibilities

• Assume and implement assigned projects to increase covered lives and revenue.
• Lead discussions with relevant payers to reach positive coverage determinations.
• Negotiate and manage regional contracts with payer accounts.

Skills

Experience closing commercial payers for coverage decisions

Understanding of payer and reimbursement environment

Demonstrated ability to work with multiple stakeholders

Excellent written and verbal communication skills

Education

BS required

MBA or advanced degree preferred

Job description

Heartflow, located in Columbus, Ohio, is looking for a candidate to manage payer communications and projects aimed at increasing coverage for their innovative cardiac products. The role requires extensive experience in healthcare reimbursement and effective negotiation skills.

Ideal applicants will possess a BS, with a preference for advanced degrees, and are expected to work closely with healthcare professionals and stakeholders. The position offers a competitive salary ranging between $140,000-$145,000, plus variable pay.