Payer Relations Manager

HeartFlow, Inc

Assume and implement assigned projects to increase covered lives and revenue.; Maintain current knowledge of applicable third-party reimbursement rules and regulations.

Posted 6/18/2026Verified active Jul 25, 2026, 12:36 AMcontractRemote • Minneapolis • Illinois, Minnesota • 🇺🇸 United StatesSeniorLead💰 $140,000 - $145,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Candidates should emphasize extensive experience in the health care and managed care industry, particularly in reimbursement and payer negotiations. A strong understanding of coverage, coding, and payment methodologies related to coronary artery disease diagnostics is essential, along with the ability to develop physician advocates and collaborate effectively with various stakeholders.

Highest-signal resume keywords

5+ Years of Health Care ExperienceNegotiating Contracted RatesUnderstanding of Payer PoliciesDeveloping Physician AdvocatesCollaborative Stakeholder Engagement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Health Care Industry KnowledgeReimbursement PoliciesNegotiation SkillsCoding and Coverage UnderstandingPayment Methodologies

Soft Skills

Excellent Communication SkillsCollaborationPresentation DevelopmentStakeholder ManagementConstructive Engagement

Certifications & Qualifications

BS DegreeMBA or Advanced Degree Preferred

Industry Keywords

Managed CareReimbursement IndustryCommercial PayersCoronary Artery Disease DiagnosticsQuality System Compliance

About the role

Key responsibilities & impact

Minimum 5+ years of health care/managed care and reimbursement industry experience.
BS required.  MBA or advanced degree preferred.

Requirements

What you’ll need

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.
Early stage company experience preferred.
Ability and willingness to act in accordance with regulatory compliance requirements, including but not limited to Heartflow’s quality system requirements.

Benefits

Comp & perks

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.