Payer Relations Manager - East Coast

Miami, Florida;
Washington DC;
Charlotte, North Carolina;
South Carolina;
Atlanta, Georgia;

Heartflow is a medical technology company advancing the diagnosis and management of coronary artery disease, the #1 cause of death worldwide, using cutting‑edge technology. The flagship product—an AI‑driven, non‑invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFR CT Analysis—provides a color‑coded, 3D model of a patient’s coronary arteries indicating the impact blockages have on blood flow to the heart.

Heartflow is the first AI‑driven non‑invasive integrated heart‑care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (Road Map™Analysis), assess coronary blood flow (FFR CT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). Our pipeline of products is growing and so is our team; join us in helping to revolutionize precision heart‑care.

Heartflow is a publicly traded company (HTFL) that has received international recognition for exceptional strides in healthcare innovation, is supported by medical societies around the world, cleared for use in the US, UK, Europe, Japan and Canada, and has been used for more than 500,000 patients worldwide.

The individual will be responsible for the identification, development, and management of strategic relationships with payers and organizations that influence payer decision‑making within their assigned geographic region. The person will work directly with the Market Access team including the sales, implementation, and billing specialist teams within their respective regions and will serve as a resource for identification and resolution of payer‑related issues.

The person will be responsible for regional managed care organizations within their assigned geography. This person will also interact within a broader Market Access team and ultimately be responsible for implementation of a tactical plan developed by the market access leadership team.

In addition, this position will provide critical competitive intelligence within the market access marketplace to leadership. The individual will assist in the development of the local market access strategic plan for Heartflow’s FFRCT Analysis. The ultimate goal of the position is to minimize FFRCT access barriers and to achieve favorable coverage policy and reimbursement contracts for Heartflow products with commercial payers as well as support other billing and collections projects as needed.

#LI-IB1; #LI-Remote

• 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…