Reimbursement & Access 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:

The Reimbursement & Access Manager (RAM) is a commercially focused, field-based position responsible for ensuring patient access and reimbursement for iRhythm's Zio services across key accounts in their designated geography. This individual will act as a strategic partner to the field sales organization, healthcare providers, billing staff, and internal commercial stakeholders to proactively identify, educate, and resolve access barriers and reimbursement issues.

The RAM serves as the market-facing expert on payer policy, billing workflows, claims adjudication, and patient assistance programs. This role supports seamless integration of iRhythm services into clinical and operational pathways, driving both financial and clinical outcomes.

This position is ideal for a strategic, solutions-oriented individual who thrives in a fast-paced, mission-driven environment and is passionate about improving patient access through education, advocacy, and cross-functional collaboration.

What You Will Be Doing

Customer Access & Reimbursement Support

• Serve as the primary field-facing contact for all access and reimbursement-related inquiries from assigned accounts.

• Analyze and resolve reimbursement barriers, working cross-functionally with providers, internal revenue cycle teams, and payers when needed.

• Track and report access challenges, trends, and opportunities in real-time.

• Train provider staff on co-pay support, prior authorization processes, payer policy, and coverage determination to reduce delays and denials.

  • Zio service billing and coding requirements

  • Documentation and medical necessity criteria

  • Prior authorization, claims appeals, and coverage trends

  • Integration of financial assistance programs into workflows

Strategic Market Access Engagement

• Act as a regional subject matter expert on payer policy coverage, reimbursement pathways, acquisition models, and claims workflows.

• Support pull-through of payer coverage policies, LCM decisions, and ensure alignment with commercial and market access strategy.

• Identify evolving payer policies or state/federal regulation shifts and proactively communicate their impact to internal stakeholders.

Cross-Functional Collaboration

• Partner with Sales (AVPs, RSDs, TMs), Revenue Cycle, Legal/Compliance, RCM and Patient Support to ensure seamless account engagement.

• Collaborate with the Market Access team to build and execute regional access strategies.

• Coordinate onboarding for new accounts with billing and service line integration support.

Compliance & Best Practices

• Maintain deep knowledge of CMS policies (especially Medicare Parts B & D), commercial payer processes, and HIPAA compliance.

• Act as an internal consultant on best practices to streamline access workflows and improve the provider/patient experience.

Reporting & Analytics

• Use data to identify trends in denials, access delays, or payer barriers, and share insights to improve access pathways.

• Identify opportunities for ConAl savings

• Support market access dashboards and key performance metrics related to reimbursement and account performance.

• Contribute insights from the field to enhance strategic decisions on coding, documentation, and patient affordability programs.

What We Need To See

• Bachelor's degree in healthcare administration, life sciences, business, or related field preferred, commensurate experience may be considered.

• 6+ years in healthcare reimbursement, revenue cycle management, market access, or payer relations.

• Strong understanding of coding (CPT/ICD-10), billing, coverage policies, and payer adjudication.

• Experience interfacing with healthcare providers in a consultative, field-based role.

• Proven ability to manage complex accounts, including IDNs, large health systems, and specialty practices.

• Proficient in Microsoft Office Suite, CRM systems, and virtual communication platforms.

• The ability to travel 50% or more based on territory needs.

Ways To Stand Out

• Specialty pharmacy or diagnostics experience strongly preferred.

• Prior experience with field-based roles in Market Access, Access & Reimbursement, Health Economics, or CX.

• Prior experience working within a matrixed environment supporting complex integrated delivery networks (IDN)s and outpatient clinics

• Prior device sales and/or clinical experience preferred.

• Knowledge of Medicare Advantage, Medicaid, and commercial payer landscape.

• Strong business acumen and the ability to connect reimbursement strategy to commercial growth.

• Six-Sigma or Lean Process improvement experience preferred

Core Competencies

• Strategic problem-solving and root cause analysis

• Excellent communication and presentation skills

• Strong relationship-building and influencing skills

• Operational agility and high accountability

• Ability to work independently while collaborating cross-functionally

• Passion for patient access and delivering high-quality healthcare solutions

Why Join Us

At iRhythm, we are committed to transforming cardiac care by combining technology, data, and clinical expertise to improve patients' lives. As a valued member of the Market Access team, you'll directly impact access to lifesaving diagnostics and play a key role in advancing our mission.

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.

There have been instances where individuals not associated with iRhythm have impersonated iRhythm employees pretending to be involved in the iRhythm recruiting process, or created postings for positions that do not exist. Please note that all open positions will always be shown here on the iRhythm Careers page, and all communications regarding the application, interview and hiring process will come from a @irhythmtech.com email address. Please check any communications to be sure they come directly from @irhythmtech.com email address. If you believe you have been the victim of an imposter or want to confirm that the person you are communicating with is legitimate, please contact taops@irhythmtech.com. Written offers of employment will be extended in a formal offer letter from an @irhythmtech.com email address ONLY.

For more information, see https://www.ftc.gov/business-guidance/blog/2023/01/taking-ploy-out-employment-scams and https://www.ic3.gov/Media/Y2020/PSA200121