Magnus Medical

We are creating the next generation of neuromodulation technology to improve quality of life rapidly and effectively.

Payer Relations Manager

Account ManagerSalesFull TimeRemoteTeam 51-200Company SiteLinkedIn

Location

District of Columbia + 1 moreAll locations: District of Columbia, Washington

Posted

79 days ago

Salary

$140K - $150K / year

Bachelor Degree5 yrs expEnglish

Job Description

• Serve as the primary point of contact for assigned commercial and government payer accounts, including regional MCOs, national & federal plans, ACOs, and state Medicaid agencies. • Lead discussions with payers to secure positive coverage determinations, pilot opportunities, or pathway inclusion for SAINT® therapy. • Engage with key government agencies (Medicare Administrative Contractors, Medicaid departments, VA/DoD Community Care offices) to address access pathways and reimbursement alignment. • Support development and submission of payer dossiers, coverage requests, and medical policy evidence summaries. • Partner with the sales and field reimbursement teams to resolve payer access barriers at provider sites. • Collaborate with internal and external stakeholders to align payer strategies across regions and inform national market access priorities. • Provide payer insights and competitive intelligence to Market Access leadership to shape national coverage and policy strategies. • Support commercialization and reimbursement readiness activities for SAINT® expansion. • Coach physician and site partners on payer advocacy, prior authorization processes, and appeals pathways. • Support development of payer-focused materials, training, and talking points for internal and external use. • Build relationships with payer medical directors, behavioral health leaders, and influential stakeholders to promote awareness of SAINT®’s clinical and economic value. • Monitor payer policy updates, competitive coverage shifts, and relevant state/federal reimbursement trends. • Provide regular market intelligence reports to Market Access leadership. • Track payer engagement metrics, coverage progress, and access outcomes for the assigned region.

Job Requirements

  • Bachelor’s degree required; MBA, MPH, or advanced degree preferred.
  • Minimum 5+ years of direct managed care, payer relations, and reimbursement experience in the medical device, digital health, or behavioral health industry.
  • Proven track record in negotiating payer coverage or payment decisions for innovative therapies or technologies.
  • Strong understanding of payer policy structures, coverage determination processes, and medical policy review frameworks.
  • Working knowledge of U.S. healthcare reimbursement systems including Medicare, Medicaid, and commercial payer landscapes.
  • Familiarity with behavioral health, neuromodulation, or CNS-related access pathways strongly preferred.
  • Excellent communication, presentation, and relationship management skills.
  • Ability to work collaboratively in a dynamic, cross-functional, early-stage environment.

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