Field Reimbursement Manager - Mid-Atlantic

Heartflow•Washington, DC

13d•$90,000 - $120,000•Remote

About The Position

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 FFRCT 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 (RoadMap™Analysis), assess coronary blood flow (FFRCT 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 heartcare. 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. This position is open for the Mid-Atlantic region, with targeted cities but not limited to Washington, DC; Philadelphia, Pennsylvania; Pittsburgh, Pennsylvania; Baltimore, Maryland. Must live in the territory. About the Role This is a fast-paced, field-embedded commercial role for someone who thrives in ambiguity, earns trust with sales teams quickly, and pivots between complex customer problems daily. You bring deep reimbursement expertise — but your real value is how you deploy it: as a strategic partner to our commercial team and a trusted advisor to providers and health systems. At Heartflow, our Field Reimbursement Managers are not compliance watchdogs. They are commercial enablers who help customers succeed financially while accelerating adoption of the Heartflow FFRCT Analysis. If you are energized by solving novel access challenges in real time, comfortable influencing without authority, and frustrated by slow, process-heavy environments, this role was built for you. This is a high-impact, highly visible position. Your expertise translates directly into patient access and commercial momentum. Join us and make a difference.

Requirements

5+ years of coding and billing experience managing both governmental and commercial claims, with demonstrated customer-facing or education/training responsibilities
Demonstrated experience in medical service coding and reimbursement, including direct support of large health system or hospital billing optimization
Proven experience operating alongside or embedded within a commercial sales organization (medical device, diagnostics, or specialty pharma strongly preferred)
Must be located in or able to relocate to DC, MD, PA, or surrounding Mid-Atlantic states (relocation assistance not available at this time)
Commercial Partnership Orientation (Priority)
Patient First, Customer Support Mindset: Demonstrated ability to operate as a commercial enabler alongside a quota-carrying field sales team. Success is measured by account adoption and customer outcomes, not internal compliance metrics.
Executive Presence & Polish: Credibility to represent Heartflow at the C-suite and health system leadership level. Ability to present confidently, handle objections on the spot, and command a room with both clinical and administrative audiences.
Operational Agility: Demonstrated ability to manage multiple concurrent, time-sensitive priorities in a high-velocity environment. Comfort with ambiguity is essential.
Revenue Cycle Mastery: Expert knowledge of medical coding (CPT, ICD-10-CM/PCS), payer policies, prior authorization workflows, and claims appeals processes across both governmental and commercial payers.
Policy Interpretation: Proven ability to interpret CMS Local and National Coverage Determinations and commercial payer medical policies to accurately identify required documentation and guide billing strategy across any diagnostic modality.
Market Intelligence: Ability to monitor, synthesize, and act on payer policy changes, coverage trends, and access barriers — and translate those insights into actionable guidance for customers and the internal commercial team.
Consultative Communication: Outstanding ability to translate complex reimbursement concepts into clear, actionable guidance for internal commercial teams and external customer audiences at all levels.
Data Proficiency: Proficient in the Microsoft Office Suite with advanced Excel skills for analysis, reporting, and customer-facing deliverables.
Ethical Practice: Unwavering commitment to ethical business practices and compliance in all professional activities.

Nice To Haves

Bachelor’s degree in a related field (Healthcare Administration, Business, or similar); equivalent combination of education and experience will be considered
CPC (Certified Professional Coder) or COC (Certified Outpatient Coder) certification
RHIA or CHBME certification
Prior experience in a medical device, diagnostics, or specialty pharma field reimbursement role
Familiarity with CMS NCD/LCD processes and commercial payer medical policy interpretation

Responsibilities

Operate as the embedded reimbursement expert within the commercial field team — a trusted partner who enables sales success, not an oversight function
Attend strategic customer calls to address complex coding, billing, and access concerns, positioning Heartflow as a consultative resource
Proactively partner with the Field Sales Team to identify facilities needing reimbursement support and develop strategies to address barriers
Educate the commercial team on coding updates, billing trends, and payer developments, ensuring the entire field organization is aligned and informed
Partner with field team members and customers to serve as the primary reimbursement support for providers and hospital billing and administrative leadership
Conduct onsite visits and remote consultations to educate customers on appropriate billing scenarios, documentation requirements, and payment components
Support customers across the full reimbursement cycle: from pre-service authorization through post-service collection and appeals
Partner with customers to optimize prior authorization workflows and claims appeals processes, maximizing reimbursement success and reducing administrative burden
Proactively partner with health system revenue cycle and finance teams to review and optimize chargemaster setup, ensuring the services included on the CCTA pathway are accurately reflected for appropriate charge capture and reimbursement
Conduct claim reviews to identify patterns, resolve issues, and ensure appropriate reimbursement outcomes
Address and support customers in resolving patient coverage, access, and reimbursement questions in coordination with patient services and internal stakeholders
Proactively identify gaps in customer-facing and internal educational resources, communicating those needs internally to support timely content development
Monitor and communicate payer policy changes, CMS coverage determinations, and market access trends to keep Heartflow’s reimbursement guidance current and competitive
Identify, anticipate, and surface systemic reimbursement opportunities and barriers — bringing market intelligence back to the organization to inform strategy and response
Maintain deep fluency in payer medical policies, prior authorization trends, and claims adjudication patterns across the Mid-Atlantic region