Payor Relations Manager
About The Position
Cubby Beds is a fast-growing and high-impact startup that makes smart beds for people with cognitive conditions like Epilepsy, Cerebral Palsy, Dementia and Autism. Our mission is to improve the lives of special needs kids and their families through our innovative products and go to market strategies. Since launch, we have changed the lives of thousands of families, been insurance covered in all 50 states, achieved profitability, and are building a growing team in our Denver HQ. The next stage of the business is all about scaling our team, product, systems, and customer journey to help thousands more families get the safe sleep they deserve. Here’s what you’ll be doing You will lead all initiatives related to securing and maintaining coverage for Cubby Beds to expand access for families. This role is responsible for, but not limited to: Develop and execute a comprehensive payer strategy across commercial, Medicare, and Medicaid plans to expand coverage for Cubby Beds in all 50 states. Lead policy and coverage negotiations and relationship management with key payers to secure and maintain optimal reimbursement rates and policies. Collaborate cross-functionally with Sales, Finance, and Operations teams to implement a structured appeals process, assisting our DME partners in securing coverage for Cubby Beds. Analyze market access trends, payer policy changes, and coverage landscape to proactively adapt strategy. Act as the primary point of contact for payer-related inquiries and issues. Develop and manage the repository of payer-specific resources, educational materials, and documentation to support the internal team and providers. Ability to travel approximately one time per month for key payer meetings and conferences.
Requirements
- 5+ years of experience in payer relations, market access, or managed care within the medical device, durable medical equipment (DME), or healthcare industry.
- Proven track record of successful contract negotiation and management with large commercial and/or government payers.
- Deep understanding of the payer landscape, including reimbursement methodologies, prior authorization processes, and claims appeals.
- Excellent analytical, communication, and presentation skills.
- Ability to work autonomously, manage multiple high-priority projects, and thrive in a fast-paced, high-growth startup environment.
Nice To Haves
- Experience working with products covered under the Durable Medical Equipment (DME) benefit category.
- Established relationships with decision-makers at major national and regional health plans.
- Proficiency in CRM software (e.g., Salesforce) for tracking contracts, negotiations, and key payer data.
- Bachelor’s degree in Business, Healthcare Administration, or a related field.
Responsibilities
- Develop and execute a comprehensive payer strategy across commercial, Medicare, and Medicaid plans to expand coverage for Cubby Beds in all 50 states.
- Lead policy and coverage negotiations and relationship management with key payers to secure and maintain optimal reimbursement rates and policies.
- Collaborate cross-functionally with Sales, Finance, and Operations teams to implement a structured appeals process, assisting our DME partners in securing coverage for Cubby Beds.
- Analyze market access trends, payer policy changes, and coverage landscape to proactively adapt strategy.
- Act as the primary point of contact for payer-related inquiries and issues.
- Develop and manage the repository of payer-specific resources, educational materials, and documentation to support the internal team and providers.
- Ability to travel approximately one time per month for key payer meetings and conferences.
Benefits
- Base Salary: commensurate with experience
- Performance Bonus: Up to 10% of your base salary if targets are hit
- Stock Options - Equity Ownership
- Health, Dental, and Vision Insurance (90% paid premiums for employees, 50% for partners and dependents)
- Unlimited PTO & Sick/Wellness Hours
- 12 paid holidays, 1 paid volunteer day, 1 paid “powder day” to take advantage of Colorado’s great weather!
- 401k with a company match
- Hybrid Work Model: Monday-Wednesday in the office, optional work from home Thursday-Friday
- Mac, standing desk, and high-end accessories at the office + a work-from-home stipend to purchase equipment needed for home offices
- Paid parking
- Annual staff retreat
- Stocked kitchen and bimonthly team lunches in our beautiful Denver HQ
- Growth opportunities at a start-up with a life-changing mission
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What This Job Offers
Job Type
Full-time
Career Level
Manager
