Payer Relations Manager

Position: Payer Relations Manager (PRM)

Functional Area: Reimbursement and Market Access

Department: Commercial

Reports to: Senior Director, Market Access

Location: Remote - Preferred: reside in Eastern or Central U.S, and close to major airport

Company background

Magnus Medical is a neurotechnology company revolutionizing depression treatment through precision-guided brain stimulation. Its flagship innovation, SAINT® (Stanford Accelerated Intelligent Neuromodulation Therapy), is an FDA-authorized, non-invasive therapy for

treatment-resistant depression. SAINT uses advanced imaging and AI-based targeting to deliver individualized transcranial magnetic stimulation over five days. Magnus is driven by the mission to restore hope and improve outcomes for people living with severe mental health conditions.

Role Description

The Payer & Government Relations Manager will play a key role in driving Magnus Medical's mission to expand patient access to SAINT®. This individual will identify, develop, and manage strategic relationships with commercial payers, government agencies, and organizations that influence reimbursement decisions across assigned geographies.

This position will collaborate closely with the Market Access and Field Reimbursement

teams, as well as external partners, to align on payer strategy, resolve payer-related

barriers, secure favorable coverage and payment decisions, and inform Magnus's broader

reimbursement strategy. The role also includes tracking and influencing regional and national

policy trends impacting behavioral health and neuromodulation reimbursement.

Essential Job Duties and Responsibilities

Strategic Payer & Policy Engagement

• 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.

Cross-Functional Collaboration

• 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.

Advocacy & Education

• 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.

Data Intelligence

• 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.

Qualifications & Experience

• Education: Bachelor's degree required; MBA, MPH, or advanced degree preferred.
• Experience: 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.

Salary Range: $140,000 - $150,000 Annually; may be eligible for quarterly bonus.

This base salary range is an estimate, and the actual salary may vary based on Magnus' compensation practices, job related skills, depth of experience, relevant certifications and training, in addition to geographic location. Based on the factors above, Magnus utilizes the full width of the range.

Work Environment & Travel Requirements

This is a remote-based position, but it may require travel up to ~30-40%, depending on business needs. Travel will primarily involve onsite support at provider locations across the U.S. or payer meetings and conferences.

Company Statement

We are deeply committed to integrity, kindness, and communication, and these principles govern how we will build our team and operate the company. Magnus is an equal opportunity employer. We value diversity and are committed to creating a positive, inclusive environment for all employees.

Questions? Contact jobs@magnusmed.com

Job Code:
2025-021

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