Tactile Medical · 1 day ago
Manager, Payer Compliance
Minneapolis, MN
Full-time
Onsite
Mid, Senior Level
$81K/yr - $114K/yr
3+ years expTactile Medical specializes in developing at-home therapy devices to treat various medical conditions. The Manager, Payer Compliance is responsible for managing payer audit activity to ensure compliance with payer policies and government regulations, optimizing reimbursement, and ensuring access to the company's products.
Health CareMedicalMedical Device
Responsibilities
Ensure compliance with all payer requirements
Responsible for leading team members charged with the submission of audit responses and associated appeals to commercial and public payers
Research, interpret, and stay current on payer policies, guidelines, and regulatory changes from commercial, government, and other payer types
Provide input for the creation and refinement of internal policies and processes to align with payer standards and industry best practices
Provide regular updates to stakeholders on audit performance and policy changes, escalating unresolved issues as needed
Responsible for driving process changes and identifying ways to improve coverage positions through payer audit analysis and appeal arguments
Develop and utilize dashboards and reporting tools to evaluate audit outcomes and to measure effectiveness of changes to payer requirements
Guide and oversee appropriate training and education for multiple stakeholders including operations, sales force, patients, and clinicians
Work collaboratively with all levels of personnel and management to meet company goals
Assess departmental capabilities and monitor staff performance to ensure highest output
Participate and lead project initiatives, as assigned
Maintain compliance with all appropriate regulatory requirements including HIPAA
Other duties as assigned
Qualification
Required
Education: Bachelor's degree in Business, Healthcare Administration, or a related field (or equivalent experience)
Minimum 3+ years of leadership experience managing teams or direct reports
Proven experience in payer audits, appeals, and reimbursement processes
Strong understanding of payer methodologies, including coding, coverage criteria, medical terminology, and denial resolution
Excellent analytical and problem-solving abilities; able to leverage data for decision-making
Strong communication skills for interacting with internal teams and external payer contacts
Ability to manage cross-functional collaboration with compliance, finance, and operations teams
Proficiency in reporting tools and dashboards for audit and appeal outcomes
Familiarity with regulatory requirements (e.g., HIPAA)
Preferred
5+ years in payer policy analysis, audit management, or healthcare reimbursement
Previous experience in medical device industry, health insurance, or healthcare operations
In-depth understanding of Medicare and commercial payer policies, including NCDs and LCDs
Familiarity with fraud, waste, and abuse audit trends and pre-payment review cycles
Advanced ability to develop strategic solutions for coverage challenges
Experience creating educational resources for internal teams and external stakeholders
Company
Tactile Medical
Tactile Medical develops medical devices that support the treatment of edema and vascular diseases at home.
1001-5000 employees
Funding
Current Stage
Public CompanyTotal Funding
$55.7MKey Investors
Radius VenturesGalen Partners
2023-02-23Post Ipo Equity· $32.5M
2016-07-28IPO
2012-10-05Series B· $10.4M
Leadership Team
Dan Reuvers
Chief Executive Officer
Brent Moen
Chief Financial Officer
Recent News
2026-01-05
Tactile Systems Technology, Inc.
2025-11-04
2025-11-04
Company data provided by crunchbase