Labcorp

Compensation

Full Description

Job Description: • Lead payor-focused launch initiatives for select strategic assays; including assessing needs for internal and external facing documents, development of launch materials, training programs, and execution plans to secure reimbursement and coverage • Define and oversee data and reporting requirements for prior authorization, claims and other revenue cycle management related data required by the market access organization • Be adept at interpreting medical policy and applying to reimbursement analysis; identify trends and address any internal issues, identify opportunities to improve clinical and administrative policies, and/or recommend solutions to address gaps in clinical evidence to improve reimbursement experience for strategic assays • Identify opportunities and develop strategies to collaborate with clinical discipline area leads to improve reimbursement experience • Interact effectively with internal departments to support optimal development and execution of market access strategies (Reimbursement/Billing, Clinical/Medical Affairs, Legal, Marketing, Sales, etc.) • Develop position statements and supporting material (e.g., current reimbursement experience, evolving clinical guidelines) to improve coverage, reimbursement, and to remove administrative barriers in preparation for conversations with health plans, national payer medical directors, and medical policy teams • Demonstrate extensive knowledge of commercial plans, FFS, Managed Medicaid, and Medicare Advantage plans • Keep informed of the latest clinical utility study data and findings, society guideline changes, payor policy changes, competitive offerings and trends Requirements: • Bachelor’s degree with 7+ years of experience; Master’s degree with 5+ years of experience; PharmD with 3+ years of experience • 7+ years related experience in coverage and reimbursement initiatives for clinical diagnostics • Comprehensive knowledge and insight into the clinical diagnostics market, managed care, reimbursement, health economics, population health, competition and other external market factors • Understanding of RCM billing, prior authorization, appeals, and reimbursement to identify opportunities for improved processes with payers • High degree of effective analytical and problem-solving skills and judgment with specific application to medical, financial, and RCM data • Existing relationship and contacts with health plan representatives • Demonstrated ability to identify and cultivate relationships with key contacts within health plans, including Medical Directors, medical policy, medical management and pricing/reimbursement personnel • General understanding of the CPT and ICD 10 Coding environment • Ability to work collaboratively, independently, and remotely • Ability to travel nationally as need for client meetings, conferences, and sales meetings as required (<10% Travel) Benefits: • Medical • Dental • Vision • Life • STD/LTD • 401(k) • Paid Time Off (PTO) or Flexible Time Off (FTO) • Tuition Reimbursement • Employee Stock Purchase Plan