Director of Payer Relations – National Accounts

🕒 Abril 24

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Cyted Health

SiteLinkedInTodas as Vagas

51 - 200 funcionários

🏥 Saúde

⚕️ Seguro de Saúde

🧬 Biotecnologia

Healthcare • Healthcare Insurance • Biotechnology

Estamos redefinindo a saúde digestiva ao inovar com diagnósticos não-endoscópicos, permitindo a detecção precoce de doenças e acesso aos cuidados para todos, em qualquer lugar.

Descrição

• Develop and execute US payer relations and national account strategies to achieve reimbursement, coverage, and patient access goals. • Establish strategies and tactics to secure favourable coverage policies and payment contracts with commercial payers. • Lead efforts to establish and optimize coding, coverage, and payment pathways for Cyted’s molecular diagnostic portfolio. • Monitor federal and state healthcare policy developments and assess their impact on access strategy and business objectives. • Identify reimbursement risks and opportunities, proactively shaping mitigation and growth plans. • Define access KPIs and track performance against coverage, payment, and revenue targets. • Build and maintain strong relationships with payers, LBMs, IDNs, IDN finance structures, Medicare, Medicaid, VA, DoD, and other relevant stakeholders. • Lead payer engagement plans across national and regional accounts, aligning access strategy to key health system priorities. • Represent the company in payer meetings, contract discussions, industry conferences, and relevant forums. • Partner with national and regional accounts to remove reimbursement barriers and accelerate pull through. • Create and communicate clear payer value propositions supported by clinical and health economic evidence. • Develop health economic models, reimbursement dossiers, and other payer facing materials tailored to decision makers. • Support commercial teams and key accounts with reimbursement education and structured problem solving. • Collaborate cross functionally with Sales, Marketing, Medical Affairs, Regulatory, and Finance to align access strategy with commercial and launch goals. • Ensure payer insights inform evidence generation, messaging, and product positioning decisions.

🎯 Requisitos

• A bachelor's degree in Health Policy, Business, Life Sciences, or a related field; advanced degree (MPH, MBA, etc.) preferred. • 8-10+ years of experience in market access, reimbursement, or managed care within the US healthcare system. • Proven track record in securing reimbursement and access for medical devices, molecular diagnostics, or therapies. • Established relationships with key payer stakeholders, including LBMs, IDNs, IDNFS and CMS. • Deep knowledge of US reimbursement processes, including CMS and private payer systems. • Strong communication, negotiation, and presentation skills. • Ability to synthesize complex clinical and economic data into compelling, payer-relevant narratives. • Willingness to travel as required (up to 50%). • Expertise in US reimbursement and health policy landscape. • Strong negotiation and relationship-building skills. • Strategic mindset with ability to execute tactically. • Experience working within molecular diagnostics, or related medical technology sectors. • Strong understanding of health economics and outcomes research (HEOR) principles.

🏖️ Benefícios

• 401(k) Safe Harbor Plan with employer match: Dollar-for-dollar match on the first 1% 50 cents on the dollar up to 6% • Access to the company's medical insurance with company contributions of up to $1000/month • Access to self-pay vision and dental insurance options • Life Insurance: 3x your annual base earnings, employer-paid • Long-Term Disability (LTD): 60% of base salary up to $10,000/month • Short-Term Disability (STD): 60% of salary up to $2,500/week for up to 13 weeks • Employee Assistance Program (EAP): Full access to our EAP platform including courses and resources to support your wellbeing • 20 vacation days per year • 8 sick days • 8 paid holidays • Parental Leave: 6 weeks fully paid primary caregiver leave 2 weeks fully paid secondary caregiver leave • Holiday Purchase Scheme: Buy up to 5 extra vacation days per year • Annual CPD Allowance: $1,000 per year for professional development activities relevant to your role • Regular Company Events: Including summer and holiday parties, team socials, and more