Payer Account Director

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🕒 Setembro 24

🏈 Alabama, Florida, +10 estados a mais – Remoto

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💵 $250.000 - $285.000 / ano

⏰ Tempo Integral

🔴 Especialista

🧑‍💼 Executivo de Contas

🦅 Patrocina Visto H1B

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👻 Score fantasma 10%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Orca

Orca

11 - 50 funcionários

💳 Fintech

₿ Cripto

💸 Finanças

Fintech • Crypto • Finance

Orca é uma plataforma que facilita a negociação e a provisão de liquidez aproveitando a velocidade da tecnologia blockchain Solana na rede Ethereum. Permite que os usuários negociem, gerenciem portfólios e conectem suas carteiras na rede Eclipse. Projetada para fornecer uma experiência sem interrupções, combinando o ecossistema do Ethereum com as capacidades de processamento rápido do Solana, a Orca tem como alvo usuários interessados em negociações de criptomoedas e soluções de liquidez.

Descrição

• Serve as the single point of contact for Authorized Treatment Centers regarding field-related payer-access engagements, including onboarding • Develop and execute payer strategies for assigned regional and national payer accounts, state Medicaid agencies, and Medicare Administrative Contractors • Secure access to Orca products and execute ongoing payer segmentation and business strategy tactics • Present scientific data, clinical practice goals, guidelines, and anticipated economic program outcomes to support the product value proposition • Utilize Medical Science Liaison or medical-provider clinical expertise for product and disease-state presentations to key decision-makers • Deliver and maintain favorable access, advantageous payer medical policy, and appropriate reimbursement for Orca products throughout portfolio life-cycle management • Partner with targeted Academic Hospitals and Health Systems to ensure patient access on a case-by-case basis • Interact frequently with the Case Management team to resolve patient access issues • Track KPIs and ensure dashboard accuracy to measure account market-access results • Adhere to Orca Bioscience’s core values, policies, procedures, and business ethics • Perform miscellaneous duties as assigned

🎯 Requisitos

• Bachelor’s Degree • 12+ years related Payer/Hospital reimbursement experience in the healthcare industry • Proven relationships with Commercial Payer Medical Directors, Medicare Part A, State Medicaid, and Managed Medicaid stakeholders • Strong analytical skills with experience in Payer Case rates, Payer policy development, and Payer Policy data tracking tools • Problem solving skills and multi-tasking experience • Proactive, results-oriented, collaborative self-starter with demonstrated strong leadership skills and experience in a complex reimbursement environment • Excellent written and verbal presentation skills • Knowledge of regulations and laws governing protection of patient identifying information, OIG, FDA, and CMS policies pertaining to access • Ability to work collaboratively with key internal stakeholders • High proficiency in Microsoft Excel, Word, and PowerPoint • Open to frequent travel during site onboarding and ad hoc meetings (~40%)

🏖️ Benefícios

• Pre-IPO equity • Annual bonus • Competitive medical benefits • Dental benefits • Vision benefits • PTO • 401(k) plan • Life and accidental death and disability coverage • Parental leave benefits • Subsidized daily lunches and snacks at on-site locations

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