National Market Access Manager

🔥 0 minutes ago

🇳🇱 Netherlands – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

👻 Ghost score 10%

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Eurofins

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1987

🍽️ Food & Beverage

🏥 Healthcare

📦 Logistics

💰 $30M Grant on 2021-10

Food & Beverage • Healthcare • Logistics

Eurofins is a global leader in testing and laboratory services. With approximately 62,000 employees and over 900 laboratories across 62 countries, the company provides a wide range of testing services across various industries. Eurofins offers services such as food and feed testing, consumer product testing, genomic services, clinical diagnostics, forensic services, environment testing, and pharmaceutical testing. The company is committed to scientific innovation and sustainability, and it plays a critical role in testing for health, safety, and environmental impacts worldwide.

📋 Description

• Lead all third-party payer contract negotiations and contract-related discussions • Develop, drive, and maintain a contracting strategy aligned with market trends and Eurofins network incentives • Manage and negotiate national and regional contracts • Analyze contracts, associated documents, proposed fees, and financial terms • Determine whether existing contract terms warrant renegotiation • Lead payer petitioning to overturn negative coverage decisions or secure positive coverage decisions for new tests • Serve as primary business owner and conduit for each third-party payer • Participate on Executive Leadership teams for clinical companies with third-party billing requirements • Monitor, escalate, and summarize problematic contract provisions and regulatory issues • Interface with Payor Enrollment, Revenue Cycle, Analytics, Finance, Quality Management, and Legal • Develop relationships with payor and regulatory-body counterparts nationally • Work with external legal counsel on national and state payor market regulations • Assist with department policies and standard operating procedures • Create and maintain a payor policy database for Eurofins tests • Create a dynamic fee schedule/reimbursement matrix and database • Resolve reimbursement and contract-language interpretation issues • Identify revenue opportunities through claims investigation, billing-pattern analysis, and payer contractual compliance review • Analyze data to develop effectiveness and return-on-investment metrics for products • Model and run payment analysis reports in Excel and other programs using SAS data from the Xifin billing system • Maintain a repository of regulatory and contractual requirements, including No Surprises Act legislation and Medicare/Medicaid contract language • Serve as project manager for directed projects • Investigate and disseminate information about new WC, Auto, Medicaid, CMS, or health-plan products • Partner with and report to the VP of Market Access or Finance Leader and communicate regularly with the Director of Billing

🎯 Requirements

• Bachelor degree in Business Administration, Finance, Accounting and/or Information Systems required • Master’s Degree preferred • Minimum 8 years healthcare administrative experience • Ability to lead a team of diverse skill-sets and age groups • Strong interpersonal, written, verbal, and analytical skills • Ability to adhere to deadlines and complete work correctly • Self-starter able to organize and multitask multiple tasks/projects to completion • Strong knowledge of payor reimbursement methodology types • Proficient in MS Excel, MS Office programs, business intelligence tools, and/or other reportable performance programs • Experience working with multiple state payors preferred • Ability to process and understand complex information in a managed care environment • Familiarity with managed care terminology and managed care contract provisions • Experience compiling, coordinating, and analyzing payor contract regulatory requirements and contract language • Ability to maintain confidentiality regarding sensitive corporate data • Ability to work outside core business hours as needed and take ownership of issue resolution • Physical dexterity to operate keyboards and office equipment repetitively • Ability to communicate clearly in person, by telephone, and in group settings • Ability to operate a personal computer for extended periods • Mental acuity to collect and interpret data, evaluate, reason, define problems, establish facts, draw conclusions, and make decisions • Must be vaccinated against novel COVID-19 virus variants or provide proof of approved exemption

🏖️ Benefits

• Excellent full time benefits including comprehensive medical coverage, dental, and vision options • Life and disability insurance • 401(k) with company match • Paid vacation and holidays • Remote work option • Monday-Friday schedule, 8:00am-5:00pm