Director of Market Access Operations

Job not on LinkedIn

November 26

🌽 Illinois – Remote

Although this job is listed in Illinois, this company may be open to hiring remote in other states.

+2 more states

🌽 Illinois – Remote 🤠 Texas – Remote ☕ Washington – Remote

💵 $140k - $180k / year

⏰ Full Time

🔴 Lead

⚙️ Operations

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Millennium Health

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Healthcare Insurance • Biotechnology

Millennium Health is an accredited specialty laboratory with over 15 years of experience in drug testing services, helping clinicians monitor the use of prescription medications and illicit drugs, as well as the effectiveness of treatment plans. They process over a million specimens each year, providing real-time analytics on emerging drug use trends and collaborating with organizations like the U. S. Department of Health and Human Services to address the drug overdose crisis. Millennium Health offers urine and oral fluid drug testing, leveraging proprietary data intelligence through their Intellium platform to enhance patient care by providing comprehensive drug testing and data insights.

501 - 1000 employees

Founded 2007

⚕️ Healthcare Insurance

🧬 Biotechnology

💰 Private Equity Round on 2010-11

📋 Description

• Monitor contract performance process to quantify the profitability of Managed Care programs and help develop strategies and tactics for remediation of underperforming contracts working directly with the Senior Director of Market Access • Work with contracted insurers, sales leadership, and marketing to manage and implement successful redirection and other collaborative pull-through-related programs • Willingness to participate in basic management needs of the department (e.g., state payer lists, redirection curation, contract reviews, etc.) • Support development of strategy and prioritization for managed care contracting in collaboration with the Senior Director and the Senior Vice President of Market Access • Assist the contract development process from insurer contract proposals through final approval, including deal structure, analysis, forecasting, and reporting of contract profitability • Establish collaborative working relationship with sales leadership and their teams to inform and guide market access strategies, key target identification, and optimal opportunities for synergistic value creation • Analysis and support of contracted in-network reimbursement rates for Millennium Health, and identify and pursue opportunities to improve rates that are below market • Collaborate closely with Millennium Health functional leadership, contracting Consultants, finance team, billing department, analytics executives, legal counsel, and key customers • Manage existing insurer contracts to ensure continuity, successful renewal, and renegotiate fee schedules where appropriate to achieve revenue optimization. • Capable of supporting the Market Access team through engagement in policy and advocacy-related work (e.g., ACLA, CCLA, CAHP, MGMA) • Capability in conducting basic financial analyses to inform strategies and prioritization • Develop internal and external partnerships to enable funding, reimbursement, and access, which can include guidelines, innovative financing or payment models, and public health programs • Partner with all cross-functional stakeholders to align on priorities and resourcing for business objectives across all areas of the enterprise • Ability to think strategically regarding the value of Market Access for Millennium and advancement and advocacy of the purpose and value of drug testing itself • Ability to ensure HIPAA, Confidentiality, and Compliance policies, procedures, and standards are always adhered to. • Ability to ensure administrative, physical, and technical cyber security controls are always adhered to. • Regular and reliable attendance

🎯 Requirements

• Bachelor’s Degree in Business, Science or related field required • Master’s Degree encouraged • Five years progressive leadership experience in Market Access contracting, policy development or similar responsibility with a health services, device, or pharmaceutical company; related laboratory experience preferred • Experience of successfully selling/advocating directly to payer organizations and influencing payer decision makers • Documented experience in managing the negotiation process for contracts and/or contract maintenance with major health insurance companies • Excellent communication, inter-personal and negotiation skills • Networking and relationship development skills • Strong analytical, quantitative, and qualitative analysis skills required • Ability to influence without authority • Existing network of payer relationships • Blend of strategic and tactical skills • Demonstrated consistent follow-through and creative persistence with payer stakeholders • Compelling presentation skills • Strong computer software skills including in depth working knowledge of Microsoft Office applications • Willingness and ability to travel extensively throughout the US and to MH corporate headquarters in San Diego

🏖️ Benefits

• Medical, Dental, Vision, Disability Insurance • 401 (k) with Company Match • Paid Time off and Holidays • Tuition Assistance • Behavioral and Health Care Resources