Market Access Channel Strategy Lead, Managed Care

🕒 vor 1 Monat

🇺🇸 Vereinigte Staaten – Remote

⏰ Vollzeit

🟠 Senior

🧐 Strategie

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Baylor Genetics

Baylor Genetics

501 - 1000 Mitarbeiter

Gegründet 1978

🏥 Gesundheitswesen

💼 Beratung

🍽️ Lebensmittel & Getränke

Healthcare • Consulting • Food & Beverage

Baylor Genetics ist ein klinisches Genomik- und Präzisionsdiagnostiklabor in Zusammenarbeit mit dem Baylor College of Medicine, das umfassende genetische Tests und Interpretationsdienste anbietet. Das Unternehmen bietet Gesamtgenom- und Gesamt-Exom-Sequenzierungen, chromosomale Mikroarray-Analyse, Mitochondrientests, Pharmakogenomik und spezialisierte Tests an, zusammen mit genetischer Beratung, Unterstützung für Anbieter und Ressourcen für Versicherungen/Bezahlung. Baylor Genetics unterstützt Gesundheitsdienstleister, Forscher und Familien mit KI-gestützter Interpretation, multimodaler Datenintegration und End-to-End-Dienstleistungen im klinischen und Laborbereich.

Beschreibung

• Work with external customers in the Managed Care channel for the Northeast US region • Achieve and maintain medical coverage policies, garner access, obtain in-network contracts, and monitor market trends for clinical diagnostic laboratory genetic/genomic tests • Build strong business relationships in complex organizations • Achieve desired access and coverage decisions for BG tests by identifying, understanding, and addressing customer needs • Meet or exceed account objectives for BG’s Northeast and Gulf regions • Grow the existing customer managed care book of business and increase clients with in-network contracts • Develop, evaluate, and propose strategic initiatives with cross-functional BG teams • Develop account-specific strategies and tactical plans aligned with business and customer goals • Provide external insights to inform BG’s test access strategy • Develop short-term and long-term strategic account plans for assigned accounts • Present BG-approved data and value messages compliantly with governing policies • Build and develop professional relationships with key customer decision-makers and stakeholders • Lead contract delivery, business reviews, and performance tracking with the internal market access team • Conduct routine business reviews and inform internal stakeholders of relevant account updates • Uphold company mission and values, ensure compliance with company policies and guidelines, and adhere to the Code of Conduct • Perform other job-related duties as assigned

🎯 Anforderungen

• Bachelor's degree required • 8+ years of direct experience with U.S. payer accounts • Proven past performance that has met or exceeded expectations • Previous experience with various health plans • Preferably experience with independent physician/practice associations (IPAs) • Demonstrated success working with coverage policies and closing contracts • Reimbursement/managed care experience • Experience with NGS, molecular diagnostics, or genetics is a plus • Biopharma account management experience is welcome • Knowledge of the payer payment system in the U.S. • Ability to manage projects and work cross-functionally with field teams and home office team members • Ability to communicate effectively and persuasively on complex clinical and economic matters to payers and other customers • Clear commercial focus for influencing and negotiating with payer stakeholders across testing and disease areas • Intellectual curiosity and problem-solving skills

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