Director of Market Access Operations

🕒 vor 6 Monaten

🏛️ District of Columbia, Illinois, +2 weitere Bundesländer – Remote

🏛️ District of Columbia – Remote 🌽 Illinois – Remote 🤠 Texas – Remote ☕ Washington – Remote

💵 $140.000 - $180.000 / Jahr

⏰ Vollzeit

🔴 Experte

⚙️ Operations

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Millennium Health

WebsiteLinkedInAlle Stellen

501 - 1000 Mitarbeiter

Gegründet 2007

⚕️ Krankenversicherung

🧬 Biotechnologie

💰 Private Equity Round im 2010-11

Healthcare Insurance • Biotechnology

Millennium Health ist ein akkreditiertes Speziallabor mit über 15 Jahren Erfahrung in der Drogentest-Dienstleistung. Es unterstützt Kliniker dabei, den Einsatz von verschreibungspflichtigen Medikamenten und illegalen Drogen zu überwachen sowie die Wirksamkeit von Behandlungsplänen zu beurteilen. Jedes Jahr werden über eine Million Proben bearbeitet, wodurch in Echtzeit Analysen zu neuen Drogentendenzen bereitgestellt werden. Zudem arbeitet das Labor mit Organisationen wie dem U. S. Department of Health and Human Services zusammen, um die Überdosis-Krise zu bewältigen. Millennium Health bietet Urin- und orale Flüssigkeitentests an und nutzt proprietäre Datenintelligenz über die Intellium-Plattform, um die Patientenversorgung durch umfassende Drogentests und Datenanalysen zu verbessern.

Beschreibung

• 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

🎯 Anforderungen

• 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

🏖️ Vorteile

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