Market Access Channel Strategy Lead, Managed Care

🔥 16 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🧐 Strategy

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Baylor Genetics

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1978

🏥 Healthcare

💼 Consulting

🍽️ Food & Beverage

Healthcare • Consulting • Food & Beverage

Baylor Genetics is a clinical genomics and precision diagnostics laboratory affiliated with Baylor College of Medicine that provides comprehensive genetic testing and interpretation services. The company offers whole genome and whole exome sequencing, chromosomal microarray analysis, mitochondrial testing, pharmacogenomics, and specialized assays, along with genetic counseling, provider support, and insurance/payment resources. Baylor Genetics supports healthcare providers, researchers, and families with AI-enhanced interpretation, multimodal data integration, and end-to-end clinical and laboratory services.

📋 Description

• 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

🎯 Requirements

• 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