Payer Account Director

Job not on LinkedIn

🔥 0 minutes ago

🏈 Alabama, Florida, +10 more states – Remote

🏈 Alabama – Remote 🐊 Florida – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🌲 North Carolina – Remote 🌪️ Oklahoma – Remote 🎸 Mississippi – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote

💵 $250k - $285k / year

⏰ Full Time

🔴 Lead

🧑‍💼 Account Executive

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 7%

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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Orca

WebsiteLinkedInAll Job Openings

11 - 50 employees

💳 Fintech

₿ Crypto

💸 Finance

Fintech • Crypto • Finance

Orca is a platform that facilitates trading and liquidity provision by leveraging the speed of Solana blockchain technology on the Ethereum network. It allows users to trade, manage portfolios, and connect their wallets on the Eclipse network. Designed to provide a seamless experience by combining Ethereum's ecosystem with Solana's rapid processing capabilities, Orca targets users interested in cryptocurrency trading and liquidity solutions.

📋 Description

• Serve as the single point of contact for Authorized Treatment Centers regarding field-related payer-access engagements, including onboarding • Develop and execute payer strategies for assigned regional and national payer accounts, state Medicaid agencies, and Medicare Administrative Contractors • Secure access to Orca products and execute ongoing payer segmentation and business strategy tactics • Present scientific data, clinical practice goals, guidelines, and anticipated economic program outcomes to support the product value proposition • Utilize Medical Science Liaison or medical-provider clinical expertise for product and disease-state presentations to key decision-makers • Deliver and maintain favorable access, advantageous payer medical policy, and appropriate reimbursement for Orca products throughout portfolio life-cycle management • Partner with targeted Academic Hospitals and Health Systems to ensure patient access on a case-by-case basis • Interact frequently with the Case Management team to resolve patient access issues • Track KPIs and ensure dashboard accuracy to measure account market-access results • Adhere to Orca Bioscience’s core values, policies, procedures, and business ethics • Perform miscellaneous duties as assigned

🎯 Requirements

• Bachelor’s Degree • 12+ years related Payer/Hospital reimbursement experience in the healthcare industry • Proven relationships with Commercial Payer Medical Directors, Medicare Part A, State Medicaid, and Managed Medicaid stakeholders • Strong analytical skills with experience in Payer Case rates, Payer policy development, and Payer Policy data tracking tools • Problem solving skills and multi-tasking experience • Proactive, results-oriented, collaborative self-starter with demonstrated strong leadership skills and experience in a complex reimbursement environment • Excellent written and verbal presentation skills • Knowledge of regulations and laws governing protection of patient identifying information, OIG, FDA, and CMS policies pertaining to access • Ability to work collaboratively with key internal stakeholders • High proficiency in Microsoft Excel, Word, and PowerPoint • Open to frequent travel during site onboarding and ad hoc meetings (~40%)

🏖️ Benefits

• Pre-IPO equity • Annual bonus • Competitive medical benefits • Dental benefits • Vision benefits • PTO • 401(k) plan • Life and accidental death and disability coverage • Parental leave benefits • Subsidized daily lunches and snacks at on-site locations