Director of Market Access

The Director of Market Access plays a key role in establishing, maintaining, and growing working relationships with national and regional payors. Success in this role is the ability to articulate complex clinical information, and the Geneoscopy value proposition to key stakeholders including but not limited to senior-level Medical Directors, National Account Contracting Directors, Quality Management, and key policymakers across the healthcare industry.

RESPONSIBILITIES

• Establish and organize activities leading to expanded coverage and/or in-network statuses such as Payor Advisory Boards, state and national health plan conferences, third-party collaborations, etc.
• Communicate and converse in clinical utility and cost-effectiveness for specialty tests in support of improving market access and reimbursement. Provide expert insight into reimbursement and coverage scenarios for novel technologies prior to acquiring or developing technologies.
• Identify self-funded employer groups and pursue opportunities for coverage and collaboration.
• Serve as a Managed Care SME within a cross-functional team responsible for developing market access plans for the company.
• Work internally with clinical resources to evaluate current literature, relating to analytical and clinical validity and utility. Identify gaps and offer recommendations.
• Support the development of proposals for clinical studies to ensure the study outcomes will support positive medical policies. Identify partners and opportunities to engage payors in clinical utility studies.
• Collaborate with marketing to develop payor messaging, ensuring that Market Access messaging to HCPs is accurate and consistent.
• Lead conversations with national and regional payor medical directors and medical policy teams to secure coverage, target reimbursement, and remove administrative barriers to achieve reimbursement. Develop and execute comprehensive strategies to broaden payor coverage policies and maximize reimbursement.
• Coordinate with RCM to ensure Geneoscopy recognizes revenue consistent with reimbursement and coverage policies and in line with in-network agreements.
• Articulate the company value proposition to national payors, lab benefit managers, regional payors, and ACOs.
• Aid in developing a payer strategy and a comprehensive presentation slide deck to communicate the Geneoscopy value proposition effectively.
• Join the field-based sales team on client calls and visits as required.
• Offer and report on value and education around payors, reimbursement, and the evolving managed care and healthcare environment proactively.
• Keep current with the latest clinical utility study data and findings, society guideline changes, payor policy changes, competitive offerings, and trends relating to all areas of the company and managed care plans.
• Other duties as assigned.

EDUCATION REQUIREMENTS

• Bachelor's degree required.
  • Master's degree is strongly preferred.

QUALIFICATIONS

• 8+ years of experience in a field-based Market Access role within molecular testing, oncology diagnostics, or a closely related field.
• Experience developing and executing strategic plans to obtain optimal payor coverage/policies and reimbursement for key esoteric tests.
• Demonstrated ability to identify and cultivate relationships with key contacts within payors, including health plans, laboratory benefit managers, and pharmacy benefit managers. (Key contacts include Medical Directors, medical policy, quality/medical management, and pricing/reimbursement personnel.)
• Knowledge of Managed Care and the healthcare industry, including progressive healthcare dynamics. (e.g., value-based care and risk-sharing, and industry trends)
• Strong and proficient skillset and abilities within/performing:
  • Presentations, superior negotiation, analytical and financial acumen, Microsoft PowerPoint/Word/Excel, CPT, and ICD coding and processes.
• Ability to serve as internal SME for managed care team for genetic, pathology, and esoteric testing
• Exemplify the ability to multitask and thrive in an agile, fast-paced, deadline-driven environment while remaining flexible, proactive, resourceful, and efficient.
• Possess proficient verbal and written communication skills, while willing to share and receive information and ideas from all levels of the organization to achieve the desired results.
• Possess high ethics and conduct business in the most professional manner.
• Seek inclusiveness and collaboration but step up to responsibility, make tough decisions, and be accountable for those decisions.
• Act as a results-oriented team player with strong interpersonal and communication skills, capable of working collaboratively with colleagues.
• Preferred Additional Experience:
  • Ideally, possess experience working directly with self-funded employer groups.
  • Possessing experience in genetic testing is strongly preferred.
  • Possessing experience with securing coverage and collaboration agreements with self-insured employer groups.
    
    

SCHEDULE
This is a salaried position, requiring at least 40 hours per week. There may be projects that require activities beyond the standard hours.

COMPENSATION & BENEFITS

• Base salary range: $125,000 - 210,000/annually determined based on the candidate's experience, knowledge, and abilities.
• Bonus: discretionary annual bonus based on a percentage of the employee's base salary
• Benefits: health, vision, dental, life insurance, 401k (with employer match), and paid time off.

ADDITIONAL INFORMATION

Geneoscopy's Core Values
Ability to embody Geneoscopy's beliefs, philosophies, and principles:

• Integrity - we do the right thing through our words, actions, and behaviors
• Courage - step up, speak up, stand out
• Agility - think and act fast, embracing change
• Passion - for our customers, our people, our work, and for excellence
• Collaboration - our differences are assets

Physical Demands

• Employees may be required to lift routine office supplies and use standard office equipment.
• Must possess the ability to sit and/or stand for long periods.
• Must possess the ability to perform repetitive motion.

Work Environment

• May have exposure to fumes and bio-hazardous material in the laboratory environment.
• May be required to handle blood-borne pathogens and general laboratory reagents.

By completing this online employment application, you certify that the information on this application is true and complete to the best of your knowledge. You understand that any misrepresentation or omission of fact in response to any inquiry made in this application may result in the rejection of the application or if hired, dismissal whenever it is discovered. You authorize and release all parties from any liability or damage that may result from seeking, furnishing, or using such information. You understand and agree that, if hired, your employment is for no definite period and may, regardless of the date of payment of compensation, be terminated by Geneoscopy at any time, for any or no reason, with or without notice. You understand that no representation to the contrary is valid unless in writing, setting a definite term of employment, and signed by the company's CEO. You further understand and agree that any job offer is contingent upon your passing, to the company's satisfaction, a criminal background check, reference checks, and other possible screenings. You understand that this application is active for 90 days only, and if you do not hear from the company but still wish to be considered for employment after 90 days, you will need to fill out a new application.