Director – Market Access, West
Caris Life Sciences
full-time
Posted on:
Location Type: Remote
Location: California • Idaho • United States
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Salary
💰 $200,000 - $210,000 per year
Job Level
About the role
- Contract and be an in-network provider for insurance companies and group payer organizations within region
- Manage complex contract negotiation and work with cross functional departments to bring the contracting process to closure
- Manage existing relationships with existing contracted insurance companies
- Initiate and develop new relationships to sign contracts with targeted payers, track meetings and progress
- Develop and implement strategies that lead to successful acceptance of Caris Life Sciences testing into payer medical policy guidelines
- Maximize reimbursement by negotiating the highest possible reimbursement rates and holding payers to contract terms
- Stay up to date on trends in the managed care market and develop strategy with senior management to address the changes and maintain acceptable reimbursement rates
- Prepare, coordinate, and manage contract negotiation process
- Identify and evaluate opportunities and financial terms for MCOs, GPOs, IPAs, and other healthcare systems
- Assess potential legal risk in the context of contract provisions. Prepare letters of agreement and key contract provisions
- Identify and target specific market segments for development, including key payers, employers, or other managed care organizations
- Serve as the principal contact with assigned payers, employers and providers and review proposed agreements within assigned territory
- Prepare responses to Request for Proposals (RFP)
Requirements
- Bachelor's Degree in Business, Marketing, Science, or related field
- 5+ years of experience in any of the following areas: contracting and coverage with large national payers, medical group contracting, sales, sales leadership in biotech, device or diagnostic laboratory companies, or extensive experience working in health plan contracting, coverage or case management
- 5+ years of reimbursement programs in pharma, lab, biotech, and/or devices
- Possession of a valid driver's license
- Demonstrated ability to perform the essential duties of the position with or without accommodation
- Authorization to work in the United States without sponsorship
- Strong presentation skills and the ability to speak confidently to all levels of an organization require
- Ability to develop a value proposition and effective business case that will influence medical policy
- Ability to present clinical data, scientific findings, and complex information in a persuasive manner to a variety of audiences
- Effective English communication skills, both written and verbal
- Outstanding influencing, interpersonal and networking skills to drive successful relationship building
- Strong knowledge of Microsoft Office Suite (PowerPoint and Word)
Benefits
- Highly competitive and inclusive medical, dental and vision coverage options
- Health Savings Account for medical expenses and dependent care expenses
- Flexible Spending Account to pay for certain out-of-pocket expenses
- Paid time off, including: vacation, sick time and holidays
- 401k match and Financial Planning tools
- LTD and STD insurance coverages, as well as voluntary benefit options
- Employee Assistance Program
- Pet Insurance
- Legal Assistance
- Tuition Assistance
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
contract negotiationreimbursement programsmedical policy guidelinesfinancial terms evaluationlegal risk assessmentRequest for Proposals (RFP)value proposition developmentbusiness case developmentpresentation of clinical datasales leadership
Soft Skills
strong presentation skillseffective communication skillsinterpersonal skillsnetworking skillsinfluencing skillsrelationship buildingorganizational skillsstrategic thinkingproblem-solvingcollaboration