Billing Tech Support Specialist, B2B SaaS
Prompt Therapy Solutions Inc
Director, Market Access
GeneDx
full-time
Posted on:
Origin: • 🇺🇸 United States • California
Visit company websiteSalary
💰 $210,000 - $225,000 per year
Job Level
Lead
About the role
- Develop innovative access, pricing, coverage and contracting strategies to support the needs of patients and their clinicians
- Lead payor contracting strategy within the assigned geography/payors by identifying opportunities to obtain new contracts and/or improve rates and terms
- Drive the expansion of payor medical policies, conveying the latest evidence and guidelines to payor accounts
- Collaborate with cross-functional teams, including Revenue Cycle Management (RCM), Legal, Training, Sales, and Marketing
- Guide the RCM team on changing payor requirements that may impact reimbursement success
- Provide subject matter expertise in professional society guidelines, health technology assessments, published evidence, lab benefit management programs, medical policies, state legislation, and market trends
- Proactively share insights based on payor data and drive solutions to improve reimbursement success
- Provide strategic Market Access guidance to the GeneDx field sales team within the assigned geography to achieve volume and revenue targets
- Identify and develop opportunities for strategic payor partnerships
- Establish partnerships with external stakeholders such as advocacy groups, health systems, state legislators, and key opinion leaders
- Serve as the payor-expert, advising internal business leads across geography and beyond
- Solve complex business problems leveraging internal and external resources
Requirements
- 10+ years of Market Access experience, preferably in molecular diagnostics
- 5+ years of experience in genomics is strongly preferred
- Demonstrated experience working with California payors, including IPAs
- Bachelor’s degree or higher in related field
- Proven track record of influencing payor medical policies
- Strong executive presence with a solution-oriented mindset
- Demonstrated ability to simplify and communicate complex information
- Strong analytical, communication, and interpersonal skills
- Highly adaptable in a rapidly changing environment
- Ability to travel for business-critical meetings (up to 20% of the time)
