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Labcorp · 8 hours ago

Senior Manager, Market Access, Oncology and Specialty Testing

North Carolina, United States

Full-time

Hybrid

Senior Level

$130K/yr - $145K/yr

7+ years exp

Labcorp is a company dedicated to accelerating healthcare breakthroughs and improving care delivery. They are seeking a Senior Manager, Market Access, Oncology and Specialty Testing to drive strategic initiatives and support market access strategies across various disciplines. The role involves collaboration with internal departments and developing strategies to improve patient access to diagnostics.

BiotechnologyHealth CareHospitalLife ScienceMedicalPrecision Medicine

Responsibilities

Lead payor-focused launch initiatives for select strategic assays; including assessing needs for internal and external facing documents, development of launch materials, training programs, and execution plans to secure reimbursement and coverage

Define and oversee data and reporting requirements for prior authorization, claims and other revenue cycle management related data required by the market access organization

Be adept at interpreting medical policy and applying to reimbursement analysis; identify trends and address any internal issues, identify opportunities to improve clinical and administrative policies, and/or recommend solutions to address gaps in clinical evidence to improve reimbursement experience for strategic assays

Identify opportunities and develop strategies to collaborate with clinical discipline area leads to improve reimbursement experience

Interact effectively with internal departments to support optimal development and execution of market access strategies (Reimbursement/Billing, Clinical/Medical Affairs, Legal, Marketing, Sales, etc.)

Develop position statements and supporting material (e.g., current reimbursement experience, evolving clinical guidelines) to improve coverage, reimbursement, and to remove administrative barriers in preparation for conversations with health plans, national payer medical directors, and medical policy teams

Demonstrate extensive knowledge of commercial plans, FFS, Managed Medicaid, and Medicare Advantage plans. Keep informed of the latest clinical utility study data and findings, society guideline changes, payor policy changes, competitive offerings and trends

Strive to contribute to the organization as a leader and an individual contributor

Qualification

Market access experienceReimbursement analysisClinical diagnostics knowledgeHealth economicsPopulation healthRCM billing knowledgeAnalytical skillsCPTICD 10 knowledgeMicrosoft OfficeProblem-solving skillsCommunication skillsTeam cooperation

Required

Bachelor's degree with 7+ years of experience; Master's degree with 5+ years of experience; PharmD with 3+ years of experience

7+ years related experience in coverage and reimbursement initiatives for clinical diagnostics

Comprehensive knowledge and insight into the clinical diagnostics market, managed care, reimbursement, health economics, population health, competition and other external market factors

Understanding of RCM billing, prior authorization, appeals, and reimbursement to identify opportunities for improved processes with payers

High degree of effective analytical and problem-solving skills and judgment with specific application to medical, financial, and RCM data

Existing relationship and contacts with health plan representatives. Demonstrated ability to identify and cultivate relationships with key contacts within health plans, including Medical Directors, medical policy, medical management and pricing/reimbursement personnel

Demonstrate problem solving skills and creative solution development. Must possess strong communication skills; writing, verbal, and presentation

Skilled at engaging in team cooperation and a commitment to learn

General understanding of the CPT and ICD 10 Coding environment

Ability to work collaboratively, independently, and remotely

Ability to travel nationally as need for client meetings, conferences, and sales meetings as required (<10% Travel)

Specific computer/software skills: Microsoft Office