Laboratory Corporation of America Associate Director of Market Access and Medical Policy -- Specialty and Genetic Testing in Burlington, North Carolina
LabCorp has an opportunity for a national Associate Director of Market Access and Medical Policy. The position has the responsibility of working collaboratively across Labcorp's clinical, marketing and business development areas to develop market access strategies for novel technologies. In addition, this position will have primary responsibility for developing and implementing a comprehensive payer strategy that optimizes brand strategy and value proposition of LabCorp's specialty and genetic testing services . The Associate Director of Market Access and Medical Policy will report to the Vice President, Managed Care, Specialty Testing. The selected candidate will work independently under general guidance usually with some latitude for independent judgment and initiative.
Principal Functional Responsibilities:
Serve as national specialty managed care lead in new test development initiatives, informing of reimbursement and market access potential for genetic testing.
Be adept at both communicating and conversing 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.
Serve as managed care subject matter expertise as member of cross functional team that will be responsible for developing market access plans for novel technologies.
Work with clinical resources to evaluate current literature as it relates to analytical and clinical validity and clinical utility. Identify gaps and propose publication strategy.
Support development of proposals for clinical studies to ensure the study outcomes will support positive medical policies. Identify partners and opportunities to engage payers in clinical utility studies.
Develop opportunities to engage managed care KOLs to serve as consultants and potentially members of a managed care medical advisory board.
As part of market access planning, this position will lead commercial reimbursement strategy for his/her portfolio of assays, collaborating with National VP Clinical Effectiveness, coding team, and RCM.
Collaborate with marketing to develop payer messaging, as well as ensuring physician messaging is consistent with test positioning for new product launches.
Lead conversations with national payer medical directors and medical policy teams to secure coverage, targeted reimbursement, and to remove administrative barriers to getting reimbursed.
Coordinate with RCM to ensure Labcorp is recognizing revenue consistent with reimbursement and coverage policies and identify opportunities and develop strategies to improve reimbursement experience.
Educate Managed Care Executive team on new test offerings, payer policies, reimbursement, pricing guidelines and positioning for specialty testing.
Keep informed of 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
Travel can be up to 25%.
** This job description reflects only the essential functions of the position and excludes those which may be incidental to the performance of the job. In no way it is stated or implied that the principal functions are the only duties to be performed. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by supervisor.
- License/Certification/ Education: Normally B.S. Degree required w/5+ years of experience. Preferred degree(s): Business; Business Administration, Science or related degree Strongly preferred: Master's Degree in Life Sciences, Business Administration or Public Health.
Knowledge | Skills | Abilities | Experience
Experience in developing and executing strategic plans to obtain optimal payer coverage/policies and reimbursement for key esoteric tests.
Demonstrated ability to Identify and cultivate relationships with key contacts within health plans, including Medical Directors, medical policy, medical management and pricing/reimbursement personnel.
Knowledge of Managed Care and health care industry, including progressive health care dynamics; e.g. value based care and risk-sharing, and industry trends.
Strong presentation skills; superior negotiation; analytical and financial acumen; proficient in PowerPoint/Word/Excel; knowledge of CPT and ICD coding and processes.
Ability to serve as internal SME for managed care team for genetic, pathology, and esoteric testing; experience in genetic testing strongly preferred.
Self-driven, passionate, innovative and able to manage multiple tasks in a fast paced environment.
Mon - Friday 8:00 am - 5:00 pm
As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, national origin, sexual orientation, gender identity, disability or veteran status.