Establish strong and sustainable relationships with Regional Managed Care Clients and implement the regional Managed Care strategy as it pertains to the acquisition and/or retention of Managed Care plan contracts and Direct Employer Contracts. Must display superior negotiating skills to ensure contracts are signed, implemented, retained and profitable with consistent price increases.

Requirements

Requirements

• 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.

• Ideally located in the Northeastern region of the United States to manage respective territory

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 reproductive genetic testing strongly preferred

• Self-driven, passionate, innovative and able to manage multiple tasks in a fast paced environment.

Shift

1

Schedule

Monday - 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.