Laboratory Corporation of America Managed Care Regional Account Director - IPAs in San Diego, California
LabCorp has an opportunity for a Managed Care Regional Account Director in San Diego, CA (location may be flexible in southern CA). The Managed Care Regional Account Director will be responsible for business development of LabCorp's Specialty Testing Group's Managed Care initiatives
The Managed Care Regional Account Director will report to the Sr. Regional Account Director, 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:
Articulate LabCorp's value proposition and communicate LabCorp's specialty testing offering including genetics, pathology, and esoteric testing to health plan and payer contracting and medical teams.
Secure coverage and reimbursement for new technology and focus tests.
Work with health plans to improve coverage positions for specialty tests.
Review and respond to proposals and contracts. Negotiate pricing, execution and implementation of the contracts for IPAs and selected Managed Care accounts. Review contracts from a financial and operational basis and work with division/regional business development, financial and contract administrators in order to represent all LabCorp's interests in contract negotiations.
Develop and implement Business Plan for Managed Care with a focus on profitable growth and contracts with strategic significance for Division/Region on an annual basis.
Keep informed of developments and trends relating to all areas of the company and IPAs/Managed Care plans.
** 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: M.B.A. in Business; Master of Science (MS) Healthcare Management
Normally requires a Valid Driver's License along with a clean driving record.
Knowledge | Skills | Abilities | Experience
Knowledge of principles of Managed Care, including plan types ( IPAs , HMOs, PPOs, etc.), and understanding of progressive health care dynamics including Risk-Sharing
Managed Care - IPA experience with sales and lab background, plus
Proven track record of implementing market access plans for new technologies
Possess professional, articulate as well as financially astute negotiation skills.
Strong presentation skills and superior negotiation ; analytical, communication and PC skills
Ability to serve as internal SME for managed care team for genetic, pathology, and esoteric testing
Understanding of capitated and fee-for service reimbursement arrangements and knowledge of CPT and ICD-10 coding.
Monday - Friday: 8am - 5pm
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.