Market Access Channel Strategy Lead, Managed Care will work with external customers in the Managed Care channel for the Northeast and Gulf Regions. This is a director-level individual contributor role that is remote and field-based. This position is responsible for achieving and maintaining medical coverage policies, garnering access, obtaining in-network contracts and monitoring market trends for clinical diagnostic laboratory genetic/genomic tests. This position will be able to build strong business relationships in complex organizations.
QUALIFICATIONS:
Education:
- Bachelor's degree required
Experience:
- 8+ years of direct experience with U.S. payer accounts – proven past performance that has met or exceeded expectations
- Must have previous experience with various health plans and preferably independent physician/practice associations (IPAs)
- Demonstrated success in working with coverage policies and with closing contracts; reimbursement/managed care experience
- Experience with NGS, molecular diagnostics, or genetics is a plus
- Biopharma account management experience is welcome
- Knowledge of the payer payment system in the U.S.
- Ability to manage projects and work cross-functionally with other field teams (e.g., sales force) and home office team members (e.g., market access, medical affairs, etc.)
- Ability to communicate effectively and persuasively on complex clinical and economic matters to payers and other customers
- Clear commercial focus for influencing and negotiating with payer stakeholders across a wide variety of testing and disease areas
- Intellectual curiosity and problem-solving skills
DUTIES AND RESPONSIBILITIES:
- Achieve desired access and coverage decisions for BG tests by identifying, understanding, and addressing customer needs while generating potential solutions that enhance customer relationships
- Meet or exceed account objectives for BG’s Northeast and Gulf regions
- Grow existing customer managed care book of business; increase number of clients with in-network contracts
- In collaboration with cross-functional BG teams, the account lead develops, evaluates and proposes strategic initiatives to strengthen mutual business opportunities, while developing account-specific strategies and tactical plans that align to the business and customer goals
- Provides external insights to inform BG’s test access strategy
- Develop short-term and long-term strategic account plans for assigned accounts
- Presents BG-approved data and value messages compliantly with all governing policies
- Builds and develops professional relationships with key customer decision-makers and related stakeholders within assigned accounts
- Leads contract delivery, business reviews, and performance tracking for assigned accounts in collaboration with internal market access team
- Conducts routine business reviews to inform internal stakeholders on relevant updates for assigned accounts
- Uphold company mission and values; ensure compliance in all company policies and guidelines
- Adheres to Code of Conduct as outlined in the Baylor Genetics Compliance Program
- Performs other job-related duties as assigned.
