Managed Care Associate Director, Market Access West
Posted on: September 13, 2021
Labcorp has an opportunity for an Associate Director,
Market Access covering our Western divisions of the United States.
The Associate Director will be responsible for improving market
access and reimbursement success of Labcorp's Specialty Testing
Group's products and services. The Associate Director will report
to the Vice President, Payer Solutions West. The selected candidate
will work independently under general guidance usually with some
latitude for independent judgment and initiative.
- Execute on the enterprise Payer and
Specialty Testing team strategies in response to specialty test
offerings, new clinical research studies, general payer coverage
policies and new/updated clinical guidelines.
- Train the Payer Solutions team on how to
position Labcorp's specialty testing offering value proposition to
include but not limited to genetics, anatomic pathology, and
esoteric testing. Team should be adept at both communicating
clinical utility and cost effectiveness, along with handling
objections, taking into consideration the Payer's existing coverage
and Utilization Management policies, the current gold standards of
treatment and continuum of care, and competitive offerings.
- Support the Payer Solution Executives'
efforts to secure positive coverage and target reimbursement for
new and specialty tests, including but not limited to the support
of fee for service reimbursement outside of capitation arrangements
for such tests.
- Support Payer Solutions Executives'
efforts to reduce administrative requirements for specialty
testing, including limiting tests included in prior authorization
programs and relaxation of these programs' requirements.
- Support the Payer Solution Executives'
efforts to secure coverage and target reimbursement for new
technology and focus tests, including but not limited to the
support of fee for service reimbursement outside of capitation
arrangements for such tests.
- Educate Payer Solutions team on new
technology, pricing guidelines, clinical positioning and
reimbursement strategy for specialty testing.
- Review and support the responses to
proposals, presentations, and contracts. With the Payer Solutions
Executive, support efforts to negotiate and secure target pricing
for specialty tests.
- Develop annual business plans, to be
included in broader Divisional Payer market annual plans, that will
improve Labcorp's specialty testing reimbursement.
- Stay informed on the latest clinical
utility study data and findings, specialty society guideline
changes and payer policy changes relating to our specialty
- Stay informed of developments and trends
relating to all areas of the company and 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:B.A.
in Business; Master of Science (MS) Healthcare
- 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 (HMOs, PPOs, etc.), and understanding of
progressive health care dynamics including value based care and
- Experience developing relationships with
payer network, clinical and medical leadership. Diagnostics
background, to include sales, a plus
- Proven track record of implementing
successful market access plans for new technologies, including
obtaining positive coverage policy changes and securing appropriate
- Experience with oncology and
reproductive genetics market is strongly desired
- Strong presentation skills and superior
negotiation, analytical, communication and PC skills
- Ability to serve as internal SME for
managed care and diagnostic specialty sales teams for genetic,
pathology, and esoteric testing
- Understanding of capitated and fee-for
service reimbursement arrangements, along with knowledge of CPT and
Keywords: Labcorp, Tustin , Managed Care Associate Director, Market Access West, Other , Tustin, California
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