Sr Payor

Location: Field, UT, United States

Position Type: Unfixed Term

Job Function: Other

A family-owned company, bioMerieux has grown to become a world leader in the field of in vitro diagnostics. For almost 60 years and across the world, we have imagined and developed innovative diagnostics solutions to improve public health. Today, our teams are spread across 44 countries and serve 160 countries with the support of a large distribution network. This includes our SLC site, formerly known as BioFire Diagnostics.

Description

Primary Duties

• Perform all work in compliance with company policy and within the guidelines of bioMerieux Diagnostics' Quality System.
• Work with the Director to identify opportunities and execute strategies to drive the market access strategy to pursue coverage and reimbursement from US commercial payers and medical groups through field-based activities.
• Profile regional, national payers, physician medical groups and HTAs to understand their decision-making processes and develop specific strategies incorporating economic and clinical data supporting the products' value proposition.
• Work closely with bioMerieux Medical Affairs team to develop support information and data to better position bioMerieux's products in expanding market access.
• Attend regional or national professional society and payer meetings/conferences as needed to educate current and potential customers on reimbursement issues and to gain support for market access through policy and/or clinical guideline development.
• Work cross-functionally within field sales, sales leadership, strategic accounts, and marketing to maximize pull-through and leverage available resources for market access.
• Travel with field sales team members to support and educate customers with identified reimbursement challenges and to gain support for payer education strategies.
• Participate in regional and national sales meetings as needed.
• May be assigned additional responsibilities based upon organizational needs.
• Performs other duties as assigned.
• Travel required regionally and nationally- 30%

Requirements

• Bachelors required, in healthcare, advanced science, public health or allied healthcare preferred. A strong understanding of business management is preferred (MBA or MPH is a plus).
• This position requires a HIPAA Certification or a completed HIPAA Certification within 1 month of position hire (certification will be paid by bioMerieux).
• Minimum of 5+ years' experience in health insurance or managed care industry with demonstrated strong payer relationships building and account management experience.
• Must possess 5+ years knowledge of provider network contracts, medical policy, health economics and health care policy; diagnostic experience preferred.
• Must understand capitated physician medical groups model in California.
• Must understand how to impact process with payers for obtaining coverage decisions and advancing medical policy with demonstrated success in obtaining coverage, access, reimbursement from health plans in prior roles.
• Familiarity with the in vitro diagnostics and/or medical device industry
• Ability to build and develop customer relationships including the ability to effectively represent BioMerieux and its products to senior levels of management and key thought leaders.
• Experience in partnership models with health systems and payers.
• Innovative thinking and exceptional business acumen, analytical and problem-solving skills.
• Strong understanding of compliance-related concepts including the laws, regulations, and policies that govern marketing and sales activities and the importance of compliance in all job-related functions.
• Ability to understand, distill and communicate complex scientific and public health-related concepts.
• Demonstrated ability to be successful in consultative selling situations/markets.
• Excellent written and verbal communications skills

Please be aware that recruitment related scams are on the rise. Fraudulent job postings are being placed on other websites, and individuals posing as bioMerieux Talent Acquisition team members are reaching out via email or text message in an attempt to collect your personal and confidential information. In some cases, these scammers are also conducting bogus interviews prior to extending fraudulent offers of employment. Beware of individuals reaching out using general phone numbers and non-bioMerieux email domains (i.e. , , , etc.). If you are concerned that an interview experience or offer of employment might be a scam, please make sure you are searching for the posting on our careers site or contact us at [emailprotected].

BioMerieux Inc. and its affiliates are Equal Opportunity/Affirmative Action Employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Please be advised that the receipt of satisfactory responses to reference requests and the provision of satisfactory proof of an applicant's identity and legal authorization to work in the United States are required of all new hires. Any misrepresentation, falsification, or material omission may result in the failure to receive an offer, the retraction of an offer, or if already hired, dismissal. If you are a qualified individual with a disability, you may request a reasonable accommodation in BioMerieux's or its affiliates' application process by contacting us via telephone at , by email at [emailprotected], or by dialing 711 for access to Telecommunications Relay Services (TRS).