Sr VP Payer Strategy and Reimbursement

2 weeks ago

Salt Lake City, United States Utah Staffing Full time

Senior Vice President, Payer Strategy And ReimbursementLocation: Remote - U.S. Reports To: Chief Financial OfficerRole OverviewThe Senior Vice President, Payer Strategy and Reimbursement will lead Myriad Genetics' enterprise strategy for payer engagement, reimbursement, and revenue realization. This executive will serve as the chief architect of Myriad's payer value proposition, developing strategies and partnerships that expand patient access, enhance reimbursement consistency, and optimize end-to-end revenue performance across Myriad's precision medicine portfolio in oncology, women's health, and mental health. As a key member of the Chief Financial Officer Leadership Team, the Senior Vice President will unify payer relations, contract and coding strategy, reimbursement policy, and revenue cycle operations into a cohesive enterprise framework. This leader will collaborate closely with the Chief Financial Officer, Chief Commercial Officer, Chief Operating Officer, Chief Legal Officer, Senior Vice President of Product Development, Vice President of Strategy, and other enterprise leaders to drive sustainable growth, operational excellence, and value creation through payer partnerships and reimbursement outcomes. The ideal candidate is a strategic and execution-oriented executive who brings deep expertise in payer strategy, revenue cycle leadership, and healthcare economics, with a passion for expanding patient access to precision medicine.Key ResponsibilitiesPayer Strategy And Market AccessDevelop and execute an enterprise-wide payer strategy to secure broad, sustainable coverage across commercial and government markets. Lead payer contracting, negotiations, and relationship management with national and regional payers, and Lab Benefit Management organizations (LBM's). Define and communicate Myriad's payer value story, leveraging clinical evidence, health economics, and patient outcomes data. Partner with Clinical, Medical Affairs, and Government Affairs to inform medical policy development and health technology assessments. Oversee payer analytics, market insights, and economic modeling to guide pricing, coverage, and contract decisions. Drive Myriad's transition toward value-based payer relationships and reimbursement models. Lead enterprise coding strategy including development of new code applications, ensuring value-based pricing, and driving coding policies that foster access and reimbursement.Reimbursement And Revenue IntegrityOversee enterprise reimbursement operations, including policy interpretation, appeals, and payer compliance. Partner with Revenue Cycle leadership to optimize prior authorization, billing, collections, denials management, and yield improvement. Ensure alignment between payer contracts, billing practices, and revenue realization processes. Implement technology-driven process improvements and automation to improve speed, accuracy, and scalability. Establish KPIs, dashboards, and performance metrics to monitor revenue cycle and...

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