Manager, Payer Relations
4 weeks ago
Development and Implementation of Strategic Market Access Functions:
- Lead initiatives to understand, analyze and demonstrate the clinical, economic and societal value to payers, decision-makers and influencers.
- Establish favorable coverage policies with commercial payers for IDX tests.
- Establish commercial payer contracts for IDX tests.
- Identify main external stakeholders and establish relationships with influencers and decision makers to facilitate optimal access for existing and new products.
- Develop the US market access value proposition and value dossier for IDX portfolio and advocate on data and publication opportunities that ensure access.
- Interact closely with marketing and commercial team to develop payer marketing strategies, tactics, and initiatives to communicate value to customers and improve market access.
- Lead the development of payer and channel customer business plans and negotiation strategy to drive access for appropriate patients.
- Develops solutions for the customer facing team with any customer-specific product access or reimbursement issues.
- Support negotiations with key assigned commercial/government payer and channel accounts.
- Ensures continued positive payer coverage for IDX products through refinement of existing strategies and collaboration with partner commercial operations functional leads to ensure effective implementation of those strategies.
- Prepare required reimbursement education material for internal and external stakeholders.
- Regularly communicate customer and market dynamics that impact the business to IDX leadership team for business planning purposes.
- Provide market access support for pipeline assets development.
- Contribute to government pricing considerations and reporting.
- Ensure compliance with law requirements.
Requirements
- 5 years minimum experience of calling on national, and regional commercial payers, MACs, and CMS.
- 5 years minimum experience calling on medical directors, and commercial payer contract managers.
- 5 years minimum experience driving market access initiatives within the diagnostic laboratory, medical device or capital equipment markets.
- Strong understanding of the US payer environment, and dynamics; with expert knowledge of U.S. managed markets including commercial and government payers as well as key channel segments.
- Established relationships with national payer and channel customers.
- Track record of building and maintaining relationships with key stakeholders and Commercial, Medicare and Medicaid payers. Successful track record managing activities through others.
- HEOR experience a plus.
Strategic Development and Monitoring of Industry Trends
- Analyze and monitor emerging trends in US health care delivery to help guide and inform IDX strategic objectives and implementation of commercial functions.
- Collaborates with internal functions to prepare to meet emerging industry trends.
- Updates personal job knowledge of people leadership and management by participating in educational opportunities, reading professional publications, maintaining personal networks.
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