Vice President of Market Access and National Accounts

2 days ago

Washington, Washington, D.C., United States Caris Life Sciences Full time
Job Summary

The Vice President of Market Access and National Accounts will lead efforts with national payers for current and pipeline products, driving payer and health policy initiatives that impact market access for the Caris Life Sciences product portfolio. This role will manage key relationships with industry trade associations and lead tactics and communications in support of influencing reimbursement policies that directly impact market access.

Key Responsibilities
  • Hit ASP goals for National Payers by line of business.
  • Sign in-network contracts with National Payers.
  • Manage BCBS Caresourcing relationship.
  • Drive improved medical policies and adoption of Caris' tests with the medical policy team.
  • Gain access and develop relationships to targeted National Payer key stakeholders from medical director, network management, and claims management.
  • Inform data development plan that produce meaningful clinical utility and health e-con publications that motivate payer customers to create/adjust medical policy.
  • Coordinate with key commercial leaders to develop relationships to drive advocacy from physicians to gain coverage and contracting with national payers.
  • Work with billing team to ensure that payers are paying according to contractual rates and build dashboard to share with senior leadership.
  • In partnership with finance, report on and achieve company accounts receivable goals and inform ASP, revenue forecasting for National Payers.
Requirements
  • Bachelor's Degree.
  • 10+ years of leading efforts to contract and influencing reimbursement policies at the national level, as well as experience developing payer coverage, coding, and pricing strategies in device, biotech, or diagnostic laboratory companies.
  • 10+ years of demonstrated advancement in responsibilities and in direct or in-direct leadership.
  • Strong knowledge and understanding of the healthcare payer environment; including coverage, coding, payment, as well as how to develop, implement, and manage reimbursement programs.
  • Strong knowledge and understanding of healthcare product development and commercialization.
  • Proficient in Microsoft Office to include Excel, Word, and PowerPoint.
  • Demonstrated ability to perform the Essential Duties of the position with or without accommodation.
  • Authorization to work in the United States without sponsorship.
Preferred Qualifications
  • Master's Degree in Degree in Genetics, Public Health, Health Administration, Life Sciences, Business, or related field as outlined in the essential duties.
  • 10+ years of experience in contracting and reimbursement policy at the national level, payer coverage strategy, and evidence development with large national payers or in biotech, device, or diagnostic laboratory companies.
  • Strong understanding of the molecular diagnostic testing market, including products, companies, and technology.
  • Experience leading sales teams and market access teams.
  • Oncology lab experience.

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