Medical Policy Specialist

22 hours ago

Salt Lake, Utah, United States Myriad Genetics Full time
Job Title: Specialist Medical Policy

Overview

The Specialist Medical Policy role at Myriad Genetics is a critical position that informs payers about our existing and new products and services, aiming to secure coverage for our offerings.

As a Specialist Medical Policy, you will collaborate with customers to identify and meet specific needs, working closely with other teams to ensure seamless contract and process improvement processes consistent with company objectives.

Responsibilities

  • Educate payers regarding hereditary cancer risk assessment, genetic testing, and new emergent technologies relevant to Myriad's services.
  • Assist Myriad in messaging and positioning new testing services to payer organizations, utilizing in-person meetings, email, and telephone conversations.
  • Gather and analyze coverage data to develop and prioritize company objectives.
  • Work closely with other Medical Policy Specialists and other members of the Payer's Market team to implement the goals and strategies of the company.
  • Assist in the creation of educational and training materials used to communicate company services.
  • Employ project management skills by prioritizing and leading multiple tasks concurrently.
  • Gain a detailed operational knowledge of regional account customers and be adept at helping those customers identify their specific needs.
  • Work closely with Myriad's sales, customer service, senior medical policy specialist, billing, and medical services teams to identify contracting and process improvement opportunities consistent with company objectives.

Qualifications

  • Board Certified/Board Eligible genetic counselor, licensed Advanced Practice Nurse, or Registered Nurse licensure is required with a minimum of 1 to 3 years of relevant experience.
  • Excellent organizational, communication, presentation, and project management skills are required.
  • Ability to interact effectively in a team environment, regardless of personnel function or reporting responsibilities.
  • General knowledge of the healthcare industry and validated success working with commercial insurers or government payers is preferred.

Physical Requirements

Lifting Requirements - light work or exerting up to 20 pounds of force frequently.

Physical Requirements - stationary positioning, moving, operating, ascending/descending, communicating, observing, pushing or pulling, and reaching.

Use of equipment and tools necessary to perform essential job functions.

We are an equal opportunity employer and place a high value on diversity and inclusion at our company.

In hiring and all other employment decisions, we prohibit discrimination and harassment on the basis of any protected characteristic, including race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, age, marital or veteran status, pregnancy or disability, or any other basis protected under applicable law.

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