Manager, Payer Relations & Contracting
Hologic
Manager, Payer Relations & Contracting
United States
Directly reporting to the Senior Director, Market Access Diagnostic (DxS), the Manager of Payer Relations and Contracting will be primarily responsible for managing payer account strategy within a specific geographic territory (eastern half of US), focusing on contracting and negotiating reimbursement rates for Hologic Oncology products.
We are seeking a high-performing, proven leader to develop and execute strategies that will expand in-network contracts for both Breast Cancer Index (BCI) and CancerType ID (CTID).
Fundamental responsibilities of this role include:
+ Lead and support the development and execution of contracting strategies at national / regional payers, LBMs, IDNs, IPAs and state Medicaid plans to ensure favorable reimbursement
+ Regularly track and monitor progress using project management software
+ Work closely with the broader Market Access team to develop and communicate strategy, tactics, and payer relationship management
+ Collaborate with internal teams and external clients to enhance revenue cycle management processes and metrics within assigned territory
+ Build relationships with key opinion leaders and influential stakeholders at payer organizations and within the Oncology community
+ Work closely with internal cross-functional teams including Clinical and Medical Affairs, Outcomes Research, Marketing, Billing, Finance, Sales, Legal and Regulatory
+ Administrative tasks associated with managing a book of business
+ Ownership mentality of assigned payer accounts for the Oncology Services segment
+ Ability to work collaboratively across functional areas and develop deep, strategic relationships
Successful candidates will have strong leadership skills and experience in securing payer coverage and negotiating contracts, ideally with a background in the diagnostic industry. Candidates should possess strong communication and organization skills, as well as an ability to manage, track, and coordinate complex, simultaneous initiatives.
**Qualifications**
+ 5+ years of healthcare experience working for a diagnostic / biotech / medical device company, healthcare consulting firm, or medical society
+ 5+ years of experience working with Medicare, Medicaid and commercial payers on medical policy and contracting
+ Strong technical knowledge of payer contracting (negotiations, language review, contract format and structure)
+ Direct experience with or demonstrated understanding of the health care revenue cycle
+ Proficiency in handling intricate details related to both quantitative reimbursement and legal language ensuring they meet overall business objectives
+ Proven track-record of successful negotiations with payers
+ Strong decision-making skills and ability to take initiative and act independently
+ Excellent organizational, communication and negotiation skills
**Education**
+ Bachelor’s Degree required
The annualized base salary range for this role is $120,100 to $200,200 and is bonus eligible. Final compensation packages will ultimately depend on factors including relevant experience, skillset, knowledge, geography, education, business needs and market demand.
**Agency and Third-Party Recruiter Notice**
Agencies that submit a resume to Hologic must have a current executed Hologic Agency Agreement executed by a member of the Human Resource Department. In addition, Agencies may only submit candidates to positions for which they have been invited to do so by a Hologic Recruiter. All resumes must be sent to the Hologic Recruiter under these terms or they will not be considered.
**_Hologic, Inc. is proud to be an Equal Opportunity Employer inclusive of disability and veterans._**
\#LI-JM1 #LI-remote
Confirm your E-mail: Send Email
All Jobs from Hologic