USA
1 day ago
Manager, Payer Relations & Contracting
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
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