Market Access Channel Strategy Lead, Managed Care at Baylor Genetics
United States
<p>Market Access Channel Strategy Lead, Managed Care will work with external customers in the Managed Care channel for the Northeast US region. This is a director-level individual contributor role that is remote and field-based. This position is responsible for achieving and maintaining medical coverage policies, garnering access, obtaining in-network contracts and monitoring market trends for clinical diagnostic laboratory genetic/genomic tests. This position will be able to build strong business relationships in complex organizations.</p> <p><strong>QUALIFICATIONS:</strong></p> <p><strong>Education</strong>:</p> <ul> <li>Bachelor's degree required</li> </ul> <p><strong>Experience</strong>:</p> <ul> <li>8+ years of direct experience with U.S. payer accounts – proven past performance that has met or exceeded expectations</li> <li>Must have previous experience with various health plans and preferably independent physician/practice associations (IPAs)</li> <li>Demonstrated success in working with coverage policies and with closing contracts; reimbursement/managed care experience</li> <li>Experience with NGS, molecular diagnostics, or genetics is a plus</li> <li>Biopharma account management experience is welcome</li> <li>Knowledge of the payer payment system in the U.S.</li> <li>Ability to manage projects and work cross-functionally with other field teams (e.g., sales force) and home office team members (e.g., market access, medical affairs, etc.)</li> <li>Ability to communicate effectively and persuasively on complex clinical and economic matters to payers and other customers</li> <li>Clear commercial focus for influencing and negotiating with payer stakeholders across a wide variety of testing and disease areas</li> <li>Intellectual curiosity and problem-solving skills</li> </ul> <p><strong>DUTIES AND RESPONSIBILITIES:</strong></p> <ul> <li>Achieve desired access and coverage decisions for BG tests by identifying, understanding, and addressing customer needs while generating potential solutions that enhance customer relationships</li> <li>Meet or exceed account objectives for BG’s Northeast and Gulf regions</li> <li>Grow existing customer managed care book of business; increase number of clients with in-network contracts</li> <li>In collaboration with cross-functional BG teams, the account lead develops, evaluates and proposes strategic initiatives to strengthen mutual business opportunities, while developing account-specific strategies and tactical plans that align to the business and customer goals</li> <li>Provides external insights to inform BG’s test access strategy</li> <li>Develop short-term and long-term strategic account plans for assigned accounts</li> <li>Presents BG-approved data and value messages compliantly with all governing policies</li> <li>Builds and develops professional relationships with key customer decision-makers and related stakeholders within assigned accounts</li> <li>Leads contract delivery, business reviews, and performance tracking for assigned accounts in collaboration with internal market access team</li> <li>Conducts routine business reviews to inform internal stakeholders on relevant updates for assigned accounts</li> <li>Uphold company mission and values; ensure compliance in all company policies and guidelines</li> <li>Adheres to Code of Conduct as outlined in the Baylor Genetics Compliance Program</li> <li>Performs other job-related duties as assigned.</li> </ul>
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