National Market Access Manager

Job Description

Lead all 3rd party payer contract negotiations and all other contract related discussions with payers
Develop, drive and maintain a contracting strategy for the organization that is cognizant of current market trends and aligns incentives among companies within the Eurofins network of companies
Manage and negotiate national and regional contracts to ensure companies’ objectives are met in a timely manner.
Analyze applicable contracts, associated documents and proposed fees, and negotiate financial terms of contracts
Analyze existing terms to determine if re-negotiation is warranted
Lead payer petitioning endeavors to overturn negative coverage decisions, or to ensure positive coverage decisions for new tests
Serve as the companies’ primary business owner and conduit for each 3rd party payer
Serve as designated participant on Executive Leadership team for clinical companies with third party billing requirements
Monitor, escalate and summarize potentially problematic contract provisions and regulatory issues to management as it relates to payer contracting.

Qualifications

• Bachelor degree in Business Administration, Finance, Accounting and/or Information Systems required.
  Master’s Degree preferred.
• Ability to lead of team of diverse skill-sets and age groups.
  Strong interpersonal skills; strong written, verbal and analytical skills; ability to adhere to deadlines; work to get the job done “right the first time”.
• Minimum 8 years healthcare administrative experience.
• Must be a self-starter with the ability to organize and multi-task multiple tasks/projects to completion.
• Professional business sense; strong knowledge of payor reimbursement methodology types
  Proficient in creating and utilizing MS Excel spreadsheets and all other MS Office programs, business intelligence tools, and/or other reportable performance programs.
• Experience working with multiple state payors preferred.
• Ability to process and understand complex information related to working in a managed care environment.
• Strong familiarity with managed care terminology and managed care contact provisions.
• Experience in compiling, coordinating, and analyzing payor contract regulatory requirements and contract language.
• Ability to maintain high level of confidentiality regarding sensitive corporate data.
• Ability to work outside core business hours as needed and take ownership of issue-resolution regardless of hours worked.

Physical Requirements

• Physical dexterity sufficient to use hands, arms, and shoulders repetitively to operate a keyboard and other office equipment, use a telephone, access file cabinets and other items stored at various levels, including overhead
• Ability to speak and hear well enough to communicate clearly and understandably with sufficient volume to ensure an accurate exchange of information in normal conversational distance, over the telephone, and in a group setting
• Ability to continuously operate a personal computer for extended periods of time (4 or more hours)
• Mental acuity sufficient to collect and interpret data, evaluate, reason, define problems, establish facts, draw valid conclusions, make valid judgments and decisions
• Must be vaccinated against the novel COVID-19 virus variants or provide proof of approved exemption.

Schedule

Monday-Friday, 8:00am-5:00pm

What we offer

• Excellent full time benefits including comprehensive medical coverage, dental, and vision options
  Life and disability insurance
  401(k) with company match
• Paid vacation and holidays

Additional Information

Eurofins USA Clinical Diagnostics is a Disabled and Veteran Equal Employment Opportunity employer.