What are the responsibilities and job description for the Director - Market Access (Remote) position at Caris Life Sciences, Ltd.?
Director - Market Access (Remote)
Position Summary
The Director of Market Access drives medical policy coverage initiatives and contracting strategies within assigned regional managed care organization(s), and employer groups (employee benefit plans). Responsible for obtaining positive payer coverage policies, securing in-network contracting and maximizing reimbursement while minimizing access barriers for patients and providers. Travel is required at least within region and at requested times, outside of incumbent’s region to provide national support. Ability to manage complex contracting documents ensuring business needs are met within the agreements and make recommendations on legal review and pull-through initiatives coordinated with marketing and sales teams.
Job Responsibilities
- Contract and be an in-network provider for insurance companies and group payer organizations within region.
- Manage complex contract negotiation and work with cross functional departments to bring the contracting process to closure.
- Manage existing relationships with existing contracted insurance companies.
- Initiate and develop new relationships to sign contracts with targeted payers, track meetings and progress.
- Develop and implement strategies that lead to successful acceptance of Caris Life Sciences testing into payer medical policy guidelines.
- Maximize reimbursement by negotiating the highest possible reimbursement rates and holding payers to contract terms.
- Stay up to date on trends in the managed care market and develop strategy with senior management to address the changes and maintain acceptable reimbursement rates.
- Prepare, coordinate, and manage contract negotiation process.
- Identify and evaluate opportunities and financial terms for MCOs, GPOs, IPAs, and other healthcare systems.
- Assess potential legal risk in the context of contract provisions. Prepare letters of agreement and key contract provisions.
- Identify and target specific market segments for development, including key payers, employers, or other managed care organizations.
- Serve as the principal contact with assigned payers, employers and providers and review proposed agreements within assigned territory.
- Prepare responses to Request for Proposals (RFP).
- This role manages multiple project deadlines while working collaboratively with a team.
- Directly interact with clients and other stakeholders, either in person, via teleconference or email.
- Develop advocacy from clinicians, society, and patient sources, and ensure effective communication to key stakeholders, including medical and trade associations.
- Ensure compliance with relevant regulations and standards for product access and market entry.
- Assist field representatives with reimbursement challenges.
- Attend conferences and physician meetings.
- Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork.
Required Qualifications
Preferred Qualifications
Training
Physical Demands
Other
Annual Hiring Range
170,000 - $190,000
Actual compensation offer to candidate may vary from posted hiring range based upon geographic location, work experience, education, and / or skill level. The pay ratio between base pay and target incentive (if applicable) will be finalized at offer.
Description of Benefits
Conditions of Employment : Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check (applicable for certain positions) and reference verification.
This job description reflects management’s assignment of essential functions. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.
Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
About Us
Caris Life Sciences is a leading innovator in molecular science and artificial intelligence focused on fulfilling the promise of precision medicine through quality and innovation.
Our Laboratories
Caris is committed to quality and excellence at our state-of-the-art laboratories. Learn more about our tissue lab and the advanced technologies that are helping improve the lives of cancer patients.
If you want to know about the requirements for this role, read on for all the relevant information.
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Remote working / work at home options are available for this role.
Salary : $170,000 - $190,000
