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- Develop a clear value proposition to payors and other key opinion leaders that will influence medical policy and expand positive payor coverage.
- Collaborate with the Market Access team to develop and execute payor outreach strategies to support optimal access and coverage of current and emerging CMI products in the pipeline.
- Support a teamwork approach engaging with various internal and external collaborators on strategic reimbursement plans.
- Develop and provide support for the creation of payor directed-materials, value dossiers, payor conference messaging, presentations, and other payor-focused communication and educational tools.
- Assess clinical evidence and gaps that may influence payor coverage determinations.
- Assist in collaborative efforts on health economic and clinical utility studies that support payor coverage and reimbursement.
- Maintain current knowledge on evolving payor landscape and track changes in commercial and government payors’ coverage policies and update leadership of opportunities for broader patient access and reimbursement.
- Partner with field-based teams in the execution of both national and regional reimbursement strategies to achieve short and long term business objectives.
- Knowledge of managed care landscape and/ or insurance industry.
- Ability to communicate technical and non-technical information to scientific and non-scientific colleagues/ clients.
- Strong interpersonal and peer leadership skills to influence without authority.
- Ability to thrive in a highly collaborative, fast-paced environment.
- A strategic thinker with excellent verbal, written and presentation skills to get buy-in and drive consensus within the team and the rest of the organization.
- Proficient understanding of healthcare delivery systems, specifically commercial and government-sponsored programs such as Medicaid and Medicare, and roles of key stakeholders.
- Strong working knowledge of revenue codes, HCPCS, CPT codes, ICD-10 and provider classifications.
- Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use.
- Bachelor's degree in a scientific or clinical and/or business area is required.
- A minimum of 3 years of relevant market access and reimbursement experience within either biotech, medical device, or a molecular diagnostic laboratory.
- Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening and reference verification. Also, individual must be fully vaccinated for COVID-19 by the date of hire to be considered for U.S.-based jobs, if not currently employed by Caris Life Sciences
- Master’s degree in Life Sciences, Nursing, Public Health, or Genetic Counseling; Business and Healthcare Administration or related discipline strongly desired.
- Ideally 5 or more years of relevant market access and reimbursement experience within either biotech, medical device, or a molecular diagnostic laboratory.
- Strong competency of the US payer landscape and market drivers.
- Highly self-motivated, self-directed, and attentive to detail.
- Ability to work in a complex and matrix team environment; experience working in a team-oriented, collaborative environment.
- Proven abilities in leading complex problem management and process analysis.
- Ability to handle multiple tasks, set priorities, schedule, and meet deadlines.
- Proven abilities in problem management, process analysis and root cause analysis.
- Strong interpersonal and relationship-building skills, with the ability to manage up, down and across levels of the organization.
- Approximately 20% travel and the ability to work flexible hours when required.
- Duties are performed in an office setting.
- This position requires the ability to use a computer keyboard, read printed materials and communicate through email and over telephone.
- ID: #22799908
- State: Texas Dallas / fort worth 75201 Dallas / fort worth USA
- City: Dallas / fort worth
- Salary: Depends on Experience
- Job type: Permanent
- Showed: 2021-11-15
- Deadline: 2022-01-11
- Category: Software/QA/DBA/etc