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Director, Market Access and Medical Policy - Genetic Testing ID-4258

Recognized as one of Forbes 2024 “America's Best Large Employers” and named to the Forbes 2024 "Best Employers for Diversity", Labcorp is seeking to hire a national Director of Market Access and Medical Policy for Genetic Testing. This position has the responsibility of working collaboratively across Labcorp’s clinical, marketing and business development areas to develop market access strategies for novel technologies. In addition, this position will have primary responsibility for developing and implementing a comprehensive payer strategy that optimizes brand strategy and value proposition of LabCorp's genetic testing services. The Director of Market Access and Medical Policy will report to the Vice President, Payor Solutions, Market Access.

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The selected candidate will work independently under general guidance usually with some latitude for independent judgment and initiative. This position is remote in the US. Principal Functional Responsibilities: Serve as national payor solutions lead in new test development initiatives, informing of reimbursement and market access potential for genetic testing. Provide expert insight into reimbursement and coverage scenarios for novel technologies prior to licensing, acquiring, and/or developing technologies. Be adept at interpreting medical policy and communicating and conversing in clinical utility and cost effectiveness for genetic testing in support of improving market access and reimbursement. Serve as managed care subject matter expert as member of cross functional team that will be responsible for developing and executing market access plans for current and planned technologies. Work with clinical resources to evaluate current literature as it relates to analytical and clinical validity and clinical utility. Identify gaps and collaborate with Medical Affairs to propose publication strategy. Support development of proposals for clinical studies to ensure the study outcomes will support positive medical policies. Identify partners and opportunities to engage payers in clinical utility studies. Develop opportunities to engage managed care KOLs to serve as consultants and potentially members of a managed care medical advisory board. As part of market access planning, this position will lead commercial payer reimbursement strategy for assigned portfolio of assays, collaborating with National VP Clinical Effectiveness, coding team, and RCM. Collaborate with marketing to develop payer messaging, as well as ensuring physician messaging is consistent with test positioning for new product launches. Lead conversations with health plan national payer medical directors and medical policy teams to secure coverage, targeted reimbursement, and to remove administrative barriers to reimbursement. Coordinate with RCM to ensure Labcorp is recognizing revenue consistent with reimbursement and coverage policies. Identify opportunities and develop strategies to improve reimbursement experience. Collaborate with government payor solutions and regulatory affairs teams to ensure market access needs are prioritized and support broader government payor and legislative efforts to improve access to genetic testing. Educate Payor Solutions team on new test offerings, payer policies, reimbursement, pricing guidelines and positioning for specialty testing. Keep informed of the latest clinical utility study data and findings, society guideline changes, payor policy changes, competitive offerings and trends relating to all areas of the company and managed care plans. Travel can be up to 25%. Requirements License/Certification/ Education: B.S. Degree required; preferred degree(s): Business; Business Administration, Science, or related degree Strongly preferred: Master’s Degree in Life Sciences, Pharm D., Business Administration or Public Health. Knowledge | Skills | Abilities | Experience 10+ years of experience in developing and executing strategic plans to obtain optimal payer coverage/policies and reimbursement for genetic testing, including germline testing for hereditary cancer, inherited conditions, and pediatric and rare diseases. Experience in genetic testing strongly preferred. Ability to serve as Labcorp SME for genetic testing for internal and external payor solutions needs. Demonstrated ability to Identify and cultivate relationships with key contacts within health plans, including Medical Directors, medical policy, medical management, and pricing/reimbursement personnel. Knowledge of Managed Care and health care industry, including progressive health care dynamics, e.g., value-based care, risk-sharing, state and federal legislation and industry trends. Strong presentation skills; superior negotiation; analytical and financial acumen; proficient in PowerPoint/Word/Excel; knowledge of CPT and ICD coding and processes. Self-driven, passionate, innovative, and able to manage multiple tasks in a fast-paced environment. Application Window: Application window will close on January 31, 2025. Pay Range $170,000 - $220,000 annually + bonus and equity eligibility. All job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. LBP Eligible Positions: The position is also eligible for an annual bonus under the Labcorp Bonus Plan. Bonuses are payable based on corporate and/or business segment performance and are subject to individual performance modifiers. Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here. #LI-DZ1 #LI-REMOTE Labcorp is proud to be an Equal Opportunity Employer: As an EOE/AA employer, Labcorp strives for diversity and inclusion in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications of the individual and do not discriminate based upon race, religion, color, national origin, gender (including pregnancy or other medical conditions/needs), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage all to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement. We believe in the power of science to change lives. Labcorp is a leading global life sciences company that provides vital information to help doctors, hospitals, pharmaceutical companies, researchers, and patients make clear and confident decisions. Through our unparalleled diagnostics and drug development capabilities, we provide insights and accelerate innovations to improve health and improve lives. Here, you can join our more than 70,000 employees, serving clients in more than 100 countries, as we work together to transform approaches to patient care.

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