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Market Access Channel Strategy Lead, Managed Care
Baylor Genetics. Work with external customers in the Managed Care channel for the Northeast US region .
About the role
Key responsibilities & impact- Work with external customers in the Managed Care channel for the Northeast US region
- Achieve and maintain medical coverage policies, garner access, obtain in-network contracts, and monitor market trends for clinical diagnostic laboratory genetic/genomic tests
- Build strong business relationships in complex organizations
- Achieve desired access and coverage decisions for BG tests by identifying, understanding, and addressing customer needs
- Meet or exceed account objectives for BG’s Northeast and Gulf regions
- Grow the existing customer managed care book of business and increase clients with in-network contracts
- Develop, evaluate, and propose strategic initiatives with cross-functional BG teams
- Develop account-specific strategies and tactical plans aligned with business and customer goals
- Provide external insights to inform BG’s test access strategy
- Develop short-term and long-term strategic account plans for assigned accounts
- Present BG-approved data and value messages compliantly with governing policies
- Build and develop professional relationships with key customer decision-makers and stakeholders
- Lead contract delivery, business reviews, and performance tracking with the internal market access team
- Conduct routine business reviews and inform internal stakeholders of relevant account updates
- Uphold company mission and values, ensure compliance with company policies and guidelines, and adhere to the Code of Conduct
- Perform other job-related duties as assigned
Requirements
What you’ll need- Bachelor's degree required
- 8+ years of direct experience with U.S. payer accounts
- Proven past performance that has met or exceeded expectations
- Previous experience with various health plans
- Preferably experience with independent physician/practice associations (IPAs)
- Demonstrated success working with coverage policies and closing contracts
- Reimbursement/managed care experience
- Experience with NGS, molecular diagnostics, or genetics is a plus
- Biopharma account management experience is welcome
- Knowledge of the payer payment system in the U.S.
- Ability to manage projects and work cross-functionally with field teams and home office team members
- Ability to communicate effectively and persuasively on complex clinical and economic matters to payers and other customers
- Clear commercial focus for influencing and negotiating with payer stakeholders across testing and disease areas
- Intellectual curiosity and problem-solving skills