Senior Payer Policy Analyst

Labcorp

. Assist the Manager of Payer Policy and Relations with policy and alliance development activities .

Posted 11/5/2026full-timeRemote • North Carolina • United StatesSenior💰 $85,000 - $110,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in policy development and payer relations, with a strong focus on Medicaid reimbursement strategies for genetic testing. Proficient in analyzing healthcare trends and regulatory impacts while effectively communicating complex information to diverse stakeholders.

Highest-signal resume keywords

Policy DevelopmentMedicaid RelationshipsHealthcare Revenue CycleInsurance GuidelinesRegulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Policy Strategy ImplementationReimbursement AnalysisClaims Denials ManagementBilling ComplianceData AnalysisHealthcare Legislation EvaluationPayer Policy MonitoringPublic Policy AdvocacyIntermediate Excel SkillsClinical Setting Experience

Soft Skills

Strong Written CommunicationVerbal Presentation SkillsProject ManagementIndependent Work CapabilityComplex Information Simplification

Tools & Technologies

Microsoft Suite

Certifications & Qualifications

MBAJDM.A.M.S.CGCRN

Industry Keywords

Payer PolicyGenetic TestingMedicareMedicaidCLIA RegulationsHealthcare TrendsRevenue Cycle ManagementPublic PolicyLegislative ProposalsInsurance Payers

About the role

Key responsibilities & impact

Assist the Manager of Payer Policy and Relations with policy and alliance development activities
Assist with developing and implementing policy strategies supporting Labcorp and the laboratory industry at state and federal levels
Gather and share information related to policy, billing, and reimbursement issues as an internal conduit
Develop relationships with state Medicaid contacts to improve reimbursement for genetic testing
Work with Segment Science and Marketing management teams to understand existing and emerging technologies and provide education, appeals influence, and payer-policy insight
Attend payer meetings with Payor Solutions Account Executives to communicate policy concerns and denial trends
Monitor payer policy updates and changes, including NCD, LCD, and other coverage policies impacting revenue
Liaise between Labcorp Medical Directors and Government and Commercial Payer Medical Directors on existing and proposed payer policies
Assist with regulatory comments, written testimony, policy position papers, and regulations; analyze public policy, legislative, and regulatory proposals
Help develop policy positions, strategies, and tactics and advocate company positions regarding legislation, regulations, and public policy
Support efforts addressing Medicare and private-sector payer price erosion associated with PAMA
Develop responses, talking points, and strategies on key state and federal issues
Advocate company positions before, during, and after meetings with trade associations, professional associations, laboratory coalitions, Medicaid Review boards, and other groups
Communicate developments and updates through periodic reports and internal and external communications channels
Examine healthcare trends and monitor implementation of Government Health Care Acts to identify business implications, opportunities, and risks
Evaluate laboratory-related state legislation and laws and engage subject matter experts to determine impacts and next steps
Craft language based on state laws to appeal claim denials and pursue payer reimbursement
Develop and maintain contacts with policymakers for Medicare Contractors, Medicaid Payers, and Commercial insurers
Collaborate with third-party groups affected by Medicare, Medicaid, and CLIA regulations impacting laboratory services
Perform other duties assigned by the Manager, Director, and/or Vice President of Payer Policy

Requirements

What you’ll need

Bachelor’s degree with 5+ years work experience required; if no degree, minimum 7 years work experience required
Advanced degree; MBA, JD, M.A. / M.S., CGC, RN preferred
Microsoft Suite experience with at minimum Intermediate Excel Skills (pivot tables, VLOOKUP’s) preferred
3+ years’ experience developing State Medicaid relationships and reimbursements for genetic testing preferred
5+ years’ experience in a clinical or business setting preferred
3+ years’ experience with insurance guidelines and payer policy preferred
3+ years’ experience with state and federal agencies and commercial insurance payers preferred
3+ years’ experience in healthcare revenue cycle, including prior authorization, coding, claims, denials, appeals, and billing compliance preferred
Strong written, verbal, and presentation skills
Ability to express complex information clearly and concisely to personnel at all levels
Capacity to work independently and manage multiple projects
Experience taking ownership of issues and providing practical advice
Ability to prioritize and undertake mission critical tasks in a fast-paced environment

Benefits

Comp & perks

Medical insurance
Dental insurance
Vision insurance
Life insurance
Short-term disability (STD)
Long-term disability (LTD)
401(k) Plan
Paid Time Off (PTO) or Flexible Time Off (FTO)
Tuition Reimbursement
Employee Stock Purchase Plan