Market Access Channel Strategy Lead, Managed Care

Baylor Genetics is seeking a Market Access Channel Strategy Lead, Managed Care to work with external customers in the Managed Care channel for the Northeast and Gulf Regions. This director-level role is responsible for achieving medical coverage policies, garnering access, obtaining in-network contracts, and monitoring market trends for clinical diagnostic laboratory genetic/genomic tests.

Responsibilities:

• Achieve desired access and coverage decisions for BG tests by identifying, understanding, and addressing customer needs while generating potential solutions that enhance customer relationships
• Meet or exceed account objectives for BG’s Northeast and Gulf regions
• Grow existing customer managed care book of business; increase number of clients with in-network contracts
• In collaboration with cross-functional BG teams, the account lead develops, evaluates and proposes strategic initiatives to strengthen mutual business opportunities, while developing account-specific strategies and tactical plans that align to the business and customer goals
• Provides external insights to inform BG’s test access strategy
• Develop short-term and long-term strategic account plans for assigned accounts
• Presents BG-approved data and value messages compliantly with all governing policies
• Builds and develops professional relationships with key customer decision-makers and related stakeholders within assigned accounts
• Leads contract delivery, business reviews, and performance tracking for assigned accounts in collaboration with internal market access team
• Conducts routine business reviews to inform internal stakeholders on relevant updates for assigned accounts
• Uphold company mission and values; ensure compliance in all company policies and guidelines
• Adheres to Code of Conduct as outlined in the Baylor Genetics Compliance Program
• Performs other job-related duties as assigned

Requirements:

• Bachelor's degree required
• 8+ years of direct experience with U.S. payer accounts – proven past performance that has met or exceeded expectations
• Must have previous experience with various health plans and preferably independent physician/practice associations (IPAs)
• Demonstrated success in working with coverage policies and with closing contracts; reimbursement/managed care experience
• Knowledge of the payer payment system in the U.S
• Ability to manage projects and work cross-functionally with other field teams (e.g., sales force) and home office team members (e.g., market access, medical affairs, etc.)
• 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 a wide variety of testing and disease areas
• Intellectual curiosity and problem-solving skills
• Experience with NGS, molecular diagnostics, or genetics is a plus
• Biopharma account management experience is welcome