Payor Engagement Director jobs in United States
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bioMérieux · 3 days ago

Payor Engagement Director

bioMérieux is a company focused on diagnostic solutions, and they are seeking a Payor Engagement Director to engage with payor organizations to enhance coverage, access, and reimbursement. The role involves building relationships with payor decision-makers, negotiating coverage criteria, and implementing access improvement initiatives.

Biotechnology
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Comp. & Benefits

Responsibilities

Build and maintain relationships with payor and LBM medical directors, coverage policy teams, and other reimbursement stakeholders
Deliver payor-focused communications that clearly demonstrate the clinical and economic value of bioMérieux's diagnostic products. Align on the global and local narrative for payer engagements. Contribute to enhancing the narrative, communicate payer objections to internal team and implement objection handling narratives in continued payer engagements
Negotiate with payors to improve product access, secure positive coverage policies, and address reimbursement challenges
Identify payor-specific access and reimbursement gaps and develop tactical engagement plans to address them
Manage direct interactions with national, regional, and government payor organizations to advocate for favorable coverage and coding policies
Proactively identify policy update timeline, design engagement message and communicate model language and evidence justification
Respond to payor requests for evidence, clinical information, and economic data in collaboration with internal subject matter experts
Support resolution of payor-related barriers impacting patient access to diagnostics
Track, report, and document all payor interactions, outcomes, and access changes for internal visibility
Represent bioMérieux at payor meetings, conferences, and relevant industry events focused on reimbursement and access policy
Collaborate, plan and execute in lockstep with the market access strategy and other payer engagement team members. Support the escalation of payer engagement from the hyperlocal team
Perform all work in compliance with company quality procedures and standards
Performs other duties as assigned

Qualification

Payor engagementReimbursement processesHealthcare policy knowledgeNegotiation skillsPublic presentation skillsRelationship-buildingCommunication skillsOrganizational skillsProblem-solving skills

Required

Bachelor's Degree in health policy, business, life sciences, or public health (MBA, MPH, MHA) required
10+ years of experience in healthcare, diagnostics, biotech, or pharmaceutical industry with a strong focus on payor engagement and reimbursement
Proven success building payor relationships and securing improved coverage or reimbursement outcomes
In-depth understanding of U.S. healthcare payor systems (commercial, Medicare, Medicaid) and diagnostic reimbursement processes
Experience delivering payor-facing value communications
Knowledge of payor evidence requirements and policy development processes
Strong relationship-building and negotiation skills with payor audiences
Excellent public presentation, verbal and written communication skills tailored to payor needs
Ability to identify access barriers and tactically engage payors to resolve issues
In-depth knowledge of diagnostic reimbursement, coding, and payor policy structures
Highly organized and capable of managing multiple payor interactions simultaneously

Preferred

Advanced degree preferred

Benefits

A choice of medical (including prescription), dental, and vision plans providing nationwide coverage and telemedicine options
Company-Provided Life and Accidental Death Insurance
Short and Long-Term Disability Insurance
Retirement Plan including a generous non-discretionary employer contribution and employer match.
Adoption Assistance
Wellness Programs
Employee Assistance Program
Commuter Benefits
Various voluntary benefit offerings
Discount programs
Parental leaves

Company

bioMérieux

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A family-owned company, bioMérieux has grown to become a world leader in the field of in vitro diagnostics.

Funding

Current Stage
Late Stage

Leadership Team

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Jana Inman
CFO Global R&D
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Aaron Ford
Talent Acquisition Partner II
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Company data provided by crunchbase