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Millennium Health · 1 month ago

Director of Market Access Operations

United States

Full-time

Remote

Director/Executive

Millennium Health LLC is an accredited specialty laboratory with over a decade of experience in medication monitoring and drug testing services. The Director of Market Access Operations will manage contractual relationships and financial achievements with payers, analyze existing and prospective payer relationships, and support revenue improvement and growth.

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Responsibilities

Monitor contract performance process to quantify the profitability of Managed Care programs and help develop strategies and tactics for remediation of underperforming contracts working directly with the Senior Director of Market Access

Work with contracted insurers, sales leadership, and marketing to manage and implement successful redirection and other collaborative pull-through-related programs

Willingness to participate in basic management needs of the department (e.g., state payer lists, redirection curation, contract reviews, etc.)

Support development of strategy and prioritization for managed care contracting in collaboration with the Senior Director and the Senior Vice President of Market Access

Assist the contract development process from insurer contract proposals through final approval, including deal structure, analysis, forecasting, and reporting of contract profitability

Establish collaborative working relationship with sales leadership and their teams to inform and guide market access strategies, key target identification, and optimal opportunities for synergistic value creation

Analysis and support of contracted in-network reimbursement rates for Millennium Health, and identify and pursue opportunities to improve rates that are below market

Collaborate closely with Millennium Health functional leadership, contracting Consultants, finance team, billing department, analytics executives, legal counsel, and key customers

Manage existing insurer contracts to ensure continuity, successful renewal, and renegotiate fee schedules where appropriate to achieve revenue optimization

Capable of supporting the Market Access team through engagement in policy and advocacy-related work (e.g., ACLA, CCLA, CAHP, MGMA)

Capability in conducting basic financial analyses to inform strategies and prioritization

Develop internal and external partnerships to enable funding, reimbursement, and access, which can include guidelines, innovative financing or payment models, and public health programs

Partner with all cross-functional stakeholders to align on priorities and resourcing for business objectives across all areas of the enterprise

Ability to think strategically regarding the value of Market Access for Millennium and advancement and advocacy of the purpose and value of drug testing itself

Ability to ensure HIPAA, Confidentiality, and Compliance policies, procedures, and standards are always adhered to

Ability to ensure administrative, physical, and technical cyber security controls are always adhered to

Regular and reliable attendance

Qualification

Market Access StrategyContract ManagementFinancial AnalysisPayer RelationshipsRevenue OptimizationCompliance KnowledgeCyber Security AwarenessCollaborationStrategic Thinking

Required

Participating in the management of company's goals for contractual relationships and financial achievements with payers

Analyzing and assessing existing and prospective payer relationships, needs, and development

Monitoring contract performance process to quantify the profitability of Managed Care programs

Developing strategies and tactics for remediation of underperforming contracts

Working with contracted insurers, sales leadership, and marketing to manage and implement successful redirection and other collaborative pull-through-related programs

Participating in basic management needs of the department (e.g., state payer lists, redirection curation, contract reviews, etc.)

Supporting development of strategy and prioritization for managed care contracting

Assisting the contract development process from insurer contract proposals through final approval

Establishing collaborative working relationships with sales leadership and their teams

Analyzing and supporting contracted in-network reimbursement rates for Millennium Health

Collaborating closely with Millennium Health functional leadership, contracting Consultants, finance team, billing department, analytics executives, legal counsel, and key customers

Managing existing insurer contracts to ensure continuity, successful renewal, and renegotiation of fee schedules

Supporting the Market Access team through engagement in policy and advocacy-related work

Conducting basic financial analyses to inform strategies and prioritization

Developing internal and external partnerships to enable funding, reimbursement, and access

Partnering with all cross-functional stakeholders to align on priorities and resourcing for business objectives

Thinking strategically regarding the value of Market Access for Millennium

Ensuring HIPAA, Confidentiality, and Compliance policies, procedures, and standards are always adhered to

Ensuring administrative, physical, and technical cyber security controls are always adhered to

Regular and reliable attendance