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Millennium Health · 1 day ago

Director of Market Access Operations

Washington, DC

Full-time

Onsite

Lead/Staff, Director/Executive

$140K/yr - $180K/yr

5+ years exp

Millennium Health LLC is an accredited specialty laboratory with expertise in medication monitoring and drug testing services. The Director of Market Access Operations will manage contractual relationships and analyze payer relationships to support revenue improvement and growth.

BiotechnologyHealth CareLife ScienceMedical

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 contractingAnalytical skillsNegotiation skillsPayer relationshipsStrategic thinkingQuantitative analysisQualitative analysisMicrosoft OfficeCommunication skillsInterpersonal skillsPresentation skillsRelationship development

Required

Bachelor's Degree in Business, Science or related field required

Five years progressive leadership experience in Market Access contracting, policy development or similar responsibility with a health services, device, or pharmaceutical company; related laboratory experience preferred

Experience of successfully selling/advocating directly to payer organizations and influencing payer decision makers

Documented experience in managing the negotiation process for contracts and/or contract maintenance with major health insurance companies

Excellent communication, inter-personal and negotiation skills

Networking and relationship development skills

Strong analytical, quantitative, and qualitative analysis skills required

Ability to influence without authority

Existing network of payer relationships

Blend of strategic and tactical skills

Demonstrated consistent follow-through and creative persistence with payer stakeholders

Compelling presentation skills

Strong computer software skills including in depth working knowledge of Microsoft Office applications

Willingness and ability to travel extensively throughout the US and to MH corporate headquarters in San Diego