National Bleeding Disorders Foundation · 6 hours ago
Director of Payer Access (Director of Patient Access)
United States
Full-time
Remote
Director/Executive
$85K/yr - $100K/yr
8+ years exp
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Hiring Manager
Emelyn Guevara
Insider Connection @National Bleeding Disorders Foundation
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Responsibilities
Collaborate with the SVP of Access and Public Policy to design and implement NBDF’s payer relations strategic plan.
Conduct research and analysis to develop strategies, policies, and recommendations for healthcare access and legislative or regulatory changes.
Manage and direct the department’s strategic planning and annual budgeting processes.
Design and oversee evaluative studies to support policy and program decisions on emerging issues in healthcare access and delivery.
Build and maintain partnerships with payers, Hemophilia Treatment Centers (HTCs), and community leaders to foster collaboration.
Represent NBDF at payer conferences, trade organization meetings, and advocacy events to promote HTCs as Centers of Excellence.
Collaborate with decision-makers from payers, brokers, consultants, employers, and government agencies to advance NBDF’s mission.
Participate in federal and state public payer initiatives as directed by the SVP of Public Policy and Access.
Oversee pilot programs developed under the Comprehensive Care Sustainability Collaborative (CCSC), ensuring operational efficiency and compliance with agreements.
Supervise the development of outreach materials and other communication efforts led by the CCSC communication committee.
Provide leadership to HTCs and other stakeholders on reporting requirements and compliance with payer standards.
Address patient- and HTC-specific issues, providing case-specific guidance and insights.
Educate providers, physicians, and insurance administrators on NBDF policies, billing procedures, and access strategies.
Lead the planning and execution of NBDF’s annual Insurance and Reimbursement Conference.
Draft, edit, and review educational materials, white papers, and presentations for accuracy and consistency, and clarity.
Stay informed of 340B program requirements and ensure alignment with current healthcare billing and reporting standards.
Identify and address access challenges arising from marketplace changes, disseminating relevant updates to HTCs and community stakeholders.
Adhere to all internal reporting requirements, including weekly updates and financial documentation.
Qualification
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Required
A Bachelor’s degree in public policy, administration, business administration, or a related field; a graduate degree is a plus.
At least 8 years of experience in public policy analysis, education, administration, and/or government relations/affairs, with a focus on healthcare or payer relations.
At least 3 years of experience in 340B operations, health practice management, and insurance billing/reporting.
Strong research, policy analysis, writing, and oral communication skills, with the ability to distill complex information and present it concisely.
Strong interpersonal skills, with the ability to work independently and collaborate effectively with diverse stakeholders, including consumers, advocates, government officials, and remote teams.
Ability to assess and understand the long-term impact of policy decisions and strategies in the healthcare space.
Demonstrated experience working with federal healthcare programs, commercial payers/providers, and managed care organizations.
Proficient in MS Office Suite, internet research, and database management systems.
Preferred
Knowledge of healthcare policy and experience with hemophilia and/or blood disorders is a plus.
Benefits
Comprehensive health and wellness program to eligible employees, family members and domestic partners
Medical, dental, vision, prescription drug, preventative care, mental health services and an employee assistance / work-life balance program
Three weeks (+) of vacation, four personal days, 12 sick days, 11 paid holidays, 1 Floating Holiday, and the Holidays’ week off (between Christmas and New Years’)
Paid Short-Term Disability insurance & Life Insurance
Pre-tax savings plan (including Flexible Spending Accounts and Commuter Transit Account)
A 403(b) retirement plan with automatic contributions based on years of service
Paid Caregiver/Parental leave
Company
National Bleeding Disorders Foundation
The National Bleeding Disorders Foundation is dedicated to finding better treatments and cures for inheritable blood and bleeding disorders and to preventing the complications of these disorders through education, advocacy and research.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Leonard Valentino
Chief Executive Officer
Philip Gattone
President & Chief Executive Officer
Company data provided by crunchbase
