Senior Manager, Managed Care

NeoGenomics Laboratories

77d

About The Position

NeoGenomics has an opening for a Senior Manager, Managed Care who wants to continue to learn in order to allow our company to grow. The Senior Manager, Managed Care will drive corporate strategies with commercial payers in support of the company’s goals and objectives. The position will also be responsible for analyzing and improving organizational competitiveness and contracts within the Managed Care market, evaluating sales and costs to ensure maximum economics of scale, and establishing strong and sustainable relationships with Divisional, Regional, Assigned States, and the National Director, Managed Care.

Requirements

• 7+ years of diagnostic laboratory or anatomic pathology managed care contracting and medical policy experience.
• Bachelor’s degree in Life Sciences or business-related field required (MBA preferred).
• Proven ability to work well with and influence peers, sales teams and management.
• Existing relationships with key decision makers and influencers.
• Knowledge of capitation reimbursement methodology and various market capitation rates.
• Proven oral, written, telephone and presentation skills.
• Knowledge of clinical and/or laboratory market environment and products.
• Ability to learn and retain product specific information.
• Ability to work under deadline pressure and extra hours if needed.
• Proficient with MS Office programs.
• Strong organizational skills and attention to detail.
• Ability to work independently and in a team environment.
• Must be able to work in a biohazard environment and comply with safety policies.

Responsibilities

• Works cross-functionally with reimbursement and finance teams to support the company’s goals in obtaining positive coverage decisions.
• Negotiates and manages the managed care contracting function for all Managed Care contracts.
• Develops and builds relationships with major contracted providers and payers.
• Acts as the primary NeoGenomics point of contact for current or future managed care plans.
• Meets with participating managed care plans and NeoGenomics clients as required.
• Identifies potential for revenue and cost improvements in contractual relationships.
• Assists in development of strategy to attract clients and patients from participating managed care programs.
• Directs analysis of competitive products and marketing techniques.
• Supports, evaluates, recommends, and implements changes in the Company’s fee schedule for managed care plans.
• Works directly with Billing to identify payors with low reimbursement or bad debt issues.
• Shares evolving geographic, managed care, and healthcare reform-related trends with the National Director, Managed Care.
• Reviews pricing proposals to ensure compliance with policies and expectations.
• Participates in audits of managed care customer contracts.
• Maintains current knowledge of public and applicable third-party reimbursement rules and regulations.
• Manages contracts and amendments through the entire review and execution process.
• Participates in sales meetings, seminars, industry conferences, and tradeshows.

Benefits

• Highly competitive benefits with a variety of HMO and PPO options.
• Company 401k match.
• Employee Stock Purchase Program.
• Tuition reimbursement.
• Leadership development.
• 16 days of paid time off plus holidays.
• Wellness courses.
• Engaged employee resource groups.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees