Sr Payer Policy Analyst

Labcorp•Burlington, NC
•$85,000 - $110,000•Remote

About The Position

Labcorp is seeking a remote Senior Payer Policy Analyst to assist the Manager of Payer Policy and Relations with policy and alliance development. The role supports the development and implementation of policy strategies for Labcorp and the laboratory industry at the state and federal levels. The analyst serves as an internal conduit for information related to policy, billing, and reimbursement, with a primary focus on building relationships with state Medicaid contacts to improve reimbursement for genetic testing. The position works with internal science, marketing, medical, and payer-relations teams, as well as government and commercial payers, policymakers, trade associations, and other stakeholders. It monitors coverage policies and healthcare legislation, analyzes implications for the business, supports policy advocacy and reimbursement efforts, and communicates developments internally and externally. The schedule is Monday through Friday, 8:00 a.m.–5:00 p.m. Eastern Time, with flexibility across time zones. The position is remote. The application window closes November 17, 2026. The stated pay range is $85,000–$110,000.

Requirements

  • Bachelor’s degree and at least 5 years of work experience; alternatively, at least 7 years of work experience if no degree.
  • Strong written, verbal, and presentation skills, including the ability to communicate complex information clearly and concisely to personnel at all levels.
  • Ability to work independently and manage multiple projects.
  • Experience taking ownership of issues and providing practical advice.
  • Ability to prioritize and undertake mission-critical tasks in a fast-paced environment.

Nice To Haves

  • Advanced degree such as an MBA, JD, M.A., or M.S.; CGC or RN credentials.
  • Microsoft Office Suite experience, including at least intermediate Excel skills such as pivot tables and VLOOKUPs.
  • At least 3 years of experience developing state Medicaid relationships and reimbursement for genetic testing.
  • At least 5 years of experience in a clinical or business setting.
  • At least 3 years of experience with insurance guidelines and payer policy.
  • At least 3 years of experience with state and federal agencies and commercial insurance payers.
  • At least 3 years of healthcare revenue-cycle experience, including prior authorization, coding, claims, denials, appeals, or billing compliance.

Responsibilities

  • Work with Segment Science and Marketing management to understand existing and emerging technologies and provide education, appeals influence, and insight on payer policy for government and commercial payers.
  • Attend payer meetings with Payor Solutions Account Executives to communicate policy concerns and denial trends.
  • Monitor payer policy updates and changes, including National and Local Coverage Determinations and other coverage policies affecting revenue.
  • Act as a liaison between Labcorp Medical Directors and government and commercial payer medical directors regarding existing payer policies and proposed changes affecting reimbursement.
  • Assist the Manager by providing subject-matter expertise for comments on regulatory proposals, written testimony, policy position papers, and regulations; analyze public policy, legislative, and regulatory proposals and report internally as required.
  • Coordinate with the Payer and Policy Relations Team to develop Labcorp policy positions, strategies, and tactics, and advocate company positions regarding legislation, regulations, and public policy.
  • Support efforts to defend against Medicare and private-sector payer price erosion associated with the Protecting Access to Medicare Act of 2014 (PAMA).
  • Develop responses, talking points, and strategies on key state and federal issues and help maintain policy consistency across the organization.
  • Advocate company positions orally and in writing in connection with ACLA, other trade and professional associations, laboratory coalitions, Medicaid review boards, and other groups.
  • Communicate developments and updates regularly through reporting mechanisms and appropriate internal and external channels.
  • Examine healthcare trends and monitor implementation of government healthcare acts to identify implications, opportunities, and risks involving Medicare, Medicaid, Accountable Care Organizations, and commercial payers.
  • Evaluate laboratory-related state legislation and laws, engaging subject-matter experts to determine potential impacts and next steps.
  • Craft language based on state laws to support claim-denial appeals and pursue payer reimbursement.
  • Develop and maintain contacts and relationships with policymakers for Medicare contractors, Medicaid payers, and commercial insurers, and collaborate with third-party groups affected by Medicare, Medicaid, and CLIA regulations.
  • Perform other duties and responsibilities assigned by the Manager, Director, and/or Vice President of Payer Policy.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Short-term and long-term disability insurance
  • 401(k) plan
  • Paid Time Off (PTO) or Flexible Time Off (FTO), subject to eligibility and schedule
  • Tuition reimbursement
  • Employee Stock Purchase Plan
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