Vice President, National Medical Director for Clinical Effectiveness

Labcorp•Burlington, NC

About The Position

Labcorp is seeking a Vice President, National Medical Director for Clinical Effectiveness Job Responsibilities This role is the quarterback of all market access, medical affairs, payer relationships around coverage policy, coding and reimbursement strategy for the Labcorp Diagnostics business in the US. This leader provides medical strategy for planning, designing, and conducting clinical utility studies that will be necessary to demonstrate clinical effectiveness of new laboratory assays. This position chairs the Payor Policy Collaboration Committee, a multidisciplinary enterprise committee of leaders that help determine which new assays to launch and the evidence necessary for appropriate reimbursement. Provide medical ethical input on assay design, intended use, and marketing claims for clinical use. Serve as an integral member on all Business Advisory Teams (BATs) and the company Reimbursement Advisory Teams Provides leadership and strategic direction to the Clinical Utility team on study design and publication Works directly with the Payor Solutions, Market Access Team, Revenue Cycle Management (RCM) team and is responsible for appeals letters Provides leadership and assistance to Corporate Coding and Reimbursement (CCR) Medical Director for Appeals Letters Leads Labcorp’s relationship with Medicare, the MACs, and Medicaid issues Assists the Labcorp Venture Fund by providing timely reviews of the science and clinical utility Assists with mergers and acquisitions Advise the Labcorp Research & Development scientists in developing assays that are most likely to demonstrate clinical utility Represent Labcorp at the American Clinical Laboratory Association and other industry venues. Vice President, National Medical Director for Clinical Effectiveness is a critical and strategic role for Labcorp. This leader drives our market access, coverage and reimbursement with a wide variety of external governments, payers and partners and serves as the medical representative of Labcorp for the clinical effectiveness of our lab assays. This position reports directly to the Chief Medical & Scientific Officer.

Requirements

Medical license in a US state
Board eligible or Board certification in a relevant medical specialty
10 or more years of experience in medical coding, reimbursement, coverage policy development, clinical guidelines, managed care administration, revenue cycle management or similar work experience
The ideal candidate has a long track record of expertise in laboratory medicine coding, reimbursement, clinical guideline development, medical coverage policy, and revenue cycle management

Nice To Haves

Board eligible or Board certification in a relevant medical specialty with Pathology preferred
Management of a team of professionals may be required

Responsibilities

quarterback of all market access, medical affairs, payer relationships around coverage policy, coding and reimbursement strategy for the Labcorp Diagnostics business in the US
provides medical strategy for planning, designing, and conducting clinical utility studies that will be necessary to demonstrate clinical effectiveness of new laboratory assays
chairs the Payor Policy Collaboration Committee
Provide medical ethical input on assay design, intended use, and marketing claims for clinical use
Serve as an integral member on all Business Advisory Teams (BATs) and the company Reimbursement Advisory Teams
Provides leadership and strategic direction to the Clinical Utility team on study design and publication
Works directly with the Payor Solutions, Market Access Team, Revenue Cycle Management (RCM) team and is responsible for appeals letters
Provides leadership and assistance to Corporate Coding and Reimbursement (CCR) Medical Director for Appeals Letters
Leads Labcorp’s relationship with Medicare, the MACs, and Medicaid issues
Assists the Labcorp Venture Fund by providing timely reviews of the science and clinical utility
Assists with mergers and acquisitions
Advise the Labcorp Research & Development scientists in developing assays that are most likely to demonstrate clinical utility
Represent Labcorp at the American Clinical Laboratory Association and other industry venues