Senior Manager, Managed Care

Senior Manager, Managed Care

Are you motivated to participate in a dynamic, multi-tasking environment? Do you want to join a company that invests in its employees? Are you seeking a position where you can use your skills while continuing to be challenged and learn? Then we encourage you to dive deeper into this opportunity.

We believe in career development and empowering our employees. Not only do we provide career coaches internally, but we offer many training opportunities to expand your knowledge base! We have highly competitive benefits with a variety HMO and PPO options. We have company 401k match along with an Employee Stock Purchase Program. We have tuition reimbursement, leadership development, and even start employees off with 16 days of paid time off plus holidays. We offer wellness courses and have highly engaged employee resource groups. Come join the Neo team and be part of our amazing World Class Culture!

NeoGenomics has an opening for a Senior Manager, Managed Care who wants to continue to learn in order to allow our company to grow.

Now that you know what we're looking for in talent, let us tell you why you'd want to work at NeoGenomics : As an employer, we promise to provide you with a purpose driven mission in which you have the opportunity to save lives by improving patient care through the exceptional work you perform. Together, we will become the world's leading cancer reference laboratory.

Position Summary :

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.

Core Responsibilities :

• Works cross-functionally with reimbursement and finance teams to support the company's goals in obtaining positive coverage decisions, including targeting and development of key physician influencers and consumer / employer influencers, economic modeling, and clinical trial information
• Negotiates, either directly or indirectly, and manages the managed care contracting function, for all Managed Care contracts in order to ensure financial integrity and reasonableness for implementation
• Develops and builds relationships with major contracted providers and payers, including serving as liaison between them and the Company
• Responsible as the primary NeoGenomics point of contact for current or future managed care plans within the individual's area of coverage or as assigned by the National Director, Managed Care
• Meets with participating managed care plans and NeoGenomics clients as required to maintain good working relationships
• Identifying potential for revenue and cost improvements in contractual relationships, recommending and implementing changes through contract amendments and renewal negotiations
• Assists in development of strategy to attract clients and patients from participating managed care programs; facilitates promotion of products to provider networks in conjunction with NeoGenomics Sales team and Marketing
• Effectively works cross-functionally to develop alignment around strategies for securing new agreements with prioritized managed care groups
• Directs analysis of competitive products and marketing techniques, payor strategies, consumer research, legislation, and managed care pricing; recommends policies for the introduction of new products / services and plans for increased market penetration based on market research and field level intelligence
• As required, supports, evaluates, recommends, and implements changes in the Company's fee schedule for managed care plans
• Works directly with Billing to identify payors in their territory with low reimbursement, or bad debt issues, identifying the cause, and strategizing a path to success and a timeline to execute with National Director, Managed Care
• Shares evolving geographic, managed care, and healthcare reform-related trends with the National Director, Managed Care
• Reviews, in collaboration with Finance team, pricing proposals to ensure they are compliant with all applicable policies and company expectations
• Accountable for strategic evaluation of complex contract issues that require interpretation on a wide variety of issues related to business objectives, varying laws / regulations, specific contract language, etc.
• Participates in audits of managed care customer contracts to ensure compliance with contract terms
• Maintains current knowledge of public and applicable third-party reimbursement rules and regulations
• Maintains current contract information in sales force or any future tracking programs in regards to contact information and notes regarding health plan interaction
• Manage contracts and amendments through the entire review and execution process
• Participates in sales meetings, seminars, industry conferences, and tradeshows, and manages event coordination

Experience, Education and Qualifications :

Travel Required :

Ability to travel as required by role (up to 50% of the time). Some overnight travel may be required.

All qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status.