Director, Payer Policy Job at NeoGenomics Laboratories

Senior Director, US Market Access Strategy

Beam is looking for a strategic leader to drive market access strategy for key B...

Location

United States , Cambridge

Salary:

250000.00 - 310000.00 USD / Year

Beam Therapeutics

Expiration Date

Until further notice

Requirements

Bachelor’s required, Master’s preferred with 18+ years of experience
10+ years of experience in US Pharma, including at least 5+ years in payer strategy / marketing or payer account management
At least 3+ years of experience working in cell & gene therapies required
Proven track record of successful collaboration with cross-functional teams
Substantial experience in shaping market access and pricing strategies, developing brand plans & payer marketing tools (value proposition decks), informing HEOR data strategies, supporting field market access teams, etc.
Previous product launch experience in buy-and-bill products
Excellent communication (written, verbal and presentation), interpersonal influencing and prioritization skills required with proven ability to influence across matrixed organizations including influencing without authority
Proven ability to operate independently and handle multiple projects with a high degree of initiative including project planning and prioritization of competing demands
Willingness to work with ambiguity and candor
Experience developing and managing promotional budgets and managing third-party vendors

Job Responsibility

Create and own near/mid/long term access strategies focused on optimizing pricing and coverage
Monitor coverage environment for gene therapies and competitive landscape and coordinate cross functionally to ensure alignment
Drive cross-functional access strategy synergies with broader brand strategy
Collaborate with future market access team members, such as field team, trade & distribution lead, government affairs lead, and patient services lead
Own market access component of brand level strategic plans, ensuring alignment to brand objectives as well as near/mid/long term market access objectives
Partner closely with Value Evidence Strategy (VES) lead to ensure value prop and customer materials are backed by evidence and aligned with Medical Affairs
Develop access journey for brand, highlighting critical access components including pricing/contracting, channel strategy, payer strategy, patient services, enterprise strategy, etc
Support insights development including conducting primary market research to support the market access strategy and tactical planning
Monitor & synthesize syndicated market research and external environment, impacting pharmaceutical delivery and reimbursement including industry trends, public policy, and competitive landscape

Fulltime

Senior Manager, Government Programs - Medicaid

The Senior Manager for Government Programs - Medicaid at Baxter will work to ens...

Location

United States , Saint Paul, Minnesota

Salary:

152000.00 - 209000.00 USD / Year

Baxter

Expiration Date

Until further notice

Requirements

Bachelor’s degree required
6 plus years in health policy, reimbursement, Medicaid and public health payment programs is required
3 plus years of pharmaceutical/medical device proven experience is required
Proven understanding of Medicaid systems and differences in state operations required
Detailed understanding of state programs, processes, and experience preferred
Established track record of cultivating relationships with Medicaid Administrators, specifically directors, policy managers, and medical directors, through articulate written and verbal communication.

Job Responsibility

Develop relationships with Medicaid Administrators to assist in clarification of state policies and find opportunities for coverage development
Act as the primary contact for Respiratory Health to Government Programs in communications and meetings
Supervise Government Payer requirements & policies to identify potential changes that may impact Respiratory Health’s reimbursement process
Lead resolution of Medicaid payer issues brought up from Patient & Customer Service teams
Advance questions requiring Legal or Compliance guidance related to reimbursement processes to appropriate resource
Participate in industry Trade Associations or State HME / DME Associations
Collaborate with Government Affairs on state lobbying efforts
Analyze government program trends applying internal and external data
Maintain communication with senior management regarding major reimbursement issues
Assist the Coverage Manager on Coverage Expansion strategy development

What we offer

Medical and dental coverage that start on day one
Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan
401(k) Retirement Savings Plan
Flexible Spending Accounts
Educational assistance programs
Paid holidays
Paid time off ranging from 20 to 35 days based on length of service
Family and medical leaves of absence
Paid parental leave

Fulltime

Health Policy & Reimbursement Executive Director

In this vital role the Health Policy & Reimbursement Executive Director will lea...

Location

United States , Washington D.C.

Salary:

281425.00 - 325550.00 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree & 6 years of health policy or reimbursement experience
Master’s degree & 10 years of health policy or reimbursement experience
Bachelor’s degree & 12 years of health policy or reimbursement experience
6 years of managerial experience directly managing people and/or leadership experience leading teams, projects, programs or directing the allocation of resources

Job Responsibility

Lead development and implementation of reimbursement strategies for federal (US) payer issues across multiple therapeutic areas and the company’s biosimilar portfolio
Work cross-functionally to help identify and resolve barriers to entry for pipeline products/ therapies and provide broad reimbursement-related advice for inline products, including mitigation strategies in response to proposals that would negatively affect access of Amgen therapies for patients
Manage broader health policy efforts including reviewing and analyzing complex policy proposals including regulatory proposals and legislative text, and promptly and concisely communicating impact of these proposals to key internal audiences (government affairs, commercial, regulatory, clinical, and senior executives)
Collaborate with government affairs staff to ensure alignment of strategy, talking points and messaging to constituents (elected officials/leaders, agencies, third parties, etc.)
Play a key role in health policy engagement with major trade associations on corporate policy priorities which include Amgen specific priorities as well as industry-wide priorities including, but not limited to, Federal drug pricing policy
Conduct research and integrate clinical, market and payer data to inform engagement on reimbursement objectives
Regularly update via written and oral communications to senior executives and other key partners on various reimbursement and US health policy topics

What we offer

Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans and bi-annual company-wide shutdowns
Flexible work models, including remote work arrangements, where possible

Fulltime

Director, US Value, Access and Policy Analytics

The US Value, Access and Policy Analytics Director will support US value, access...

Location

United States , San Rafael

Salary:

192000.00 - 264000.00 USD / Year

BioMarin Pharmaceutical

Expiration Date

Until further notice

Requirements

Minimum 7+ years of progressive experience in US market access, managed markets, payer strategy or related pharmaceutical functions
Proficient analytical skills and use of relevant tools and systems
Deep understanding and experience in pricing dynamics
Deep understanding of U.S. healthcare system, reimbursement mechanisms, and payer landscape
Deep understanding of health policy & health system environment for transformative and rare therapies
Superior problem-solving skills, including demonstrated capability of applying previous experience to complex policy issues
Excellent communication, collaboration, influence, strategic and analytical skills are required
Ability to work optimally in cross-functional teams in a fast-paced, dynamic environment
Advanced analytics skills, scenario modeling, and financial implications assessment of policy issues
Ability to translate complex data into actionable insights for non-technical stakeholders

Job Responsibility

Develop tools and materials (e.g. budget impact models) to support product launches and ongoing product commercialization
Support payer engagement activities, including national and regional commercial payers, PBMS, Medicare and Medicaid
Partner with pricing, HEOR, government affairs, patients services and field access teams to develop compelling economic arguments, value propositions and evidence plans
Develop value tools and resources (AMCP dossiers, value decks, coverage policies)
Monitor policy, reimbursement, and pricing landscape and assess implications for the business
Develop predictive models to assess the impact of healthcare policy changes, competitive launches, and evolving payer dynamics
Support contracting strategy development and assist with negotiations as needed
Support good relationships with external vendors, consultants and payer advisors
Analyze access and utilization data to inform strategy and measure performance

What we offer

discretionary annual bonus
discretionary stock-based long-term incentives
paid time off
company-sponsored medical, dental, vision, and life insurance plans

Fulltime

Director, Revenue Accounting

A rewarding career where you can really make a difference, backed by competitive...

Location

United States , Duluth

Salary:

Not provided

Americas Best Contacts and Eyeglasses

Expiration Date

Until further notice

Requirements

10+ years Progressive revenue accounting experience
Four-year college degree or equivalent experience
Bachelor's degree in Accounting/Finance
Advanced Excel
Ability to utilize analytical tools like Power BI to inform analysis & recommendations
General Ledger/ERP System - Oracle
Strong Understanding of U.S. GAAP

Job Responsibility

Overseeing financial operational accounting related to revenue, including managed care, store audit, retail revenue, deferred revenue, and related technical accounting for all revenue functions
Ensure an accurate and efficient close process, including the preparation and review of journal entries, account reconciliations, reports, and analyses to support conclusions or the preparation of ASC technical memos to support conclusions
Lead, manage and coach direct reports
Maintain and administer financial systems used in the accounting department
Develop and implement accounting processes, policies and procedures
Oversee revenue recognition processes in compliance with ASC 606 within the managed care channel
Management of support personnel in sales audit and accounting
Evaluating managed care payer agreements to determine revenue recognition treatment or other new revenue agreements
Evaluating managed care payer agreement reimbursement rates to determine payer reserve analysis
Monitoring billing, claims processing, and payment reconciliations performed by the RSC managed care team to determine accounting impacts

What we offer

Competitive compensation
Health and dental insurance
401k retirement savings with company match
Flex spending account
Paid personal time off
Paid company holidays
Parental leave
Employee eyewear discount
Training programs
Access to educational courses

Fulltime

Director, Revenue Accounting

A rewarding career where you can really make a difference, backed by competitive...

Location

United States , Duluth

Salary:

Not provided

Americas Best Contacts and Eyeglasses

Expiration Date

Until further notice

Requirements

10+ years Progressive revenue accounting experience
Four-year college degree or equivalent experience
Bachelor's degree in Accounting/Finance
Advanced Excel
Ability to utilize analytical tools like Power BI to inform analysis & recommendations
General Ledger/ERP System - Oracle
Strong Understanding of U.S. GAAP

Job Responsibility

Overseeing financial operational accounting related to revenue, including managed care, store audit, retail revenue, deferred revenue, and related technical accounting for all revenue functions
Ensure an accurate and efficient close process, including the preparation and review of journal entries, account reconciliations, reports, and analyses
Lead, manage and coach direct reports
Maintain and administer financial systems used in the accounting department
Develop and implement accounting processes, policies and procedures
Oversee revenue recognition processes in compliance with ASC 606 within the managed care channel
Management of support personnel in sales audit and accounting
Evaluating managed care payer agreements to determine revenue recognition treatment or other new revenue agreements
Evaluating managed care payer agreement reimbursement rates to determine payer reserve analysis
Monitoring billing, claims processing, and payment reconciliations performed by the RSC managed care team to determine accounting impacts

What we offer

health and dental insurance
401k retirement savings with company match
flex spending account
paid personal time off
paid company holidays
parental leave
employee eyewear discount

Fulltime

Director of Market Access, California Medical Groups and IPA's (Diagnostics)

We are seeking an experienced Director of Market Access, California Medical Grou...

Location

United States , California

Salary:

211201.00 - 237601.00 USD / Year

BillionToOne

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Life Sciences, Healthcare Administration, Business, or a related field
advanced degree preferred
Minimum of 5 years’ experience in market access, reimbursement, or healthcare consulting—preferably in diagnostics, biotech, or medical devices
Deep knowledge of California’s healthcare delivery system, with specific experience working with medical groups and IPAs
Proven track record in payer negotiations and reimbursement strategy execution
Exceptional communication, interpersonal, and stakeholder engagement skills
Strong analytical skills with the ability to translate complex data into impactful strategies
Highly self-driven, well-organized, and capable of working independently in a fast-paced environment

Job Responsibility

Develop and nurture strategic relationships with decision-makers in medical groups, IPAs, and healthcare systems across California
Design and implement market access strategies to secure favorable coverage and reimbursement for our diagnostic solutions
Partner cross-functionally with Sales, Marketing, Clinical, and Reimbursement teams to align on access and commercialization priorities
Articulate the clinical utility and economic value of our diagnostics to healthcare providers and key stakeholders
Monitor and interpret legislative, regulatory, and payer policy developments affecting diagnostic access within the state
Lead payer engagement, including contract negotiations, coverage submissions, and the development of reimbursement dossiers
Provide actionable insights and data to inform pricing, contracting, and access decisions
Track competitor market access activities and adapt strategy in a dynamic and competitive environment

What we offer

Working alongside brilliant, kind, passionate and dedicated colleagues, in an empowering environment, toward a global vision, striving for a future in which transformative molecular diagnostics can help millions of patients
Open, transparent culture that includes weekly Town Hall meetings
The ability to indirectly or directly change the lives of hundreds of thousands patients
Multiple medical benefit options
employee premiums paid 100% of select plans, dependents covered up to 80%
Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%)
Supplemental fertility benefits coverage
Retirement savings program including a 4% Company match
Increase paid time off with increased tenure
Latest and greatest hardware (laptop, lab equipment, facilities)

Coding Training Manager

Under general direction, this position supervises the daily coding and training ...

Location

United States , Oklahoma City

Salary:

Not provided

Pafford EMS

Expiration Date

Until further notice

Requirements

Knowledge of Medicare and Medicaid regulations as they pertain to ambulance billing
Knowledge of and complete and thorough understanding of HIPAA
Knowledge of health care financial management systems and processes
Knowledge of medical, insurance, and healthcare terminology, industry regulations, and requirements
Knowledge of the International Certification of Disease codes for medical impressions and ambulance transportation codes
Knowledge of complicated multi-system medical terminology and general anatomy
Knowledge of coding audits and Federal, State, and Local rules and regulations regarding medical claims
Knowledge of supervisory and managerial techniques and processes
Skill in oral and written communications
Preferred: Certified Ambulance Coder (CAC) credential

Job Responsibility

Coordinates and ensures adherence to quality standards, deadlines, and proper procedures of work performed by coding employees
Fosters a sense of teamwork and motivates team to perform assigned functions and achieve objectives
Maintains a working knowledge of the department’s billing system software applications, including all reporting, billing, and administrative functions
Creates and maintains billing policies and procedures by partnering with the Director
Provides account oversight as required for each payer type
and completes Medicare, Medicaid, and insurance reviews
Identifies billing trends and makes necessary system changes
Develops, maintains, and facilitates training on any necessary regulatory changes affecting the department’s billing functions
Identifies training needs of staff and assigns staff to participate in relevant training

Fulltime

Director, Payer Policy

NeoGenomics Laboratories

Location:
United States

Category:
Finance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 18, 2026

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Job Posted:January 18, 2026

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