- Develop and execute a sales plan to gain new agreements with key payors, which will result in profitable new volume growth for cases billed to these payors and profitable new volume growth billed to all payors.
- Collaborate with Sales Directors and Regional Vice Presidents representing all product lines.
- Initiate and develop relationships with key payor influencers and decision-makers.
- Leverage current and prospective company physician customer relationships to influence the payor decision-making process further.
- Work with Billing to successfully ensure new contracts are processing claims according to the contract expectations.
- Negotiate all business and non-business terms of agreements in conformance with company standards.
- Tailor existing company marketing, presentation, and collateral materials for state IPA, commercial, and government markets.
- Manage all payor agreements, seeking opportunities to improve the value of these relationships.
- Shares evolving geographic, managed care, and healthcare reform-related trends with company leadership.
- Ensures consistent execution of sales strategy once new payor contracts are executed
- Territory Management/Sales Administration, Completes and submits a monthly report to Sr. Director, Managed Care.
- Make joint calls with Sales Directors to cultivate customer support for payor contracting efforts and to develop payor insights and strategies further.
- Bachelor's Degree is required.
- 10+ years of managed care contracting experience; preference will be given to candidates with diagnostic laboratory or anatomic pathology physician sales experience,
- Proven success in negotiating new managed care agreements AND renegotiating existing agreements to improve business and financial terms,
- Proven ability to work well with and influence peers, sales teams, and management, as well as existing relationships with key payor decision makers and influencers.
- Candidate must be able to travel domestically up to 10% of the time; overnight travel may be required for routine customer contacts as well as sales and planning meetings.
- Ability to work cross-functionally (e.g., Sales, Finance, Operations) to develop alignment around strategies for securing new agreements with IPAs, commercial, and government markets.
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Director Managed Care - Irving, United States - FULGENT THERAPEUTICS LLC
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Description
Job DetailsLevel
Experienced
Job Location
IDX Irving TX Site - Irving, TX
Remote Type
Fully Remote
Position Type
Full Time
Education Level
4 Year Degree
Salary Range
$120, $160,000.00 Salary/year
Travel Percentage
Up to 25%
Job Category
Biotech
Description
About
Inform Diagnostics, a Fulgent Genetics Company, is a leading national pathology laboratory headquartered in Coppell, Texas, with additional state-of-the-art laboratories in Boston and Phoenix. With unparalleled quality and experience. We provide reliable, high-quality diagnostic services in various subspecialties. The company is profoundly impacting patient care, one diagnosis at a time.
Summary
The Managed Care Director manages and grows the payor contract portfolio to support continued profitable volume growth. Additionally, they provide their expertise to assist with and lead other managed care-related projects.
Responsibilities
Qualifications
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