Sr. Regional Account Manager, Market Access (field base) is responsible for obtaining in-network status with health plans. Responsible for converting medical policies.
PRIMARY RESPONSIBILITIES:
Contract with insurance companies and payer organizations. Focus will be on State Medicaid and Managed Medicaid Organizations.
Successfully add CPT and or PLA codes to State Medicaid fees schedules and amend contracts as appropriate .
gain positive coverage policy for Natera's tests.
Maximize reimbursement by negotiating the highest possible reimbursement values.
Manage complex contract negotiation and work with legal counsel as required.
Present data, scientific findings, and complex information in a professional manner. Partner with Medical Affairs.
Work closely on biomarker law compliance and partner with our government affairs team.
This role works with PHI on a regular basis both in paper and electronic form and has access to various technologies to access PHI (paper and electronic) in order to perform the job
The employee must complete training relating to HIPAA/PHI privacy, General Policies and Procedure Compliance training and security training as soon as possible but not later than the first 30 days of hire.
Must maintain a current status on Natera training requirements.
The employee must pass a post-offer criminal background check
QUALIFICATIONS:
Bachelor's degree or equivalent required; an advanced degree (MBA/MPH) is preferred
4+ years of managed care contracting and reimbursement experience in molecular diagnostics or life sciences REQUIRED
KNOWLEDGE, SKILLS, AND ABILITIES:
Natera requires a field-based executive who can identify and close in-network contracts.
Strong modeling skills in MS excel
Excellent cross-functional communication and organization
Ability to gather data through creative approaches to research
Very strong interpersonal and listening skills
Hypothesis-driven
Passion for changing medicine
Ability to close deals in a timely manner resulting in significant revenue growth.
Solid understanding of the diagnostic testing market: products, key companies, and individuals, technology.
Superior analytics: a demonstrated track record of developing and managing complex negotiations with multiple variables.
Superior problem-solving skills
The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.
Remote USA
$35,300—$169,100 USD
OUR OPPORTUNITY
Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.
The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.
WHAT WE OFFER
Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program!
For more information, visit www.natera.com.
Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.
All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.
If you are based in California, we encourage you to read this important information for California residents.
Link: https://www.natera.com/notice-of-data-collection-california-residents/
Please be advised that Natera will reach out to candidates with a @natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes.
For more information:
- BBB announcement on job scams
- FBI Cyber Crime resource page
Top Skills
Natera San Carlos, California, USA Office
201 Industrial Road, San Carlos, CA, United States, 94070
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