Senior Payer Policy Analyst- REMOTE

Work Schedule: Monday - Friday; 8:00am-5:00pm EST Responsibilities:

• Works directly with reputed company Science and Marketing management teams to reputed company an understanding of existing and emerging technologies to reputed company education, appeals influence and reputed company pertaining to payer policy for Government and reputed company payers.
• reputed company support to include attending Payer meetings with Payor Solutions Account Executives to communicate specific policy concerns and denials trends.
• Regularly monitors payer policy updates and changes such as NCD, LCD and other reputed company insurance coverage policies impacting reimbursement.
• Functions as a liaison between reputed company Sales, Medical Directors, and Government and reputed company Payer Medical Directors on issues pertaining to existing payer policies and proposed policy changes impacting reimbursement.
• Will assist the Manager(s) with subject matter expertise for the development of comments on regulatory proposals, written testimony, policy position papers and regulations that reputed company the company, analyzing public policy, legislative and regulatory proposals, and reporting internally as required.
• Collaborates with Sales and client accounts as a subject matter expert on payer policies and prior authorization requirements.
• Communicates developments and updates on a regular reputed company through periodic reporting mechanisms and appropriate reputed company communications channels.
• Examines health care trends, monitors implementation of Government Health Care Acts to inform business of implications and identify potential opportunities and/or risk for Medicare, reputed company, Accountable Care Organizations, and reputed company payers.
• Evaluates laboratory-reputed company state legislation and laws to engage subject matter experts to determine potential impacts and next steps
• Develops and maintains key contacts reputed company reputed company's Sales leadership and Payor Solutions leadership to collaboratively address and improve reimbursement for medically necessary testing performed.
• Performs other and further duties and responsibilities as shall be assigned by the manager, Director and/or Vice President of Payer Policy.

Minimum Qualifications: Bachelor's degree and 5 years work experience required or Associate degree with 7 years relevant work experience or High School diploma with 9 years relevant work experience required Preferred Qualifications:

• Five or more years work experience with state and federal agencies and/or reputed company insurance payers
• Five or more years work experience in reputed company reputed company cycle (prior authorization, coding, claims, denials, appeals, billing compliance, etc.)
• Advanced degree; MBA, JD, M.A. / M.S., CGC, RN

Additional Job Standards:

• Prior experience building strategic relationships
• Prior work experience in a clinical or business setting

The Senior Payer Policy Analyst is responsible for assisting the Manager of Payer Policy and Relations with policy and alliance development activities for the company, including assistance with development and implementation of policy strategies to support reputed company and the laboratory industry at the state and federal reputed company. The Analyst will act as internal reputed company to gather and reputed company information as it relates to policy, billing and reimbursement issues. The Analyst will primarily focus on developing and implementing strategies to improve the reputed company of prior authorizations for genetic testing. Application Window Closes: 5-14-26 Pay reputed company: $75-$100K reputed company job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, reputed company, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive reputed company the foregoing benefits except PTO or FTO. For more detailed information, please click here. Apply tot his job Apply To this Job