Associate Director - Market Access & Reimbursement

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Helix

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Helix is the leading population genomics and viral surveillance company.

Consumer Genetics • Next Generation Sequencing (NGS) • Bioinformatics • Consumer Insights • Big Data

51 - 200

Description

• Prioritize and manage relationships and contracting activities with priority payers for Helix’s population genomics businesses • Keep up to date with changes in the industry, payer policy trends, and other information to make proactive recommendations on appropriate payer targets and strategies • Drive the development of tools and materials to effectively communicate our reimbursement strategy and economic value proposition of our platform and unique Sequence Once, Query™ Often model to payers, health systems executives, and other key stakeholders • Educate cross-functional teams on market access and reimbursement related topics that influence design of our products and adoption and access to germline testing • Support externally facing teams (sales, partner success, medical affairs) by proactively identifying and resolving reimbursement related issues • Identify and execute on novel pilot programs with target payers to explore alternative payment models for germline genomics • Oversee day-to-day reimbursement operations, including driving the reporting and analysis of on key operational measures and developing and implementing strategies to improve them

Requirements

• Mission-oriented, with a deep passion for improving people’s lives through DNA • At least 10 years of experience and a demonstrated track record of achieving favorable reimbursement for molecular diagnostics with commercial payers, developing coding strategies, and supporting revenue cycle management processes • Strong network / relationships with commercial payers and other organizations / societies that influence access to molecular diagnostics • In-depth understanding of the US payer landscape and reimbursement trends and mechanisms, with respect to molecular diagnostics • Able to think outside the box with respect to reimbursement strategies for Helix’s Sequence Once, Query Often™ model • Comfort with analysis of health economic arguments and the underlying science and clinical impact of molecular diagnostics • Strong verbal and written communication • BA or BS required

Benefits

• Comprehensive Health Insurance with Date of Hire eligibility • Above average employer paid premium coverage • 12 weeks Helix Paid Parental Leave option • 401(k) with employer matching of up to 3% and 100% Vesting on the Date of Hire • Comprehensive Well-Being Benefits • 18 well-being programs covering financial, legal and wellness solutions • Flexible PTO • Remote options for many roles and a home office stipend