Director of Managed Care
and Reimbursement (US)

 

Your job in a nutshell

As Director of Managed Care and Reimbursement (DMCR) you are responsible for planning and directing all aspects of the managed care functions within the company.  This includes maintaining existing managed care relationships, crafting, and executing product-specific payer integration strategies that include Medicare, GSA, DoD and all variations of United States commercial plans.  The DMCR is also responsible for all contract negotiations, execution and payer contract reimbursement compliance, team building as needed, and company managed care marketing initiatives. You are based in California and will work from our San Diego office. You report to the Chief Strategy Officer and the President and GM USA.

 

Essential Duties and Responsibilities

  • Meets with health plan decision-makers, key opinion leaders such as physicians and healthcare professionals, and visit key payers and academic institutions.

  • Interacts with key commercial and government payer contacts.

  • Manages collaboration projects such as health economics papers, cost effectiveness models, and coding analysis.

  • Identifies and prioritizes target Managed Care Organizations.

  • Maintains regular and open lines of communication with key and targeted customers by developing and managing close business relationships in order to monitor market conditions.

  • Works closely with executive staff in developing comprehensive business plans as well as revenue forecasts designed to meet and exceed the revenue and earnings objectives of the company.

  • Effectively manages a portfolio of managed care contracts and associated revenue to meet / exceed company business objectives.

 

Together we ensure the validation and implementation of clinically relevant scientific discoveries into reliable medical diagnostic assays for diagnosis, prognosis and drug effectiveness prediction that will ultimately contribute to improved patient care.

 

 

You have

  • A Bachelor’s Degree or equivalent. A Master’s Degree is preferred.

  • Advanced knowledge of managed care for molecular diagnostics.

  • Preferably +5 years of experience driving positive commercial medical policy for molecular diagnostics.

  • Knowledge about molecular diagnostics, genomics, assay validation, statistics.

  • The ability to comprehend and interpret clinical data.

  • The ability to interpret an extensive variety of technical clinical information.

  • Excellent communication skills with proven ability to deliver impactful payer presentations.

  • Strong interpersonal skills with ability to handle interactions with health plan medical directors and key opinion leaders.

  • Team player abilities and are able to motivate the team while managing both internal and external collaborations.

  • Strong analytical skills and creative approach to problem solving.

  • Experience in working according to high-quality standards.

  • Intrinsic motivation to make a positive contribution to health care. Excellent English oral and written skills are required.

  • Affinity with our corporate quotes (must).

 

 

We offer

  • A full-time position, a market competitive salary and market competitive secondary conditions of employment.

  • Opportunities for personal growth.

  • The best of two worlds: a career in life sciences at an innovative biotech company with the emphasis on clinical diagnostics in close collaboration with an academic environment.

  • The ability to serve society with science based solutions.

 

 

At SkylineDx

we live to make a difference. It is our mission to improve a patient’s quality of life by enabling them to benefit from personal insights at the genomic level of their disease. That means we are continuously innovating the world of gene signature-based diagnostic testing. That also means we have a unique blend of characteristics. We have our soft side. Our culture is oftentimes described as familial, warm, loyal and highly engaged. We have our rational side where exact sciences are driving our mission. And when needed our passionate side surfaces to clear the way so we can serve society with science based solutions.

 

 

Our quotes

#serviceisjoy

#valueformoney

#playtogethertowin

#amazingthingshappen

#cogitoergosum

#itsyourparty

 

 

Do apply!

Send your resume and motivation letter to Soraya Mestar (HR) at hr@skylinedx.com. If you have questions or want more information, don’t hesitate to contact us. You’ll find the contact details here on our website. We will make sure it lands on the right desk!