Director of Managed Care

Summary

Join Artera, a dynamic AI startup revolutionizing cancer therapy, as their Director of Managed Care. Lead efforts in securing private payer coverage and contracts for our innovative diagnostic solutions. You will cultivate key stakeholder relationships, negotiate favorable reimbursement rates, and conduct thorough market analyses. Success requires extensive experience in private payer reimbursement within the US healthcare system, specifically in precision diagnostic laboratories offering proprietary products. This role demands strong negotiation, communication, and interpersonal skills, along with the ability to navigate complex regulatory landscapes. Artera offers a competitive salary, equity, 401k matching, unlimited PTO, and a bonus structure.

Requirements

• Minimum of 5 years of experience in private payer reimbursement within the US healthcare system with a focus on laboratory testing
• Extensive background in precision diagnostic laboratories with proprietary products, ideally within companies offering proprietary cancer precision medicine tests
• Demonstrated success in negotiating contracts and securing private payer coverage for innovative healthcare solutions
• Familiarity with key figures in the private payer landscape and knowledge of private payer decision making dynamics
• Drive Market Access\ Payor contracting in a fast-paced environment
• Excellent communication, negotiation, and interpersonal skills
• Ability to travel as needed to support business objectives

Responsibilities

• Develop and execute strategies to secure private payer coverage and contracts for Artera's precision diagnostic products
• Cultivate and maintain relationships with key stakeholders at private payer organizations, including executives, medical directors, and reimbursement decision-makers
• Drive negotiations with private payers to establish favorable coverage terms and reimbursement rates for Artera's proprietary products
• Conduct thorough market analysis to identify opportunities for expansion and growth within targeted geographic areas
• Ensure compliance with all regulatory requirements and payer guidelines in contract negotiations and reimbursement practices
• Collaborate with internal teams, including sales, marketing, compliance, billing, and regulatory affairs, to align reimbursement strategies with overall business objectives
• Develop and implement metrics to track the success of reimbursement efforts and adjust strategies as needed to meet organizational goals
• Stay abreast of industry trends, regulatory changes, and competitor activities related to private payer reimbursement and managed care

Preferred Qualifications

• Experience working for a prostate company with a focus on reimbursement
• Deep familiarity with one or more of the following US geographic areas: Southeast, Midwest, West
• Proficiency speaking the Spanish language

Benefits

• $200,000 - $225,000 a year
• Equity
• 401k matching
• Unlimited paid time off (PTO)
• Bonus structure