The Reimbursement and Payer Manager will participate in the development and deployment and utilization of reimbursement tools, models and case studies regarding Epi proColon to address laboratory, MD and patient needs.
In the role they will develop and maintain a database of all state, Medicare and private payer group payment policy and practices for associated CPT codes.
As part of the Commercial Team they will optimize the medical economic positioning and messaging for Epigenomic assays including Epi proColon.
They will lead the interaction with external resources to develop assay specific tools/medical economic models for Epigenomics’ assays.
Establish and deliver “reimbursement support packages” and presentations to be delivered by the individual and Area Managers to payer organizations and prospects.
As part of their responsibility they will develop tools to support laboratory reimbursement staff in securing payment for Epigenomics assays.
Lastly, they will develop education tools and tactics to address Medicare, Medicare Advantage, private pay and Medicaid implementation issues for epi proColon.
Requirements: The ideal candidate will have 5-10 years of experience in either Medical Insurance Payment or Laboratory Payment. They will have intimate knowledge of national and local payer practices for private pay and Medicare insurance programs. They will be able to travel 20% of the time.
Compensation: Combination of salary and annual bonus at market levels.