National Director – Managed Care and Strategic Partnerships

Are you motivated to participate in a dynamic, multi-tasking environment? Do you want to join a company that invests in its employees? Are you seeking a position where you can use your skills while continuing to be challenged and learn? Then we encourage you to dive deeper into this opportunity.

We believe in career development and empowering our employees. Not only do we provide career coaches internally, but we offer many training opportunities to expand your knowledge base! We have highly competitive benefits with a variety HMO and PPO options. We have company 401k match along with an Employee Stock Purchase Program. We have tuition reimbursement, leadership development, and even start employees off with 16 days of paid time off plus holidays. We offer wellness courses and have highly engaged employee resource groups. Come join the Neo team and be part of our amazing World Class Culture!

NeoGenomics is looking for a National Director, Managed Care and Strategic Partnerships who wants to continue to learn in order to allow our company to grow.

Now that you know what we're looking for in talent, let us tell you why you'd want to work at NeoGenomics:

As an employer, we promise to provide you with a purpose driven mission in which you have the opportunity to save lives by improving patient care through the exceptional work you perform. Together, we will become the world's leading cancer reference laboratory.

Position Summary:

The National Director, Managed Care and Strategic Partnerships will develop and implement corporate strategies with commercial payers in support of the company’s goals and objectives.  The National Director, Managed Care and Strategic Partnerships will also be responsible for analyzing and improving organizational competitiveness and contracts within the Managed Care market, evaluating sales and costs to ensure maximum economics of scale, and establishing strong and sustainable relationships with Divisional, Regional, State and National Managed Care Clients.

Core Responsibilities:

• Works cross-functionally with reimbursement and finance teams to support the company’s goals in obtaining positive coverage decisions, including targeting and development of key physician influencers and consumer/employer influencers, economic modeling, and clinical trial information.
• Negotiates, either directly or indirectly, and manages the managed care contracting function for all Managed Care contracts in order to ensure financial integrity and reasonableness for implementation.
• Develops and builds relationships with major contracted providers and payers, including serving as liaison between them and the Company.   
• Responsible as the primary NeoGenomics point of contact for current or future managed care plans within the individual’s area of coverage or as assigned by the Head of Market Access and Reimbursement.
• Meets with participating managed care plans and NeoGenomics clients as required in order to maintain good working relationships.
• Identifying potential for revenue and cost improvements in contractual relationships, recommending and implementing changes through contract amendments and renewal negotiations
• Oversees appropriate coordination of company-wide initiatives related to payer and provider activities and operational efficiency.

• Assists in development of strategy to attract clients and patients from participating managed care programs; facilitates promotion of products to provider networks in conjunction with NeoGenomics Sales team and Marketing.

• Effectively works cross-functionally to develop alignment around strategies for securing new agreements with prioritized managed care groups
• Directs analysis of competitive products and marketing techniques, payor strategies, consumer research, legislation and managed care pricing; recommends policies for the introduction of new products/services and plans for increased market penetration based on market research and field level intelligence.
• As required, supports, evaluates, recommends, and implements changes in the Company’s fee schedule for managed care plans.
• Tailors existing marketing, presentation and collateral materials for the Managed Care market.
• Shares evolving geographic, managed care, and healthcare reform-related trends with the leadership team.
• Reviews in collaboration with Finance team, pricing proposals to ensure they are compliant with all applicable policies and company expectations.
• Accountable for strategic evaluation of complex contract issues that require interpretation on a wide variety of issues related to business objectives, varying laws/regulations, specific contract language, etc.
• Participates in audits of managed care customer contracts to ensure compliance with

contract terms

• Maintains current knowledge of public and applicable third-party reimbursement rules and regulation

• Develops and executes tactics to ensure success of contracts and to educate sales representatives on how to effectively leverage agreements.

• Participates in sales meetings, seminars, industry conferences, and tradeshows and manages event coordination

Experience, Education and Qualifications

• Bachelor’s degree in life sciences or business-related field required (MBA preferred)
• Successful track record of achieving favorable coverage and reimbursement for diagnostics products or medical devices with commercial payers and Medicare
• Proven ability to work well with and influence peers, sales teams and management
• Existing relationships with key decision makers and influencers,
• Knowledge of capitation reimbursement methodology, various market capitation rates and tactics for securing fee for service reimbursement in traditionally capitated environments, and physician sales success
• Proven oral, written, telephone and presentation skills.
• Knowledge of clinical and/or laboratory market environment and products.
• Ability to learn and retain product specific information and utilize to position the features and benefits to customers.
• Ability to work under deadline pressure and extra hours if needed on assignments.
• Proficient with MS Office programs
• Strong organizational skills and attention to detail
• Ability to work independently and in a team environment.
• Must be able to work in a biohazard environment and comply with safety policies and standards outlined in the Safety Manual.