[Remote] Market Access Channel Strategy Lead, Medicaid

Note: The job is a remote job and is open to candidates in USA. Baylor Genetics is a clinical diagnostic laboratory focused on genetic testing, and they are seeking a Market Access Channel Strategy Lead, Medicaid. This director-level position is responsible for achieving Medicaid coverage policies and managing relationships with Medicaid Payer accounts to ensure access to genetic testing services.ResponsibilitiesAchieve positive medical coverage policy decisions for BG tests by engaging with targeted Payer coverage policy decision stakeholders with Medicaid FFS agencies, Medicaid Managed Care (MMC) and Medicaid Exchange Payer accountsAdhering to specific Payer account engagement processes to implement Market Access strategies that address unmet needs; ultimately achieving product access for the Medicaid targeted populationDrive the in-network contracting strategy within assigned Medicaid Managed Care (MMC) and Medicaid Exchange Payer accounts to expand and obtain new in-network Provider Lab contractsUnderstands the impact of Medicaid state credentialing on Provider lab contract delivery & trackingHands-on experience working with government relations, advocacy, stakeholder engagement, or piloted Legislative issue management campaigns concerning clinical laboratory access challengesMaintain strong understanding of Part B Medical policy content, biomarker state legislation mandates, and industry association evidence-based guidelines impacting coverage and accessAn ability to quickly grasp legislative state policies and political issues impacting clinical laboratory coverage and reimbursement. (e.g. Any Willing Provider Legislation, etc.)Own the business by creating and seizing opportunities to proactively identify and clear access barriers to deliver resultsMaintain Medicaid-related key stakeholder relationships to generate potential solutions in preparation for future product launchesCollaborates with BG cross-functional teams - Credentialing, Medical Science Liaisons, Legal, Revenue Cycle Management, Sales, and Market Access team members to offer insight, identify gaps, and implement account-specific executional strategic and tactical planning that strengthens business opportunities aligned with BG strategic prioritiesSynthesize Payer account insights and Payer market intelligence on a frequent cadence to inform and alignMeet or exceed targeted Payer account strategic objectives and metric achievementConducts routine account business reviews to inform Market Access leadership on relevant updates and/or barriers to accessDemonstrates resourcefulness and an open-minded thinking to formulate approaches to expand coverage and reimbursementUphold company mission and values; ensure compliance with all company policies and guidelinesAdheres to Code of Conduct as outlined in the Baylor Genetics Compliance ProgramLeverage Payer deliverables and enlist Market Access Senior Management support to address barriers to care, Payer needs, and manage anticipated threats to product accessPerforms other job-related duties as assignedPerform ethically through ambiguity in a government-regulated environmentCommunicate with Integrity and Emotional intelligenceAbility to pivot in an ever-changing Payer environmentSkillsBachelor's Degree required8+ years of direct experience in U.S. Payer account management (medical benefit) requiredDemonstrated success in achieving positive and/or retracting negative coverage policy decisions with Medicaid FFS/Medicaid Managed Care Payers requiredAbility to manage projects and work cross-functionally (e.g., Market Access, Revenue Cycle Management, Legal, Medical Affairs, Credentialing, Sales etc.)Ability to communicate effectively on Payer in-network contract and coverage requests submissions in a timely and compliant fashionExcellent verbal and written skillsExhibit strong teamwork skills and collaborative problem-solving skillsPossess a combination of small / start-up biopharma company experienceExperience with molecular diagnostics (MolDx), or genetics is a plusBiopharma Payer account management (medical benefit) experience is welcomedKnowledge of the US Payer payment system or CLFS is a plusCompany OverviewBaylor Genetics offers a full spectrum of cost-effective, genetic testing, and provides clinically relevant solutions. It was founded in 1978, and is headquartered in Houston, Texas, USA, with a workforce of 501-1000 employees. Its website is https://www.baylorgenetics.com/.