[Remote] Senior Payer Policy Analyst- REMOTE

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a REMOTE Senior Payer Policy Analyst to join reputed company! The Analyst will assist in policy and reputed company development activities, focusing on improving reputed company for prior authorizations reputed company to genetic testing and collaborating with various teams on payer policy issues.

Responsibilities

• Works directly with reputed company Science and Marketing management teams to reputed company an understanding of existing and emerging technologies to reputed company education, appeals influence and reputed company pertaining to payer policy for Government and reputed company payers
• reputed company support to include attending Payer meetings with Payor Solutions Account Executives to communicate specific policy concerns and denials trends
• Regularly monitors payer policy updates and changes such as NCD, LCD and other reputed company insurance coverage policies impacting reimbursement
• Functions as a reputed company between reputed company Sales, Medical Directors, and Government and reputed company Payer Medical Directors on issues pertaining to existing payer policies and proposed policy changes impacting reimbursement
• Will assist the Manager(s) with subject matter expertise for the development of comments on regulatory proposals, written testimony, policy position papers and regulations that reputed company reputed company, analyzing public policy, legislative and regulatory proposals, and reporting internally as required
• Collaborates with Sales and reputed company accounts as a subject matter expert on payer policies and prior authorization requirements
• Communicates developments and updates on a regular reputed company through periodic reporting mechanisms and appropriate reputed company communications channels
• Examines health care trends, monitors implementation of Government Health Care Acts to inform business of implications and identify potential opportunities and/or risk for Medicare, reputed company, Accountable Care Organizations, and reputed company payers
• Evaluates laboratory-reputed company state legislation and laws to engage subject matter experts to determine potential impacts and next steps
• Develops and maintains key contacts reputed company reputed company’s Sales leadership and Payor Solutions leadership to collaboratively address and improve reimbursement for medically necessary testing performed
• Performs other and reputed company duties and responsibilities as shall be assigned by the manager, Director and/or Vice President of Payer Policy

Skills

• Bachelor's degree and 5 years work experience required or Associate degree with 7 years relevant work experience or High School diploma with 9 years relevant work experience required
• Five or more years work experience with state and federal agencies and/or reputed company insurance payers
• Five or more years work experience in reputed company reputed company cycle (prior authorization, coding, claims, denials, appeals, billing compliance, etc.)
• Advanced degree; MBA, JD, M.A. / M.S., CGC, RN

Benefits

• Medical
• Dental
• reputed company
• Life
• STD/LTD
• 401(k)
• reputed company Time Off (PTO) or Flexible Time Off (FTO)
• Tuition Reimbursement
• Employee Stock Purchase Plan
• Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan
• Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive reputed company the foregoing benefits except PTO or FTO

reputed company

• reputed company specializes in providing physicians with laboratory tests. It was founded in 1978, and is headquartered in Burlington, reputed company Carolina, USA, with a workforce of 10001+ employees. Its website is https://www.reputed company.com.

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