[Remote] Senior Payer Policy Analyst- REMOTE

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

Responsibilities

• Works directly with Segment Science and Marketing management teams to develop an understanding of existing and emerging technologies to provide education, appeals influence and insight pertaining to payer policy for Government and Commercial payers
• Provide 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 commercial insurance coverage policies impacting reimbursement
• Functions as a liaison between Labcorp Sales, Medical Directors, and Government and Commercial 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 affect the company, analyzing public policy, legislative and regulatory proposals, and reporting internally as required
• Collaborates with Sales and client accounts as a subject matter expert on payer policies and prior authorization requirements
• Communicates developments and updates on a regular basis through periodic reporting mechanisms and appropriate internal and external 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, Medicaid, Accountable Care Organizations, and Commercial payers
• Evaluates laboratory-related state legislation and laws to engage subject matter experts to determine potential impacts and next steps
• Develops and maintains key contacts within Labcorp’s Sales leadership and Payor Solutions leadership to collaboratively address and improve reimbursement for medically necessary testing performed
• Performs other and further 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 commercial insurance payers
• Five or more years work experience in healthcare revenue cycle (prior authorization, coding, claims, denials, appeals, billing compliance, etc.)
• Advanced degree; MBA, JD, M.A. / M.S., CGC, RN

Benefits

• Medical
• Dental
• Vision
• Life
• STD/LTD
• 401(k)
• Paid 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 all the foregoing benefits except PTO or FTO

Company Overview

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

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