Meet access goals and ensure medical coverage pathways are consistent with FDA approved prescribing information
Consistently engage National and Regional commercial payers, FFS and Managed Medicaid plans, and Federal payers to positively influence decision makers in areas of clinical criteria and medical policy
Work cross-functionally within the POD team structure to ensure alignment across Genetix’s stakeholders and that QTCs receive surround sound support at every step in the patient journey
Genetix Biotherapeutics is pursuing curative gene therapies to give patients and their families more days. They are doers, thinkers and collaborators who embrace cooperation and the integration of multiple viewpoints and value radical care.
Maintain and deepen senior-level relationships across national and regional payers.
Wheel is evolving the traditional care ecosystem by equipping the nation's most innovative companies with a premier platform to deliver high-quality virtual care at scale. They offer proven strategies and cutting-edge technologies to foster consumer engagement, build brand loyalty, and maximize return on investment.
Definium Therapeutics, formerly known as Mind Medicine, is a clinical stage biopharmaceutical company developing novel product candidates to treat brain health disorders. Founded in 2019, they are continuously expanding their presence and global footprint and searching for high-impact individuals to strengthen their team.
Identify, develop, and close new business opportunities with national and regional health plans.
Own the full sales process from initial outreach through deal structuring, contracting, and launch.
Build strong, trusted relationships with senior and executive stakeholders across the payer landscape.
Covera Health is committed to ensuring high-quality healthcare. They are leading the way in the emerging science of quality, connecting providers and payers to improve patient outcomes and care quality, partnering with leading employers, payers and healthcare organizations across the US, including Walmart and Microsoft.
Lead and develop a team of Payer Enrollment Coordinators and Specialists.
Manage and improve the systems that help support the team’s processes.
Medallion provides a provider operations platform to eliminate administrative bottlenecks. They are ranked No. 3 on Inc. Magazine’s 2024 Fastest-Growing Private Companies in the Pacific Region and have $130M in funding.
Lead a team of professionals covering payer strategy and contracting.
Provide strategic input and commercial perspective to business development opportunities.
Deciphera is committed to equal employment opportunity and values diversity. They believe in providing a competitive compensation and benefits package to all employees.
Ensure timely resolution and completion of payer enrollment.
Streamline processes and workflows for the onboarding department.
Work with internal and external stakeholders to resolve complex provider enrollment issues.
Privia Health collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology.
Serves as principal lead on a defined number of providers for negotiation, strategy, and market intelligence.
Assist in the establishment of contract-related criteria and contracting guidelines to optimize financial performance and minimize Plan risk.
Responsible for understanding provider partners’ service needs and incorporating contract solutions to support providers and Capital Blue Cross in reaching shared goals.
Capital Blue Cross aims to go the extra mile for their team and community. Employees consistently vote them one of the “Best Places to Work in PA” due to their supportive colleagues and focus on professional and personal growth.
Drive new business growth and ensure ongoing success in our strategic health plan partnerships.
Deepen external payer relationships to identify new product opportunities and drive further alignment.
Responsible for growth relationships with MCOs and capturing new business opportunities.
Nadia Care is working to drastically change the experience of affected communities by reimagining how we deliver meaningful and compassionate care to expectant moms. Our team is focused on building trust-based engagement and wrap-around support for expectant moms at home, in person and virtually to ensure they have all the social support they need for a successful and joyful pregnancy journey.
Negotiate pharmacy agreements across retail, mail, and quality-based channels.
Create and manage network contracting campaigns, analyzing performance metrics.
Work with analytics teams to assess network adequacy and compliance.
Jobgether is a company that uses AI to power the job application process. They ensure applications are reviewed quickly, objectively, and fairly against a role's core requirements.
Be accountable for long term strategy, relationships, and growth of a dedicated book of key health plan partners.
Lead, mentor, and advocate for a team of Payor Partnership Managers, ensuring they have the tools, training, and strategic guidance to exceed their individual goals.
Own contract strategy & renewals to optimize partnership structure and success.
Equip is a virtual, evidence-based eating disorder treatment program focused on ensuring access to effective treatment. Founded in 2019, Equip is a fully virtual company with a highly-engaged, passionate, and diverse culture.
Lead the development and execution of Clover’s provider network strategy in New Jersey.
Establish and execute on an annual contracting roadmap aligned with affordability, access, and quality goals.
Lead a team to deliver high-quality and data-driven contracting operations.
Clover Health reinvents health insurance by combining data and human empathy to keep members healthier. They have created custom software and analytics to empower their clinical staff to intervene and provide personalized care.
Play a critical role in shaping and executing market access strategies in preparation for a potential product launch.
Develop payer strategies, generating actionable insights, and ensuring optimal access and reimbursement.
Collaborate with brand marketing team(s) and agency partners to develop tools and resources that support targeted customer segments.
Sobi is dedicated to developing and delivering innovative therapies to improve the lives of people who live with a rare disease. They have over 1,900 employees in more than 30 countries and offers a competitive benefits package, to support the health and happiness of the staff.
Partner with RCM leadership to monitor performance trends and identify revenue cycle opportunities.
Support payer contracting activities, including onboarding clinical network agreements.
Act as program manager for strategic payer partnership initiatives and drive implementation.
Headspace provides access to lifelong mental health support. They combine content, clinical care, and technology to help millions of members around the world get support. Their culture is collaborative, inclusive, and grounded in their values.