Director, Market Access & Channel Strategy, Medicaid

Baylor Genetics seeks a Director, Market Access & Channel Strategy, Medicaid to secure Lab Provider in-network contracts and achieve medical coverage, access, and reimbursement for clinical diagnostic genetic testing within the Medicaid Channel of Payer segments. The role will involve developing and managing relationships with Medicaid FFS and Medicaid Managed Care Payer accounts, implementing Medicaid account strategies, and driving the expansion of Provider in-network contracts.

Requirements

• Achieve positive medical coverage policy decisions for BG tests
• Adhere to specific Payer account engagement processes to implement Market Access strategies
• Drive the in-network contracting strategy within assigned Medicaid Managed Care (MMC) and Medicaid Exchange Payer accounts
• Maintain strong understanding of Part B Medical policy content, biomarker state legislation mandates, and industry association evidence-based guidelines impacting coverage and access
• An ability to quickly grasp legislative state policies and political issues impacting clinical laboratory coverage and reimbursement