Managed Care Director
Guardant Health
Company Description
Guardant Health is a leading precision oncology company focused on helping conquer cancer globally through use of its proprietary tests, vast data sets and advanced analytics. The Guardant Health oncology platform leverages capabilities to drive commercial adoption, improve patient clinical outcomes and lower healthcare costs across all stages of the cancer care continuum. Guardant Health has commercially launched Guardant360®, Guardant360 CDx, Guardant360 TissueNext™, Guardant360 Response™, and GuardantOMNI® tests for advanced stage cancer patients, and Guardant Reveal™ for early-stage cancer patients. The Guardant Health screening portfolio, including the Shield™ test, aims to address the needs of individuals eligible for cancer screening.
Job Description
The Director of Managed Care is responsible for developing and executing a strategically targeted Regional account plan for building coverage, contracting & revenue pull-through with California Independent Physician Associations.
Essential Duties and Responsibilities:
- Manage all IPA related activities with regional accounts with the potential to manage National accounts as the business expands.
- Develop contacts and relationships throughout large insurance organizations and IPA’s.
- Influence key players to drive to specific business objectives
- Set strategy, analyze and assess both qualitative and quantitative contract data, and negotiate medical policy and contracts for Guardant as an in-network provider.
- Work collaboratively with our Sales, Sales Management, Reimbursement Operations, and Finance teams and will bring market knowledge to present clinical data to accounts but also partner with our Medical Affairs team for policy development.
- Knowledge of important sales territory-related issues and the evolving healthcare landscape, and can pilot opportunities in evolving markets (i.e. Employer, ACO).
Qualifications
- Extensive experience in the molecular diagnostics market (previous NGS experience a plus) or related experience is required
- 5+ years Managed Care medical policy development and contracting and sales experience within the Health Care Industry.
- Experience within the California managed care reimbursement business setting and have experience developing and executing on a California focused reimbursement plan aligned to sales and revenue objectives for cancer molecular testing.
- Strong understanding of the complexity of payer contracting and have a track record of successful partnerships with some of the top IPA’s and have numerous Regional plan relationships that you can leverage in this role.
- Demonstrated success at partnering with various channels (employers, ACO) to bring a higher level of expertise into planning for these markets.
- Demonstrated track record in driving favorable reimbursement with IPA’s or commercial payers.
- Established relationships with or reliable access to key National and Regional MCO stakeholders and related influence groups that impact access to our products for Providers and Patients
- Experience negotiating national agreements involving multi-stakeholders leading to win-win agreements
- Extensive travel is required for this role.
- Education: B.A. or B.S. degree, MBA a plus
Additional Information
Hybrid Work Model: At Guardant Health, we have defined days for in-person/onsite collaboration and work-from-home days for individual-focused time. All U.S. employees who live within 50 miles of a Guardant facility will be required to be onsite on Mondays, Tuesdays, and Thursdays. We have found aligning our scheduled in-office days allows our teams to do the best work and creates the focused thinking time our innovative work requires. At Guardant, our work model has created flexibility for better work-life balance while keeping teams connected to advance our science for our patients.
The US base salary range for this full-time position is $200,000 to $270,000. The range does not include benefits, and if applicable, bonus, commission, or equity. The range displayed reflects the minimum and maximum target for new hire salaries across all US locations for the posted role with the exception of any locations specifically referenced below (if any).
Within the range, individual pay is determined by work location and additional factors, including, but not limited to, job-related skills, experience, and relevant education or training. If you are selected to move forward, the recruiting team will provide details specific to the factors above.
Employee may be required to lift routine office supplies and use office equipment. Majority of the work is performed in a desk/office environment; however, there may be exposure to high noise levels, fumes, and biohazard material in the laboratory environment. Ability to sit for extended periods of time.
Guardant Health is committed to providing reasonable accommodations in our hiring processes for candidates with disabilities, long-term conditions, mental health conditions, or sincerely held religious beliefs. If you need support, please reach out to [email protected]
Guardant Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
All your information will be kept confidential according to EEO guidelines.
To learn more about the information collected when you apply for a position at Guardant Health, Inc. and how it is used, please review our Privacy Notice for Job Applicants.
Please visit our career page at: http://www.guardanthealth.com/jobs/