Payer Strategy Lead - Oncology Reimbursement

Serova; San Francisco (CA); In loco; USD 90.000 - 140.000; Tempo pieno

Descrizione del lavoro

Serova seeks a payer strategist to secure coverage for tests, therapies and referrals, and to navigate prior authorizations, appeals and denials. You will build our longer-term payer strategy for diagnostics and therapies, while explaining costs to patients and families and coordinating with patient case managers.

Your work will help patients access treatment and ensure billing aligns with plans, in a fast-paced startup environment in SF or London.

Competenze

• Experience with US health insurance from the provider or payer side.
• Hands-on with prior authorizations, appeals and denials.
• Based in the San Francisco Bay Area or London, or willing to relocate.
• Comfortable working US hours if based in London.
• Authorized to work in the US or UK, or a realistic path to get there.

Mansioni

• Get our tests, therapies and referrals covered by patients' insurers.
• Handle prior authorizations, appeals and denials, case by case.
• Work out what is reimbursable, including billable specialist consultations, and tell the rest of the company early.
• Work with our patient case managers on the cost side of each case.
• Help patients understand what they'll pay and what their plan covers.
• Build our longer-term payer strategy for our own diagnostics and therapies.

Conoscenze

US health insurance knowledge

Prior authorizations

Appeals & denials

Cost explanation to patients

Descrizione del lavoro

Serova seeks a payer strategist to secure coverage for tests, therapies and referrals, and to navigate prior authorizations, appeals and denials. You will build our longer-term payer strategy for diagnostics and therapies, while explaining costs to patients and families and coordinating with patient case managers.

Your work will help patients access treatment and ensure billing aligns with plans, in a fast-paced startup environment in SF or London.