Sr Payer Policy Analyst

NCBioImpact; Burlington (NC); Teletrabalho; USD 85 000 - 110 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health benefits

401(k) plan

Tuition reimbursement

Employee stock purchase plan

Resumo da oferta

Labcorp is seeking a REMOTE Senior Payer Policy Analyst to join our team. The role supports policy strategies at state and federal levels, focusing on improvements in reimbursement for genetic testing and payer relations.

The candidate will liaise with government and commercial payers, participate in meetings, monitor policy updates, and help craft testimony and regulatory comments. Strong Excel and regulatory insight are essential.

Qualificações

• Bachelor’s degree with 5+ years work experience; if no degree, 7+ years experience.
• Experience developing State Medicaid relationships and reimbursements for genetic testing.
• Experience with insurance guidelines and payer policy.

Responsabilidades

• Develop education, appeals influence and insight on payer policy for Government and Commercial payers.
• Attend payer meetings with Payor Solutions Account Executives to discuss policy concerns and denial trends.
• Monitor payer policy updates (NCD, LCD, other coverage policies) affecting revenue.
• Serve as liaison between LabCorp Medical Directors and Payer Medical Directors on policy issues.
• Assist with comments on regulatory proposals, testimony and policy positions.

Conhecimentos

Microsoft Excel

Payer policy

State Medicaid relationships

Regulatory policy

Formação académica

Bachelor’s degree

Advanced degree (MBA/JD/M.A./M.S.)

Ferramentas

Microsoft Office

Descrição da oferta de emprego

Labcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improve outcomes. Through our unparalleled science, data, technology and laboratory network, we advance diagnostics, accelerate innovation and help address some of the world’s most important health challenges. As we shape the future of healthcare, we are leveraging advanced technologies, intelligent digital solutions and data-driven innovation across our operations to enhance how work gets done and deliver greater value to customers and patients. With our global scale and deep expertise, you’ll have the opportunity to do meaningful work, grow your career and make a real impact on people’s health around the world. Together, we’re improving health and improving lives.

Labcorp is seeking a REMOTE Senior Payer Policy Analyst to join our team!

The Senior Payer Policy Analyst is responsible for assisting the Manager of Payer Policy and Relations with policy and alliance development activities for the company, including assistance with development and implementation of policy strategies to support LabCorp and the laboratory industry at the state and federal levels. The Analyst will act as internal conduit to gather and share information as it relates to policy, billing and reimbursement issues. The Analyst will primarily focus on developing relationships with state Medicaid contacts to improve reimbursement for genetic testing.

Work Schedule: Monday – Friday; 8:00am-5:00pm EST (flexible across time zones)

Core 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 coverage policies impacting revenue.
• Functions as a liaison between LabCorp 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 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.
• Coordinates with the Payer and Policy Relations Team to help develop LabCorp’s policy positions, strategy and tactics, and advocates company positions regarding new or amended legislation, regulations, or public policy. Helps support efforts in defending against risk of Medicare and private sector payer price erosion associated with the Protecting Access to Medicare Act of 2014(PAMA).
• Supports efforts at the state and federal levels as appropriate by developing responses, talking points, strategies on key issues while helping to assure policy consistency across the organization.
• Assists in advocating company positions orally and in writing before, during and after meetings at ACLA (the clinical laboratory trade association), with other trade and professional associations, with laboratory coalitions (e.g., CCLA, PLUGS, AECS, Medicaid Review boards, ICD-10 coalition, CMS Provider Compliance Group), and others.
• Communicate 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
• Crafts language based on state laws to assist in appealing claim denials and pursue payer reimbursement.
• Develops and maintains key contacts and relationships with policy makers for Medicare Contractors, Medicaid Payers and Commercial insurers. Ability to collaborate with third party groups affected by Medicare, Medicaid, and CLIA regulations that impact lab services.
• Performs other and further duties and responsibilities as shall be assigned by the manager, Director and/or Vice President of Payer Policy.

Minimum Qualifications:

• Bachelor’s degree with 5+ years work experience required (If no degree- minimum 7 years work experience required).

Preferred Qualifications:

• Advanced degree; MBA, JD, M.A. / M.S., CGC, RN
• Microsoft Suite experience with at minimum Intermediate Excel Skills (pivot tables, VLOOKUP’s)
• 3+ years’ experience developing State Medicaid relationships and reimbursements for genetic testing
• 5+ years’ experience in a clinical or business setting
• 3+ years’ experience with insurance guidelines and payer policy
• 3+ years’ experience with state and federal agencies and commercial insurance payers
• 3+ years’ experience in healthcare revenue cycle (prior authorization, coding, claims, denials, appeals, billing compliance, etc.)

Additional Job Standards:

• Strong written, verbal, and presentation skills, with the ability to express complex information to personnel at all levels in a clear and concise manner
• Capacity to work independently and manage multiple projects
• Experience taking ownership of issues and providing practical advice
• Ability to prioritize and undertake mission critical tasks in a fast-paced environment

Application Window Closes: 11/17/2026

Pay Range: $85-110K

All job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data

Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and 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. For more detailed information, please click here.

Labcorp is proud to be an Equal Opportunity Employer:

Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.

We encourage all to apply

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