Sr Payer Policy Analyst - (remote)

Labcorp; Burlington (NC); Remote; USD 85,000 - 100,000; Full time

Job summary

A leading healthcare services company seeks a professional to enhance policy strategies impacting the laboratory industry. This role encompasses monitoring payer policies, advocacy efforts, and developing regulatory responses at state and federal levels. Candidates should possess a Bachelor's degree and significant experience in the healthcare revenue cycle.

Benefits

Comprehensive medical benefits

401(k) plan

Tuition reimbursement

Paid Time Off (PTO)

Qualifications

• 5 years work experience required (or 7 years without degree).
• Strong understanding of payer policy.
• Experience evaluating legislation related to laboratories.

Responsibilities

• Assist in developing policy strategies for the laboratory industry.
• Monitor payer policy updates affecting revenue.
• Serve as a liaison between Medical Directors and Payer Medical Directors.

Skills

Insurance guidelines understanding

Communication skills

Healthcare revenue cycle experience

Education

Bachelor’s degree from an accredited institution

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $100K
- Comprehensive benefits including Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO), and Tuition Reimbursement
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Engaging work that impacts healthcare policy and the laboratory industry

What to Expect (Job Responsibilities):
- Assist in the development and implementation of policy strategies supporting the employer and the laboratory industry
- Monitor payer policy updates and changes affecting revenue
- Serve as a liaison between Medical Directors and Payer Medical Directors regarding policy issues
- Advocate for company positions on regulatory proposals and public policy
- Develop responses and strategies on key issues at state and federal levels

What is Required (Qualifications):
- Bachelor’s degree from an accredited four-year institution and 5 years of work experience required (or minimum 7 years work experience if no degree)
- Strong understanding of insurance guidelines and payer policy
- Experience with healthcare revenue cycle including prior authorization, coding, claims, and billing compliance
- Ability to evaluate laboratory-related state legislation and engage with subject matter experts
- Exceptional communication skills for advocacy and reporting

How to Stand Out (Preferred Qualifications):
- Advanced degree (MBA, JD, M.A./M.S., CGC, RN)
- Prior experience in Genetic Counseling
- Familiarity with clinical practice guidelines from national organizations
- Experience working with state and federal agencies and commercial insurance payers
- Previous work in case reviews for medical necessity

#HealthcareServices #PayerPolicy #CareerOpportunity #CompetitivePay #HealthCareAdvocacy

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About the company

Laboratory Corporation of America Holdings, more commonly known as Labcorp, is an American S&P 500 company headquartered in Burlington, North Carolina.

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