Sr Payer Policy Analyst- remote

Labcorp; United States; Remote; USD 76,000 - 100,000; Full time

Job summary

An established industry player is seeking a Senior Payer Policy Analyst to enhance policy strategies and relationships within the healthcare landscape. This pivotal role involves collaborating with various teams to navigate payer policies, advocate for genetic testing reimbursement, and monitor legislative changes impacting the industry. The successful candidate will engage with state Medicaid contacts and ensure alignment across the organization on key policy issues. Join a forward-thinking company that values your expertise and offers a comprehensive benefits package, including medical, dental, and retirement plans.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Paid Time Off (PTO)

Tuition Reimbursement

Employee Stock Purchase Plan

Qualifications

• 5 years of experience in payer policy and relations required.
• Strong preference for candidates with advanced degrees.

Responsibilities

• Assist in policy strategy development and implementation.
• Develop relationships with state Medicaid contacts.

Skills

Policy Development

Relationship Management

Healthcare Revenue Cycle

Regulatory Analysis

Communication Skills

Education

Bachelor's Degree

Advanced Degree (MBA, JD, M.A./M.S.)

Job description

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 in order to improve reimbursement for genetic testing.

Duties and 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 with regard to 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, strategy 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.
• Communicates 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.

Qualifications:

Bachelor’s degree from an accredited four-year institution and 5 years work experience required (If no degree- minimum 7 years work experience required).

Strong preference given to:

• Advanced degree ; MBA, JD, M.A. / M.S., CGC, RN
• Prior experience in developing State Medicaid relationships and reimbursements for genetic testing
• Prior work experience in a clinical or business setting.
• Prior work experience with insurance guidelines and payer policy.
• Prior work experience with state and federal agencies and commercial insurance payers.
• Prior work experience in healthcare revenue cycle (prior authorization, coding, claims, denials, appeals, billing compliance, etc.).

Application Window Closes: 4-25-25

Pay Range: $76-100K (State minimum wages apply if higher)

Shift: Monday-Friday; 8:00am-5:00pm EST

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. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. 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.

We encourage all to apply

If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement .

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.