About

Inform Diagnostics, a Fulgent Genetics Company, is a leading national pathology laboratory headquartered in Coppell, Texas, with additional state-of-the-art laboratories in Boston and Phoenix. With unparalleled quality and experience. We provide reliable, high-quality diagnostic services in various subspecialties. The company is profoundly impacting patient care, one diagnosis at a time.

Summary

The Managed Care Director manages and grows the payor contract portfolio to support continued profitable volume growth. Additionally, they provide their expertise to assist with and lead other managed care-related projects.

Responsibilities

• Develop and execute a sales plan to gain new agreements with key payors, which will result in profitable new volume growth for cases billed to these payors and profitable new volume growth billed to all payors.
• Collaborate with Sales Directors and Regional Vice Presidents representing all product lines.
• Initiate and develop relationships with key payor influencers and decision-makers.
• Leverage current and prospective company physician customer relationships to influence the payor decision-making process further.
• Work with Billing to successfully ensure new contracts are processing claims according to the contract expectations.
• Negotiate all business and non-business terms of agreements in conformance with company standards.
• Tailor existing company marketing, presentation, and collateral materials for the specific state IPA market.
• Manage all payor agreements, seeking opportunities to improve the value of these relationships.
• Shares evolving geographic, managed care, and healthcare reform-related trends with company leadership.
• Ensures consistent execution of sales strategy once new payor contracts are executed
• Territory Management/Sales Administration, Completes and submits a monthly report to Sr. Director, Managed Care.
• Make joint calls with Sales Directors to cultivate customer support for payor contracting efforts and to develop payor insights and strategies further.

Qualifications

• Bachelor's Degree is required.
• 10+ years of diagnostic laboratory or anatomic pathology physician sales and managed care contracting experience,
• Proven success in negotiating new managed care agreements AND renegotiating existing agreements to improve business and financial terms,
• Proven ability to work well with and influence peers, sales teams, and management, as well as existing relationships with key payor decision makers and influencers.
• Candidate must be able to travel extensively domestically; overnight travel is required for routine customer contacts as well as sales and planning meetings.
• Ability to work cross-functionally (e.g., Sales, Finance, Operations) to develop alignment around strategies for securing new agreements with prioritized IPAs.

This job description reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.

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