Payer Relationship Consultant at SmithBucklin

Posted in Consultant 7 days ago.

Location: Washington, Washington DC





Job Description:

SmithBucklin

Category: Government Relations
Location: Washington, D.C.

Smithbucklin Corporation is seeking a candidate who would serve primarily as a Payer Relationship Advisor to the American Society for Transplantation and Cellular Therapy. This individual would provide strategic planning, committee engagement, project management and specialized expertise in the establishment and ongoing cultivation of relationships with health plans and the development of effective payer polices. Additionally, the Payer Relationship Advisor will support the Payer Relations Committee to achieve standardized methods of reporting data to health plans, and replying to requests for information with the goal of expanding access to and reimbursement of services provided by ASTCT members.

The candidate would support additional committees focused on reimbursement and quality.

Some travel may be required.

ESSENTIAL FUNCTIONS


  1. Knows, understands, incorporates, and demonstrates the mission, vision, and values of Smithbucklin Corporation and the clients served.

  2. Leads activities in relationship building and management of coalitions, strategy development, project management, network development, payer collaboration, to improve reimbursement policy for current and new therapies.

  3. Conducts data analysis to develop policies with major payers. Secures implementation of access and reimbursement objectives thorough project and relationship management.

  4. Serves as a subject matter expert by providing education and guidance to ASTCT members.

  5. Maintains a working knowledge of applicable Federal and State laws/regulations; the ASTCT Code of Ethics; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

DESIRABLE QUALIFICATIONS

  • Significant industry experience and expertise with payer relations and Managed Care; specific experience related to improving coverage and reimbursement. Specific experience with cellular transplantation and therapy and/or genetic services preferred. Ability to manage multiple large multi-functional/interdisciplinary and highly visible projects having a broad scope of responsibility and impact. Demonstrated increases in operational or project management leadership experience.

  • Excellent leadership, analytical, organization, integration and executive skills and abilities.

  • Excellent interpersonal, consultative, relationship and consensus-building skills in order to effectively lead and participate as a member of multi-functional teams and develop collaborative partnerships with executive leaders, key stakeholders and decision makers.

  • Ability to work independently and with minimal supervision. Ability to work as a member of a collaborative, shared leadership team, involving both paid staff and volunteer leadership, providing support to multiple positions.


Where Do You Fit?

Whether you are just beginning your career or are a mid- or senior-level professional, working at Smithbucklin will offer you countless opportunities to develop transferrable skills, acquire meaningful knowledge and gain rich experiences at an accelerated pace. By working collaboratively with smart, ambitious, multitalented, genuine and hardworking colleagues, you will build meaningful, deep and enduring relationships that will serve you well throughout your career, regardless of your chosen path. In addition, as a 100 percent employee-owned company, Smithbucklin offers all of our people regardless of position or compensation an equal chance to experience the fulfillment and reap the benefits of ownership. As owners, our employees control the destiny of Smithbucklin and are unified in the goal of building a great, enduring company.

Equal Employment Opportunity

At Smithbucklin, Equal Employment Opportunity is our commitment and goal. All qualified candidates will receive consideration for employment without regard to race, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status or any other protected status designated by federal, state or local law. Applicants are encouraged to confidentially self-identify when applying. Employment is contingent upon successful completion of a reference and background investigation based on position.

PI161104465


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