VP Payer Strategy

VP Payer Strategy

Job Description

The primary outcome for this VP Payer Strategy is improved patient access and reimbursement for Myriad Genetics’ products. The responsibilities of this role involve three key functions:

Responsibilities

• Listening and understanding the payer’s needs.
• Identifying and creating a relationship with the payer decision makers for coverage.
• Understanding the criteria to win coverage for each payer, and developing and assisting with value-based contracting criteria when required.
• Determining when criteria are excessive and developing alternatives for payer consideration.
• Communicating payer needs clearly to the Myriad organization and representing the company at key payer professional meetings.
• Collaborating with internal guideline team to win inclusion into external guidelines, advising internal scientific product teams with clinical trial design outcomes specifically for payers, and creating and executing publication strategy.
• Assisting with regulatory and litigation concerning coverage, supporting Revenue Cycle Department in payer discussions surrounding utilization management and the impact to patient access and clinical care, and advising and assisting regulatory/legal team with prosecution strategies.

Qualifications

• Meets minimum education and experience requirements: Medical degree (MD or DO) and at least 3 years of clinical experience, at least 2 years of coverage policy criteria experience in the health insurance industry, and previous experience in precision medicine or diagnostic industry preferred.
• Essential Skills and Experience: Ability to listen for discernment and present to executives at stakeholder organizations in written or verbal form, creating consensus; ability to work in cross-functional teams as a collaborator or leader; demonstrated experience in clinical utility and outcomes-based research; strategic thinking capability with demonstrated ability to identify new opportunities for growth; executive leadership skills that have successfully led the ideation, the plan development, and the execution of a major product/service; extensive knowledge of the US healthcare ecosystem, payer landscape, and payer evidence requirements.

Physical Requirements

Lifting Requirements: sedentary work or exerting up to 10 pounds of force occasionally. Physical Requirements – stationary positioning, moving, communicating, and observing. Use of equipment and tools that are necessary to perform essential functions of the job.

EEO

Myriad Genetics is an equal opportunity employer and places a high value on diversity and inclusion at our company. In hiring and all other employment decisions, discrimination and harassment on the basis of any protected characteristic are prohibited. We make reasonable accommodations for applicants’ and employees’ religious practices and beliefs, as well as any mental health or physical disability needs.