Director of Payer Relations (5)

Payer Relations Director

Our employees have spoken! Our company culture is amazing and our Great Place to Work Certification proves it. Would you like to work for a company where over 90% of employees feel respected, treated fairly and where we showcase our commitment to diversity, equity and inclusion? If so, come join our team.

For over 25 years, Dominion Diagnostics has been committed to advancing patient care through trusted diagnostics. We are a premier urine drug testing/toxicology laboratory serving Addiction/Substance Use Disorder Treatment, MAT + OTP Clinics and in Pain Management settings. Dominion Diagnostics currently has labs in over 30 states across the country.

Position Summary

The Payer Relations Director is responsible for executing department strategy to retain and increase market access in specific regions by calling on, planning, negotiating and contracting with health plans. This role is also responsible for coordinating efforts with the VP of Payer Relations and sales leadership.

Essential Functions and Duties

• Develops and maintains profitable business relationships with key payer organizations
• Designs and implements strategies to meet or exceed goals for targeted accounts
• Creates and maintains strategic account maintenance and business development plans
• Identifies and builds rapport with key decision makers to form successful business relationships, identify opportunities and meet customer needs
• Meet in person with top 5 accounts annually
• Evaluates, negotiates and implements contracts with assigned target prospects
• Collaborates with various internal departments to increase access in strategic target markets
• Meets regularly with VP of Payer Relations to review goals and evaluate success
• Participates in planning and development sessions for overall department strategy
• Maintains awareness of marketplace trends affecting overall business strategy and makes recommendations for re-focus and adjustments
• Manages the administrative requirements of the position
• Participates in solution development initiatives and department process improvement
• Automobile and airplane travel will be required and may be up to 10%

Excellent Benefits

Our comprehensive benefits package includes medical, dental, and vision coverage; a 401k plan with an employer match, paid time off; employer-paid life and disability insurance with additional buy-up coverage options; tuition and continuing education reimbursement; and other voluntary benefits. In addition, an annual bonus may be paid to eligible employees based on organizational and individual performance. Employees and their family members have full access to our Employee Assistance Program, which includes resources for work/life solutions, such as one free legal consultation and referrals for emotional support/counseling.

Requirements

General QualificationsMinimum Education and/or Certification:

• Bachelor's Degree and/or equivalent work experience

Required:

• 3-5 years of working in a laboratory or health plan or
• 1-3 years of direct contracting with health plans on behalf of a laboratory
• Knowledge of managed care, provider reimbursement and contracting, and healthcare trends
• Experience calling on C-level executives
• Contract review, negotiation and implementation
• Business contacts within the industry (Commercial health plans, Government plans/programs, Managed Care Organizations, ACOs, CIN's etc.)

Required Skills:

• Business acumen
• Major account sales experience
• Ability to close business deals
• Highly organized
• Self-starter, highly motivated
• Team oriented
• The ability to establish and maintain relationships with key customers and stakeholders
• Excellent written and oral communications skills, interpersonal influencing skills
• The ability to prioritize work and meet deadlines, particularly in a high volume setting
• Strong MS Office skills: Outlook, Word, Excel, PowerPoint and Teams
• CRM experience
• Ability to work under minimal supervision

Preferred:

• Knowledge of the laboratory services industry
• Toxicology experience is a plus
• Microsoft Power BI experience

Physical Requirements:

· Prolonged periods of sitting at a desk and working on a computer

· Prolonged periods of communicating on a telephone and via Teams

· Must be able to lift 25 pounds at times

· Must be able to travel in a personal automobile and travel via airplane, as needed

Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Dominion Diagnostics is an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.