Evaluate coverage landscape and focus on clinical utility.
Leverage and coordinate internal/external stakeholders and resources to identify and address C/R opportunities.
Collaborate with cross-functional teams (e.g., other MA teams, Clinical Discipline Specialists/Clinical Franchises, Health Plans, Billing, Coding/Compliance/Legal) to develop Payer Access strategies to optimally support business needs.
Collaborate with other internal Quest teams as needs arise. Maintain knowledge of all assigned disease states, products, relevant changes in medical and reimbursement policies, and changes in payer procedures. Ensure incorporation into the short and long-term business plans.
Performs other functions of the MA department as needed.
Required Work Experience
4+ years experience between the following
Medical knowledge and healthcare experience (e.g., Laboratory, Clinical, Health Systems, Genetics, Molecular, Health Plan)
Market Access experience with Precision Oncology testing
Payer policy/claims procedures (e.g., medical/reimbursement policy, billing and coding)
Preferred Work Experience
6 years’ experience between the following
Clinical experience in hereditary cancer, oncology and emerging Oncology Markets
Payer policy/claims procedures (e.g., medical/reimbursement policy, billing and coding)
Laboratory medicine (e.g., Clinical Laboratory Scientist/Medical Technologist, cytotechnologist, microbiologist, molecular variant scientist, laboratory genetic counselor)
Physical and Mental Requirements
Ability to execute concurrent projects
Adaptable to abrupt changes in projects based on external influences/internal business needs
Strategic mindset - natural problem-solver
Communication
Knowledge
In-depth knowledge of medical terminology and medical conditions
Demonstrated understanding of the healthcare, health insurance, Medicare/Medicaid, and regulatory environments.
Skills
Strong time management
Strong written and oral communication skills
Collaborative approach in cross-function team settings
Intermediate-advanced skills in using Microsoft™ Word, Excel, and PowerPoint software packages. Intermediate-advanced skills in Smartsheet. Basic knowledge employing and familiarity with AI platforms.
Education
Bachelor’s degree in relevant discipline (e.g., Life Sciences, health/public policy, Laboratory Medicine) (Required)
Work Requirements
Travel Required approximately 20%
