Job Description SummaryThe Managed Markets Accounts Executive is responsible for serving as a company liaison and primary point of contact with assigned national and regional commercial Payers, Medicare Administrative Contractors (MACs) and Radiology Benefits Managers (RBMs). The role also assists Hospital and Imaging Center customers in understanding and addressing reimbursement challenges by educating and consulting on access services and solutions specific to Pharmaceutical Diagnostic’s (PDx) products and associated therapeutic areas. The role significantly impacts patients’ access to the PDx portfolio in the Norththeast regionOur Pharmaceutical Diagnostics (PDx) business is the number one global supplier of contrast media and molecular imaging agents used to enhance medical imaging exams. Used throughout all major disease area diagnostic and treatment pathways, PDx products support three patients every second around the world.Job DescriptionRoles and Responsibilities
Develop and execute commercial Payer account plans to gain, maintain and expand coverage for new and existing PDx products. Ensure appropriate medical coverage policy development for products.
Actively engage with payers to educate about GEHC’s growing pipeline via PIE approved resources.
Provide expert input with internal partners to address access related opportunities and challenges within defined geography. contracting, and field operations.
Monitor and be expert in regional MAC CMS policy.
Conduct financial analyses, develop business plans and customer engagement plans of action
Develop and execute plans to support Provider reimbursement for new and existing PDx products.
Educate essential medical policy decision makers on disease state, burden of illness, prevalence, and unmet need for near term potential product launches through use of approved Preapproval Information Exchange (PIE) materials
Establish and maintain relationships with key stakeholders, decision makers and potential influencers at assigned health insurance plan provider(s) and other strategic payer accounts, including the C suite level, to create and communicate the value of our products.
Collaborate with Evidence Generation/HEOR and Medical Affairs to deliver relevant value proposition presentations, clinical evidence, tools and models to Payers and Providers.
Partner with US Advocacy and Medical Affairs to identify and develop partnerships with regional Patient Advocacy Groups, Physician Key Opinion Leaders and Medical Society advocates to support patient access to PDx Products.
Understand and regularly monitor changes to national and regional medical policy and coverage related to the PDx portfolio.
Partner with Field Commercial team to provide required customer solutions to access and reimbursement questions and needs. Conduct follow up as needed with accounts or customers.
Develop presentations for site visits, trainings, client virtual presentations, and other meetings as appropriate. Conduct presentations to small and large groups in various settings and often work face to face with providers’ office staff.
Required Qualifications
Bachelor’s degree with minimum of 10 years’ experience in US HealthCare, medical device, or pharmaceutical sector.
Minimum of 7 years Direct experience in US market access.
Deep knowledge of reimbursement and payment mechanisms including medical coding, claims and billing processes.
Ability to establish close collaboration with strategic partners and peers and lead collaborative initiatives.
Problem solving and decision-making skills with the ability to “think on feet” and suggest alternatives and solutions.
Ability to travel to connect with payers, customers, and field commercial teams.
Strong cross-functional project management, organizational and analytical skills.
Desired Characteristics
Experience in achieving positive medical coverage policies within US payers.
In-depth knowledge of managed care and evolving payer landscape- delivering PIE ( pre approval Information exchange) a plus
Established relationships with assigned accounts.
Experience in radiopharmaceuticals, imaging, or diagnostics.
Product launch experience
Demonstrated Ability to analyze and resolve problems. Demonstrated ability to lead programs / projects. Ability to document, plan, market, and execute programs. Established project management skills.
We expect all employees to live and breathe our behaviors: to act with humility and build trust; lead with transparency; deliver with focus, and drive ownership –always with unyielding integrity.Our total rewards are designed to unlock your ambition by giving you the boost and flexibility you need to turn your ideas into world-changing realities. Our salary and benefits are everything you’d expect from an organization with global strength and scale, and you’ll be surrounded by career opportunities in a culture that fosters care, collaboration and support.#LI-MA4Legal authorization to work in the U.S. is required. We will not sponsor individuals for employment visas, now or in the future, for this job opening.For U.S. based positions only, the pay range for this position is $146,880.00-$220,320.00 Annual. It is not typical for an individual to be hired at or near the top of the pay range and compensation decisions are dependent on the facts and circumstances of each case. The specific compensation offered to a candidate may be influenced by a variety of factors including skills, qualifications, experience and location. In addition, this position may also be eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). GE HealthCare offers a competitive benefits package, including not but limited to medical, dental, vision, paid time off, a 401(k) plan with employee and company contribution opportunities, life, disability, and accident insurance, and tuition reimbursement.Additional InformationGE HealthCare offers a great work environment, professional development, challenging careers, and competitive compensation. GE HealthCare is an Equal Opportunity Employer (https://www.eeoc.gov/sites/default/files/2022-10/22-088EEOCKnowYourRights1020.pdf) . Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.GE HealthCare will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable).While GE HealthCare does not currently require U.S. employees to be vaccinated against COVID-19, some GE HealthCare customers have vaccination mandates that may apply to certain GE HealthCare employees.Relocation Assistance Provided: No