The Payor Engagement Director is responsible for directly engaging with payor organizations to drive coverage, access, and reimbursement for bioMérieux's diagnostic solutions. This role is focused on establishing and strengthening relationships with payor decision-makers, negotiating access opportunities, resolving reimbursement barriers, and enhancing the payor landscape for bioMérieux products. The Director will be accountable for identifying and implementing access improvement initiatives with specific payors where necessary.
Primary Duties
Build and maintain relationships with payor medical directors, pharmacy directors, coverage policy teams, and other reimbursement stakeholders. Deliver payor-focused communications that clearly demonstrate the clinical and economic value of bioMérieux's diagnostic products.Negotiate with payors to improve product access, secure positive coverage policies, and address reimbursement challenges.Identify payor-specific access and reimbursement gaps and develop tactical engagement plans to address them.Manage direct interactions with national, regional, and government payor organizations to advocate for favorable coverage and coding policies.Respond to payor requests for evidence, clinical information, and economic data in collaboration with internal subject matter experts.Support resolution of payor-related barriers impacting patient access to diagnostics.Track, report, and document all payor interactions, outcomes, and access changes for internal visibility.Represent bioMérieux at payor meetings, conferences, and relevant industry events focused on reimbursement and access policy.Responsible for supporting U.S. payor engagement and access outcomes directly impacting diagnostic product availability.Perform all work in compliance with company quality procedures and standards.Performs other duties as assigned.
Experience
Bachelor’s Degree requiredAdvanced degree in health policy, business, life sciences, or public health (MBA, MPH, MHA) preferred.10+ years of experience in healthcare, diagnostics, biotech, or pharmaceutical industry with a strong focus on payor engagement and reimbursement.Proven success building payor relationships and securing improved coverage or reimbursement outcomes.In-depth understanding of U.S. healthcare payor systems (commercial, Medicare, Medicaid) and diagnostic reimbursement processes.Experience preparing and delivering payor-facing value communications.Knowledge of payor evidence requirements and policy development processes.Knowledge, Skills, & Abilities
Strong relationship-building and negotiation skills with payor audiences. Excellent verbal and written communication skills tailored to payor needs.Ability to identify access barriers and tactically engage payors to resolve issues.In-depth knowledge of diagnostic reimbursement, coding, and payor policy structures.Highly organized and capable of managing multiple payor interactions simultaneously.Please be aware that recruitment related scams are on the rise. Fraudulent job postings are being placed on other websites, and individuals posing as bioMérieux Talent Acquisition team members are reaching out via email or text message in an attempt to collect your personal and confidential information. In some cases, these scammers are also conducting bogus interviews prior to extending fraudulent offers of employment. Beware of individuals reaching out using general phone numbers and non-bioMerieux email domains (i.e. Hotmail.com, Gmail.com, Yahoo.com, etc.). If you are concerned that an interview experience or offer of employment might be a scam, please make sure you are searching for the posting on our careers site https://careers.biomerieux.com/ or contact us at [email protected].
BioMérieux Inc. and its affiliates are Equal Opportunity/Affirmative Action Employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Please be advised that the receipt of satisfactory responses to reference requests and the provision of satisfactory proof of an applicant’s identity and legal authorization to work in the United States are required of all new hires. Any misrepresentation, falsification, or material omission may result in the failure to receive an offer, the retraction of an offer, or if already hired, dismissal. If you are a qualified individual with a disability, you may request a reasonable accommodation in BioMérieux’s or its affiliates’ application process by contacting us via telephone at (385) 770-1132, by email at [email protected], or by dialing 711 for access to Telecommunications Relay Services (TRS).