Director of Managed Care
Remote-US
G&A – Regulatory and Reimbursement /
Full-Time /
Remote
About Us: Artera is an AI startup that develops medical artificial intelligence tests to personalize therapy for cancer patients. Artera is on a mission to personalize medical decisions for patients and physicians on a global scale.
Artera is seeking a dynamic and experienced Director of Managed Care to lead our efforts in securing private payer coverage and contracts. The ideal candidate will have a deep understanding of private payer reimbursement in the US healthcare landscape, with specific experience in precision diagnostic laboratories offering proprietary products. This individual will spearhead a team dedicated to navigating payer relationships, negotiating contracts, and ensuring optimal reimbursement for Artera's cutting-edge diagnostic solutions.
Essential Responsibilities:
- Develop and execute strategies to secure private payer coverage and contracts for Artera's precision diagnostic products.
- Cultivate and maintain relationships with key stakeholders at private payer organizations, including executives, medical directors, and reimbursement decision-makers.
- Drive negotiations with private payers to establish favorable coverage terms and reimbursement rates for Artera's proprietary products.
- Conduct thorough market analysis to identify opportunities for expansion and growth within targeted geographic areas.
- Ensure compliance with all regulatory requirements and payer guidelines in contract negotiations and reimbursement practices.
- Collaborate with internal teams, including sales, marketing, compliance, billing, and regulatory affairs, to align reimbursement strategies with overall business objectives.
- Develop and implement metrics to track the success of reimbursement efforts and adjust strategies as needed to meet organizational goals.
- Stay abreast of industry trends, regulatory changes, and competitor activities related to private payer reimbursement and managed care.
Experience Requirements:
- Minimum of 5 years of experience in private payer reimbursement within the US healthcare system with a focus on laboratory testing.
- Extensive background in precision diagnostic laboratories with proprietary products, ideally within companies offering proprietary cancer precision medicine tests.
- Demonstrated success in negotiating contracts and securing private payer coverage for innovative healthcare solutions.
- Familiarity with key figures in the private payer landscape and knowledge of private payer decision making dynamics
- Experience managing teams and driving results in a fast-paced environment.
- Excellent communication, negotiation, and interpersonal skills.
- Ability to travel as needed to support business objectives.
Nice to Haves:
- Experience working for a prostate company with a focus on reimbursement.
- Deep familiarity with one or more of the following geographic areas: Texas, Florida, Pennsylvania, Indiana, Illinois, or Colorado.
- Proficiency speaking the Spanish language.
$200,000 - $230,000 a year
Competitive and commensurate with experience, qualifications, and other factors to be discussed during the interview process. In addition to a competitive salary, we offer enticing benefits, including 401k matching, unlimited paid time off (PTO), and more.
Equal Employee Opportunity: At Artera, we value bringing together individuals from diverse backgrounds to develop new and innovative solutions for patients and physicians. As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, national origin, age, sex (including pregnancy), physical or mental disability, medical condition, genetic information gender identity or expression, sexual orientation, marital status, protected veteran status, or any other legally protected characteristic.
