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Director, Advanced Cellular Therapies – Payer Strategy

DirectorDirectorFull TimeRemoteTeam 10,001+Since 1833H1B SponsorCompany Site LinkedIn

Location

Colorado + 3 more

Posted

37 days ago

Salary

$146.7K - $244.5K / year

Postgraduate Degree10 yrs expEnglish

Job Description

• assess market dynamics and collaborate with practices and managed care teams to craft practice-specific payer strategies • lead development of scalable models for community-based advanced therapy programs • identify and prioritize opportunities to establish innovative payment models • direct payer contracting efforts for general practice services and advanced therapies, ensuring sustainable reimbursement • mentor and develop team members to support payer contracting and development of payer strategies • serve as a strategic liaison between providers, payers, and internal teams

Job Requirements

10+ years in managed care, community oncology leadership, ambulatory medical center or specialty healthcare services
5+ years of direct experience in cellular therapy or advanced therapy contracting
demonstrated success in negotiating complex reimbursement contracts and designing novel payment solutions
deep understanding of the healthcare continuum, including relationships among manufacturers, providers, payers, and patients
familiarity with cell and gene therapy reimbursement, theranostics, and value-based care models
strong knowledge of healthcare regulations (HIPAA, Medicare, Medicaid)