Logo
Exact Sciences

Payer Contracting Senior Analyst

Exact Sciences, Madison, Wisconsin, us, 53774


JOB REQUIREMENTS: Help us change lives At Exact Sciences, we\'re helpingchange how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career, an inclusive culture, and robust benefits to support your life while you\'re working to help others. Position Overview The Payer Contracting Senior Analyst performs a variety of legal, research, and process functions on behalf of our family of clinical laboratories to support insurance contracting and other reimbursement initiatives. This position regularly interfaces with leadership team members, other employees and teams, and third parties with whom the company interacts to gather and exchange information. The function of this role enables the department to optimize our resources to meet our core business demands. Essential Duties Include, but are not limited to, the following: Support Market Access Regulatory and Market Strategy team and other market access teams in facilitating the payer contracting process. Assist Market Access Regulatory and Market Strategy team in the build-out and maintenance of payer contracting workflows, policies, systems and IT solutions. Act as a knowledge resource to the market access team regarding current contracting policies and processes. Be a connection between market access and the billing and reimbursement teams to conduct analysis of data and trends, including the generation of reports, related to insurance payer performance. Handle details of a highly confidential, critical and time sensitive nature, including patient information. Work with Market Access Regulatory and Market Strategy team to develop and revise strategy and other efforts related to billing and reimbursement. Be able to identify and isolate trends from payer data and use those trends to inform analysis as to future market access strategy. Research laws and regulations related to relevant contracting issues, including insurance billing and reimbursement in government payer programs and commercial insurance. Maintain clear and complete records related to market access efforts to credential and enroll with insurance payers. Communicate with insurance companies related to credentialing or billing and reimbursement issues and trends. Periodically prepare and review external communications. Assist Market Access Regulatory and Market Strategy team... For full info follow application link. We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, creed, disability, gender identity, national origin, protected veteran status, race, religion, sex, sexual orientation, and any other status protected by applicable local, state or federal law. Applicable portions of the Company\'s affirmative action program are available to any applicant or employee for inspection upon request. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/16CF28AA0282453D