Job Description

Overview At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You’ll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today’s biggest health challenges around the world. Together, let’s embrace possibilities and change lives! Sr. Payer Policy Analyst - REMOTE Responsibilities Works directly with Segment Science and Marketing management teams to develop an understanding of existing and emerging technologies to provide education, appeals influence and insight pertaining to payer policy for Government and Commercial payers. Provide support to include attending Payer meetings with Payor Solutions Account Executives to communicate specific policy concerns and denials trends. Regularly monitors payer policy updates and changes such as NCD, LCD and other coverage policies impacting revenue. Functions as a liaison between LabCorp Medical Directors and Government and Commercial Payer Medical Directors on issues pertaining to existing payer policies and proposed policy changes impacting reimbursement. Assist the Manager with subject matter expertise for the development of comments on regulatory proposals, written testimony, policy position papers and regulations that affect the company, analyzing public policy, legislative and regulatory proposals, and reporting internally as required. Coordinate with the Payer and Policy Relations Team to help develop LabCorp’s policy positions, strategy and tactics, and advocate company positions with regard to new or amended legislation, regulations, or public policy. Help support efforts in defending against risk of Medicare and private sector payer price erosion associated with the Protecting Access to Medicare Act of 2014 (PAMA). Support efforts at the state and federal levels as appropriate by developing responses, talking points, strategy on key issues while helping to assure policy consistency across the organization. Advocate company positions orally and in writing before, during and after meetings at ACLA (the clinical laboratory trade association), with other trade and professional associations, with laboratory coalitions (e.g., CCLA, PLUGS, AECS, Medicaid Review boards, ICD-10 coalition, CMS Provider Compliance Group), and others. Communicate developments and updates on a regular basis through periodic reporting mechanisms and appropriate internal and external communications channels. Examine health care trends, monitor implementation of Government Health Care Acts to inform business of implications and identify potential opportunities and/or risk for Medicare, Medicaid, Accountable Care Organizations, and Commercial payers. Evaluate laboratory-related state legislation and laws to engage subject matter experts to determine potential impacts and next steps. Craft language based on state laws to assist in appealing claim denials and pursue payer reimbursement. Develop and maintain key contacts and relationships with policy makers for Medicare Contractors, Medicaid Payers and Commercial insurers. Ability to collaborate with third party groups affected by Medicare, Medicaid, and CLIA regulations that impact lab services. Performs other and further duties and responsibilities as shall be assigned by the manager, Director and/or Vice President of Payer Policy. Qualifications Bachelor’s degree from an accredited four-year institution and 5 years relevant work experience required (If no degree- minimum 7 years work experience required). Strong Preference Given To Advanced degree ; MBA, JD, M.A. / M.S., CGC, RN Prior Genetic Counseling and prior authorizations work experience required Prior work experience in a clinical or business setting. Prior work experience with insurance guidelines and payer policy. Prior work experience with state and federal agencies and commercial insurance payers. Prior work experience in healthcare revenue cycle (prior authorization, coding, claims, denials, appeals, billing compliance, etc.). Application Window Application Window Closes: 1-27-26 Pay and Schedule Pay Range: $76-100K (State minimum wages apply if higher) Shift: Monday-Friday; 8:00am-5:00pm EST REMOTE Benefits and Equal Opportunity All job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please click here. Labcorp Is Proud To Be An Equal Opportunity Employer Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage all to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement. #J-18808-Ljbffr

Job Tags

Minimum wage, Part time, For contractors, Work experience placement, Casual work, Relief, Remote work, Monday to Friday, Flexible hours, Shift work

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