Baylor Genetics (BG) is currently expanding its market access and payer relations capabilities. BG has extensive experience in the hospital setting and is expanding its business to the outpatient setting. BG seeks to achieve coverage and reimbursement for genetic testing with all appropriate US payers – managed care plans, Medicaid, Medicare in order to serve patients with answers that matter. To that end, we are hiring an associate director to lead a team responsible for developing value dossiers to capture the value proposition to payers and the subsequent Technical Assessment documents required by payers.
QUALIFICATIONS:
o Bachelor's degree or equivalent experience required
Experience:
o 5+ years of experience with NGS, molecular diagnostics, and/or genetics
o Experience with MolDX Technical Assessments and demonstrated success with coverage of genetic tests
o Knowledge of the payer payment system in the U.S.
o Experience with new product/test development
o Ability to capture messaging and evidence into a single document to reflect the value proposition of the BG test
o Ability to manage projects and work effectively in a cross-functional environment
o Ability to communicate effectively and persuasively on complex clinical and economic matters to internal partners and external customers
o Experience in medical writing with ability to synthesize complex information and write dossiers/technical assessments to convey the value of genetic tests
o Experience working with lab teams to gather analytical validity information for payers
o Intellectual curiosity and problem-solving skills
o Experience with leading teams
o Ability to deliver results, individually and leading a team, according to specified deadlines and project plans
DUTIES AND RESPONSIBILITIES:
- Lead the development of the Value Dossier with a cross-functional core team. Manage diverse points of view in order to capture the appropriate value proposition for payers.
- Align the value proposition with the access strategy.
- Develop value messages with supporting evidence to convey value proposition to payers.
- Identify gaps in evidence for potential future studies.
- Assess payer policies for opportunities for value propositions to obtain coverage with payer customers
- Achieve desired access and coverage decisions for BG tests by using the Value Dossier to develop Technical Assessments aligned with the payers’ required formats.
- Responsible for engagement with PalmettoGBA on Technical Assessments
- Ensure development of Value Dossiers aligned with launch timelines for all key tests in the pipeline
- Review Z-code submissions/status
- Lead development of team and processes to deliver high quality dossiers
- Monitor and track market trends regarding required Technical Assessments
- Uphold company mission and values; ensure compliance in all company policies and guidelines
- Adheres to Code of Conduct as outlined in the Baylor Genetics Compliance Program
- Performs other job-related duties as assigned.
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Skills Required
- 5+ years of experience with NGS, molecular diagnostics, and/or genetics
- Experience with MolDX Technical Assessments and demonstrated success with coverage of genetic tests
- Knowledge of the payer payment system in the U.S.
- Experience with new product/test development
- Experience in medical writing with ability to synthesize complex information and write dossiers/technical assessments
- Experience working with lab teams to gather analytical validity information for payers
- Experience with leading teams
What We Do
Baylor Genetics is a joint venture of H.U. Group Holdings, Inc. and Baylor College of Medicine, including the #1 NIH-funded Department of Molecular and Human Genetics. Located in Houston’s Texas Medical Center, Baylor Genetics serves clients in 50 states and 16 countries.
