Guardant Health este o companie din domeniul sănătății, axată pe oncologia de precizie, care utilizează teste pe bază de sânge și analize avansate de date pentru a sprijini detectarea cancerului, planificarea tratamentului și monitorizarea pacienților. Produsele sale de diagnosticare sunt concepute pentru a le oferi medicilor informații utile în diferite stadii ale cancerului, contribuind la luarea unor decizii de îngrijire mai personalizate. Pentru profesioniștii care explorează oportunități în oncologie, diagnosticare, știința datelor și domenii conexe din sănătate, profilul Guardant Health oferă context despre activitatea din spatele tehnologiei sale pentru îngrijirea cancerului.
Senior Director of Oncology Reimbursement
Lead reimbursement, billing, and patient access strategy for Guardant Health’s precision oncology testing business. Improve revenue cycle processes through automation and oversee payer, provider, and billing operations.
Statele Unite ale Americii227.970 $ – 313.480 $ / an
RemoteNormă întreagăSeniorLimbă Obligatorie: englezăDirectorDescriere
- Serve as the company’s billing and payment strategy expert, improving revenue cycle management and reimbursement.
- Lead the team that reviews and processes patient claims accurately while maintaining strong customer service.
- Oversee the design and development of a Patient Financial Assistance Program.
- Create internal metrics and strategies to improve reimbursement data and historical analysis.
- Work with internal and external software developers to automate revenue cycle workflows and improve efficiency.
- Guide the strategy and development of scalable operational policies and standard operating procedures.
- Build and maintain relationships with payers and providers.
- Ensure contracts are loaded and claims are adjudicated consistently with contractual and regulatory terms.
- Work with internal and external stakeholders to resolve patient billing and provider issues.
- Oversee billing operations and administration to support an efficient, effective, and compliant revenue cycle.
- Work with Finance on financial planning and analysis, SOX, and product average selling price determinations.
- Provide reimbursement guidance for the commercialization of new tests.
Cerințe
- At least 15 years of total experience.
- At least five years of reimbursement and billing experience in a life sciences or payer setting.
- At least five years of experience managing a billing team.
- Bachelor’s degree required.
- Graduate degree in a related field, such as public health or public policy, preferred.
- Willingness to travel up to 15%.
- Experience working with payers as a laboratory billing for molecular tests.
- Knowledge of federal and state legislative environments and regulatory processes.
- Expertise in medical billing, third-party payers, patient interaction, privacy, and confidentiality.
- Knowledge of developing SOPs in a HIPAA-compliant environment, including molecular billing codes and regulations.
- Experience in people and vendor management.
- Strong analytical skills and ability to work with a range of software tools.
- Excel proficiency required.
- SQL or other database skills preferred.
- Program management and systems engineering skills are a significant plus.
- AI or Power Automate experience is a significant plus.
- Curiosity, sound judgment, and ability to critically assess and responsibly use AI-enabled tools in line with company policies, ethical standards, and regulatory requirements.
- Criminal history screening required as part of the background check.
Beneficii
- Hybrid work model with work-from-home days for eligible onsite employees.
- Flexible work-life balance through scheduled office and focused work-from-home days.
- Reasonable accommodations for candidates with disabilities, long-term conditions, mental health conditions, or sincerely held religious beliefs.