Sr Payor Policy Analyst-Xifin -Remote

Employer Industry: Healthcare Services

• Opportunity for career advancement and growth within the organization
• Flexible hybrid work schedule with a minimum of three in-office days per week
• Comprehensive benefits package including Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off, and Tuition Reimbursement
• Engaging work environment focused on solving significant health challenges
• Chance to influence payer policy and contribute to the healthcare industry

• Assist in developing and implementing policy strategies to support the employer and the laboratory industry
• Act as a liaison between employer Medical Directors and Payer Medical Directors on reimbursement-related issues
• Monitor payer policy updates and changes impacting revenue
• Advocate for company positions at meetings with trade associations and other stakeholders
• Analyze healthcare trends and assess implications for Medicare, Medicaid, and Commercial payers

• Bachelor’s degree from an accredited institution and a minimum of 5 years of work experience (or 7 years of experience without a degree)
• Strong background in diagnostics billing systems and payer policy
• Experience with insurance guidelines and payer policy
• Previous work experience in healthcare revenue cycle management
• Ability to collaborate with third-party groups affected by Medicare, Medicaid, and CLIA regulations

• Advanced degree (MBA, JD, M.A./M.S., CGC, RN)
• Prior experience in genetic counseling
• Experience in a clinical or business setting related to diagnostics
• Familiarity with payer-directed CPT coding in diagnostics
• Previous work with state and federal agencies and commercial insurance payers

#Healthcare Services #Payer Policy #Career Opportunity #Flexible Work #Health Care Industry

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