A bachelor's degree (B.A. or B.S.) is required; advanced degree is preferred. A minimum of 5 years of experience working in coverage determination and utilization management within a commercial payer organization or other relevant experience. Established network of Medical Directors and health insurance plans (AHIP, NAMCP, etc.) Experience with Medicare and Medicaid coverage strategy. Deep knowledge of healthcare, managed care strategy, pricing and the medical reimbursement environment required. Prior strategic account management responsibilities or equivalent relationship development or consulting experience with one of the following: payers, government agencies, IDNs, Accountable Care Organizations (ACOs). Proven ability to successfully interact with the C-suite. Platform presentation skills that make this individual a desired speaker at industry events in front of large groups. Proven track record of influence management within a matrix environment. Proven ability of successfully managing complexity, solving problems, and building strong relationships. Ability to work well independently as well as collaboratively; self-motivated and disciplined to meet deadlines in the context of competing priorities and projects; lead and work effectively with cross-functional teams. Ability to maintain and effectively deal with highly confidential matters. Proven ability in working with commercial organizations, ensuring timely engagement and customer support of internal and external customers. Computer literacy (Microsoft Office Suite), including high level of competency in Excel. Must be able to travel (75% travel) as dictated by business need. Experience with metabolic and bariatric diseases. Highly organized with ability to effectively manage multiple priorities in a fast-paced environment. Strong written and oral communication skills. Well-developed strategic and analytical skills. Ability to model and live BSC's corporate values.
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