Payor Solutions Executive - East

Posted Yesterday
Be an Early Applicant
Hiring Remotely in New York, NY
Remote
135K-225K Annually
Senior level
Healthtech • Biotech
The Role
The Payor Solutions Executive will serve as a field-based expert in payor access, supporting sales and marketing teams to enhance patient access to Dexcom products. Responsibilities include creating and implementing business plans, collaborating across departments, monitoring performance metrics, and developing relationships with advocacy leaders.
Summary Generated by Built In

The Company

Dexcom Corporation (NASDAQ DXCM) is a pioneer and global leader in continuous glucose monitoring (CGM). Dexcom began as a small company with a big dream: To forever change how diabetes is managed. To unlock information and insights that drive better health outcomes. Here we are 25 years later, having pioneered an industry. And we're just getting started. We are broadening our vision beyond diabetes to empower people to take control of health. That means personalized, actionable insights aimed at solving important health challenges. To continue what we've started: Improving human health.

 

We are driven by thousands of ambitious, passionate people worldwide who are willing to fight like warriors to earn the trust of our customers by listening, serving with integrity, thinking big, and being dependable. We've already changed millions of lives and we're ready to change millions more. Our future ambition is to become a leading consumer health technology company while continuing to develop solutions for serious health conditions. We'll get there by constantly reinventing unique biosensing-technology experiences. Though we've come a long way from our small company days, our dreams are bigger than ever. The opportunity to improve health on a global scale stands before us.

Meet the team:

Reporting to the Director, Payor Solutions, the Regional Payor Solutions Executive (PSE) will work as the field-based payor access expert in an assigned region that provides appropriate payor and reimbursement support to Field Sales, Trade, Marketing, Government Affairs, Patient Support, and Account Executive colleagues to facilitate increased pull through of patient access to Dexcom products.

The PSE will be the subject matter expert and leverage in depth expertise in payor coverage, patient assistance, pharmacy/medical distribution, advocacy, and access messaging to assist Field Sales and other Dexcom colleagues in conveying impactful cost and coverage messaging with provider offices and other customers to minimize barriers to patient access. The person in this role will seek and develop relationships with key advocacy leaders to assist with product access with payor customers. This is a critical role to ensure a high-quality patient and healthcare provider experience in navigating health insurance coverage and reimbursement for Dexcom products.

Where you come in:

  • Plan and implement geographic business plans to support appropriate access to the Dexcom products. This includes identifying pull through opportunities, crafting a plan, presenting the plan, executing the plan, measuring the plan, adjusting the plan and sharing learnings.

  • Partner with National, Enterprise and Regional Managed Markets Account Executives, Patient Support Services, Government Affairs colleagues, Trade, Marketing and Field Sales teams to develop tactical plans, targeting, call objectives, resources, and communication plans to support the execution, and establish phases of the Pull-through Process.

  • PSE works with Managed Markets, Marketing, Training, and Field Sales leaders to roll out initiatives to the Field Force – including key messages, resources, training, and goals.

  • Monitor, measure and report performance against goals. Based on performance assessments, the execution of pull-through priorities may be adjusted. At regular intervals during a pull-through initiative, cross-functional feedback will be gathered, and learnings will be incorporated into future pull-through priorities.

  • Serve as a regional product access expert by aiding with key HCP offices.

  • Work with Dexcom Field Sales, Account Executives, Trade Department, and Patient Support Services in assigned region as well as additional Dexcom vendors (as example formulary and Hub vendors) to ensure optimal knowledge of coverage and services for Dexcom products within the defined region as part of the national strategy for patient access.

  • Develop advocacy leaders within geography to assist with product access with payor customers.

  • Ensure behaviors consistent with Healthcare Compliance guidelines.

What makes you successful:

  • Demonstrated knowledge and experience in payor (Medicare, Medicaid, and Commercial) policies, reimbursement process and coverage

  • Possess extensive knowledge of regional and national payor landscapes with expertise in coverage policy, utilization management criteria, prior authorization processes and appeal requirements within pharmacy and medical reimbursement.

  • Highly organized, strategic problem solver with excellent verbal, written and presentation interpersonal skills.

  • Results driven and accountable collaborator who works effectively across all levels of the organization and demonstrates a high level of self-awareness.

  • Leading and influencing in a matrixed environment.

  • Strong customer focus with experience working with Healthcare Practitioners and ancillary staff while explaining cost and coverage.

  • Ability to optimally plan, prioritize, implement, follow up and anticipate problems.

  • Solid understanding of the compliance and regulatory environment for manufacturers in the Medical Device space.

  • Diabetes experience is helpful.

What you’ll get:

  • A front row seat to life changing CGM technology. Learn about our brave #dexcomwarriors community.

  • A full and comprehensive benefits program.

  • Growth opportunities on a global scale.

  • Access to career development through in-house learning programs and/or qualified tuition reimbursement.

  • An exciting and innovative, industry-leading organization committed to our employees, customers, and the communities we serve.

Travel Required:

  • 50-75%

  • Living within assigned region and/or having deep working knowledge of assigned region’s payor landscape is preferred.

  • East region includes: Northeastern states, VA, eastern parts of OH & KY

Experience and Education Requirements:

  • Bachelor’s degree or higher in a related field (business, science or healthcare).

  • Minimum of 5 yrs. experience in the pharmaceutical or healthcare industry or relevant roles.

  • Sales experience with payor knowledge or direct field reimbursement experience.

Remote Workplace: Your location will be a home office; you are not required to live within commuting distance of your assigned Dexcom site (typically 75 miles/120km). If you reside within commuting distance of a Dexcom site (typically 75 miles/120km) a hybrid working environment may be available. Ask about our Flex workplace option.

Please note: The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor are they intended to be an all-inclusive list of the skills and abilities required to do the job. Management may, at its discretion, assign or reassign duties and responsibilities to this job at any time. The duties and responsibilities in this job description may be subject to change at any time due to reasonable accommodation or other reasons. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. 

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Dexcom’s AAP may be viewed upon request by contacting Talent Acquisition at [email protected]

If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact Dexcom Talent Acquisition at [email protected]

View the OFCCP's Pay Transparency Non Discrimination Provision at this link. 

Meritain, an Aetna Company, creates and publishes the Machine-Readable Files on behalf of Dexcom. To link to the Machine-Readable Files, please click on the URL provided:  https://health1.meritain.com/app/public/#/one/insurerCode=MERITAIN_I&brandCode=MERITAINOVER/machine-readable-transparency-in-coverage?reportingEntityType=TPA_19874&lock=true

To all Staffing and Recruiting Agencies: Our Careers Site is only for individuals seeking a job at Dexcom. Only authorized staffing and recruiting agencies may use this site or to submit profiles, applications or resumes on specific requisitions. Dexcom does not accept unsolicited resumes or applications from agencies. Please do not forward resumes to the Talent Acquisition team, Dexcom employees or any other company location. Dexcom is not responsible for any fees related to unsolicited resumes/applications.
 

Salary:

$135,100.00 - $225,100.00

The Company
Chatswood, New South Wales
7,214 Employees
On-site Workplace
Year Founded: 1999

What We Do

Dexcom Corporation is a pioneer and global leader in continuous glucose monitoring (CGM). Dexcom began as a small company with a big dream: To forever change how diabetes is managed. To unlock information and insights that drive better health outcomes. Here we are 25 years later, having pioneered an industry. And we're just getting started.

We are broadening our vision beyond diabetes to empower people to take control of health. That means personalized, actionable insights aimed at solving important health challenges. To continue what we've started: Improving human health.

We are driven by over 10,000 ambitious, passionate people worldwide who are willing to fight like warriors to earn the trust of our customers by listening, serving with integrity, thinking big, and being dependable. We've already changed millions of lives and we're ready to change millions more.

Our future ambition is to become a leading consumer health technology company while continuing to develop solutions for serious health conditions. We'll get there by constantly reinventing unique biosensing-technology experiences. Though we've come a long way from our small company days, our dreams are bigger than ever. The opportunity to improve health on a global scale stands before us

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