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Director of Payor Relations

Director of Payor Relations

TheragenJacksonville, FL, US
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Theragen

Theragen and its subsidiary, Neurotech, manufactures and sells best-in-class electrical stimulation technologies, including ActaStim-S Bone Growth Stimulator. We are not only the manufacturer but a National DME supplier, serving patients across the United States.

Our growth stage medical device startup is looking for a Director of Payor Relations to support the commercial launch of our ActaStim-S device.

Who We Want

  • Challengers. People who seek to deliver and promote our unique value to patient, prescribers, and payors
  • Teammates. Partners who listen to ideas, share candid feedback, and work together to move our Company forward
  • Networkers :  Coworkers who understand consistent high levels performance leads to essential recommendations from customers, co-workers, and supplier
  • Patient-oriented achievers. Representatives with an unparalleled work ethic and an understanding that the best outcomes are those that put patient care first

Duties and Responsibilities :

  • Manage multiple staff in day to day contracting and upkeep of in-network DME supplier participation agreements with managed care organizations
  • Initiate new managed care organization contracting efforts with local, regional, and national payors and serve as project lead for new efforts
  • Key staff involved in managed care sales strategy
  • Coordinate and updated management team on sales pipeline / funnel
  • Coordinate marketing materials, KOL management, and conference for
  • Manage and communicate Theragen's concerns and interests to managed care organizations regarding pricing, claim status, and medical policy.
  • Collaborate with sales management and revenue cycle team to prioritize initiatives for contracting efforts
  • Responsible for managed CRM system of managed care / provider relations staff
  • Keep Theragen's state and CMS level credentialing up to date

    • Key Competencies

  • History in contracting efforts with managed care organizations
  • Highly refined written communication skills to be utilized in drafting proposals and email sales
  • In-depth knowledge of the American healthcare insurance ecosystem, including commercial healthcare, governmental, and workers compensation insurance plans
  • Understanding of CRM systems and relational databases
  • Existing relationships with managed care organizations highly desirable
  • General physiology and anatomy knowledge

    • Qualifications :

  • Bachelor's or Associate's degree
  • 3+ years working with provider organizations on contracting efforts
  • Valid drivers license and ability to travel 50% of time
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