General Electric Managed Markets Accounts Executive - Central, Market Access in Arlington Heights, Illinois
Job Description Summary
The Managed Markets Accounts Executive is responsible for serving as a company liaison and primary point of contact with assigned national and regional commercial Payers, Medicare Administrative Contractors (MACs) and Radiology Benefits Managers (RBMs). The role also assists Hospital and Imaging Center customers in understanding and addressing reimbursement challenges by educating and consulting on access services and solutions specific to Pharmaceutical Diagnostic’s (PDx) products and associated therapeutic areas. The role significantly impacts patients’ access to the PDx portfolio in the Central region.
The PDx business is the number one global supplier of contrast media and molecular imaging agents used to enhance medical imaging exams for major disease area diagnostic and treatment pathways. PDx products support three patients every second around the world.
Roles and Responsibilities
Develop and execute commercial Payer account plans to gain, maintain and expand coverage for new and existing PDx products. Ensure appropriate medical coverage policy development for products.
Develop and execute plans to support Provider reimbursement for new and existing PDx products.
Establish and maintain relationships with key stakeholders, decision makers and potential influencers at assigned health insurance plan provider(s) and other strategic payer accounts, including the C suite level, to create and communicate the value of our products.
Collaborate with Evidence Generation/HEOR and Medical Affairs to deliver relevant value proposition presentations, clinical evidence, tools and models to Payers and Providers.
Partner with US Advocacy and Medical Affairs to identify and develop partnerships with regional Patient Advocacy Groups, Physician Key Opinion Leaders and Medical Society advocates to support patient access to PDx Products.
Understand and regularly monitor changes to national and regional medical policy and coverage related to the PDx portfolio.
Partner with Field Commercial team to provide required customer solutions to access and reimbursement questions and needs. Conduct follow up as needed with accounts or customers.
Develop presentations for site visits, trainings, client virtual presentations, and other meetings as appropriate. Conduct presentations to small and large groups in various settings and often work face to face with providers’ office staff.
Minimum of 10 years’ experience in US healthcare, medical device, or pharmaceutical sector.
Experience in US market access with deep knowledge of reimbursement and payment mechanisms including medical coding, claims and billing processes.
Ability to establish close collaboration with strategic partners and peers and lead collaborative initiatives.
Problem solving and decision-making skills with the ability to “think on feet” and suggest alternatives and solutions.
Ability to travel to connect with payers, customers, and field commercial teams (Post COVID).
Strong cross-functional project management, organizational and analytical skills.
Experience in achieving positive medical coverage policies within US payers.
Experience in radiopharmaceuticals, imaging, or diagnostics.
Product launch experience
GE offers a great work environment, professional development, challenging careers, and competitive compensation. GE is an Equal Opportunity Employer (https://assets.phenompeople.com/CareerConnectResources/GE11GLOBAL/en_global/desktop/assets/images/poster_screen_reader_optimized_w_supplement.pdf) . Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
GE will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable).
Relocation Assistance Provided: No