Artera

Director of Managed Care

United States

Artera Logo
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Medical Devices, Diagnostics, BiotechnologyIndustries

Requirements

The ideal candidate must have a minimum of 5 years of experience in private payer reimbursement within the US healthcare system, with a focus on laboratory testing, and extensive background in precision diagnostic laboratories with proprietary products, ideally within companies offering proprietary cancer precision medicine tests. Demonstrated success in negotiating contracts and securing private payer coverage for innovative healthcare solutions is required, along with familiarity with key figures in the private payer landscape and knowledge of private payer decision making dynamics.

Responsibilities

This Director of Managed Care will develop and execute strategies to secure private payer coverage and contracts for Artera’s precision diagnostic products, cultivate and maintain relationships with key stakeholders at private payer organizations, drive negotiations with private payers to establish favorable coverage terms and reimbursement rates, conduct thorough market analysis to identify opportunities for expansion, ensure compliance with all regulatory requirements and payer guidelines in contract negotiations and reimbursement practices, collaborate with internal teams to align reimbursement strategies, develop and implement metrics to track the success of reimbursement efforts, and stay abreast of industry trends and regulatory changes.

Skills

Private Payer Reimbursement
Healthcare Contract Negotiation
Payer Relationship Management
Market Analysis
Regulatory Compliance
Strategic Planning
Stakeholder Engagement
Healthcare Industry Knowledge
Diagnostic Laboratory Experience
Proprietary Product Reimbursement

Artera

SaaS digital health messaging integration platform

About Artera

Artera is a compelling workplace due to its critical role in improving healthcare communication, orchestrating over 2.2 billion messages annually across diverse channels like texting, email, and webchat. The company not only facilitates efficient healthcare staff operations and profitability for organizations but also enhances overall patient experience by supporting services in over 109 languages. This broad impact in healthcare through high-level integration with EHRs and third-party vendors positions Artera as a leader in the digital health sector.

Key Metrics

Santa Barbara, CaliforniaHeadquarters
2015Year Founded
$148.4MTotal Funding
SERIES_CCompany Stage
AI & Machine Learning, HealthcareIndustries
201-500Employees

Risks

Emerging startups may erode Artera's market share.
Integration challenges with new EHR/EMR systems could arise.
Stricter data privacy regulations may impact Artera's operations.

Differentiation

Artera integrates seamlessly with EHRs/EMRs, enhancing patient communication efficiency.
Recognized as a two-time Best in KLAS winner for Patient Outreach.
Ranked on the Inc. 5000 list for four consecutive years.

Upsides

Increased telehealth adoption boosts demand for Artera's integrated platform.
AI-driven solutions enhance Artera's personalized patient communication capabilities.
Value-based care models align with Artera's focus on improving patient outcomes.

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