Senior Manager, Payer Relations and Contracting (West)
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Hologic
US
Summary
The Senior Manager will lead contracting strategies and negotiate reimbursement rates with national and regional payers to expand access for oncology diagnostic products. They will also cultivate strategic relationships with key stakeholders and collaborate cross-functionally to support evidence-based value propositions.
Job Description
Directly reporting to the Senior Director, Market Access Diagnostic (DxS), the Sr. Manager of Payer Relations and Contracting will be primarily responsible for managing payer account strategy within a specific geographic territory (western half of US), focusing on contracting and negotiating reimbursement rates for Hologic Oncology Services products.
We are seeking a high-performing, proven leader to develop and execute strategies that will expand in-network contracts for both Breast Cancer Index (BCI) and CancerType ID (CTID).
Fundamental responsibilities of this role include:
- Lead the development and execution of contracting strategies aligned with organizational objectives across national and regional payers, LBMs, IDNs, IPAs, and state Medicaid plans that maximize contract value, reimbursement, and patient access.
- Negotiate optimal reimbursement rates and contract terms to ensure financial sustainability, market competitiveness, and improved patient access.
- Cultivate and expand strategic relationships with payer executives, medical directors, policy decision-makers, and other key stakeholders within the oncology community to strengthen collaboration and contract performance.
- Partner closely with the broader Market Access team to develop, align, and communicate payer engagement strategies, contracting priorities, and tactical plans.
- Collaborate cross-functionally with Clinical and Medical Affairs, Outcomes Research, Marketing, Billing, Finance, Sales, Legal, and Regulatory teams to develop evidence-based value propositions and support payer engagement activities.
- Demonstrate an ownership mentality by proactively managing assigned accounts, identifying growth opportunities, and driving accountability for access and reimbursement objectives.
- Foster a highly collaborative environment by building deep, strategic relationships across internal teams and external stakeholders to advance organizational and patient access goals.
- Maintain detailed records of payer interactions, contracting activities, and engagement outcomes to monitor progress, evaluate performance, and inform future account and contracting strategies.
Successful candidates will have strong leadership skills and experience in securing payer coverage and negotiating contracts, ideally with a background in the diagnostic industry. Candidates should possess strong communication and organization skills, as well as an ability to manage, track, and coordinate complex, simultaneous initiatives.
Qualifications
- 8+ years of healthcare experience working for a diagnostic / biotech company, healthcare consulting firm, or health insurance company
- 5+ years of experience working with Medicare, Medicaid and commercial payers on contracting and network management
- Strong technical knowledge of payer contracting (negotiations, language review, contract format and structure)
- Demonstrated success in achieving annual targets
- Direct experience with or demonstrated understanding of the health care revenue cycle
- Proficiency in handling intricate details related to both quantitative reimbursement and legal language ensuring they meet overall business objectives
- Proven track-record of successful negotiations with payers
- Strong decision-making skills and ability to take initiative and act independently
- Excellent organizational, communication and negotiation skills
- Proficiency with financial analyses preferred
Education
- Bachelor’s Degree required
This fully remote role supports payers in the West Region. To facilitate collaboration and coverage during core business hours, candidates based in the Pacific, Mountain, or Central time zones are preferred.
The annualized base salary range for this role is $137,400 to $229,100 and is bonus eligible. Final compensation packages will ultimately depend on factors including relevant experience, skillset, knowledge, geography, education, business needs and market demand.
Agency and Third-Party Recruiter Notice
Agencies that submit a resume to Hologic must have a current executed Hologic Agency Agreement executed by a member of the Human Resource Department. In addition, Agencies may only submit candidates to positions for which they have been invited to do so by a Hologic Recruiter. All resumes must be sent to the Hologic Recruiter under these terms or they will not be considered.
Hologic, Inc. is proud to be an Equal Opportunity Employer inclusive of disability and veterans.
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We’re an innovative medical technology company whose purpose is to enable healthier lives everywhere, every day. While we discover and develop groundbreaking products and services that benefit everyone, we are especially passionate about those that advance women’s health and well-being. This allows us to be a company that prospers, grows and empowers women to experience healthier lives.
None of this would be possible without the talent, skills and aspirations of our employees. Their expertise and dedication to developing and sharing more robust, science-based certainty drives our increasingly global presence, as well as a pipeline that responds to the unmet health and wellness needs of women, families and communities.
What powers our growth across Breast & Skeletal Health, Diagnostic Solutions, and GYN Surgical Solutions is also what differentiates us: the exceptional and clinically proven ability of our products to detect, diagnose and treat illnesses and other health conditions earlier and better. This clinical superiority creates high expectations, which we fulfill by always challenging ourselves to improve health through better technology, education and market access. Our goal is to minimize doubt and maximize the confidence our customers and their patients have in their decisions and diagnoses.
We work toward this goal every day, always aware that in an increasingly complex and competitive global environment, we must continually earn the trust of our customers and their patients. By focusing on women’s health while still delivering health benefits to everyone, we are setting a new standard of excellence that is strengthened by purpose, driven by passion and brought to life by our promise of more certain early detection and better health outcomes.
To view our community guidelines, visit: www.hologic.com/social-media
Founded
1985
Company size
5,001-10,000 employees
Industry
Medical Equipment Manufacturing
Org type
Privately Held
Headquarters
Marlborough, MA
We’re an innovative medical technology company whose purpose is to enable healthier lives everywhere, every day. While we discover and develop groundbreaking products and services that benefit everyone, we are especially passionate about those that advance women’s health and well-being. This allows us to be a company that prospers, grows and empowers women to experience healthier lives.
None of this would be possible without the talent, skills and aspirations of our employees. Their expertise and dedication to developing and sharing more robust, science-based certainty drives our increasingly global presence, as well as a pipeline that responds to the unmet health and wellness needs of women, families and communities.
What powers our growth across Breast & Skeletal Health, Diagnostic Solutions, and GYN Surgical Solutions is also what differentiates us: the exceptional and clinically proven ability of our products to detect, diagnose and treat illnesses and other health conditions earlier and better. This clinical superiority creates high expectations, which we fulfill by always challenging ourselves to improve health through better technology, education and market access. Our goal is to minimize doubt and maximize the confidence our customers and their patients have in their decisions and diagnoses.
We work toward this goal every day, always aware that in an increasingly complex and competitive global environment, we must continually earn the trust of our customers and their patients. By focusing on women’s health while still delivering health benefits to everyone, we are setting a new standard of excellence that is strengthened by purpose, driven by passion and brought to life by our promise of more certain early detection and better health outcomes.
To view our community guidelines, visit: www.hologic.com/social-media
Founded
1985
Company size
5,001-10,000 employees
Industry
Medical Equipment Manufacturing
Org type
Privately Held
Headquarters
Marlborough, MA