Roche

National Payer Account Executive

Sema4

Led team of six direct reports overseeing contracting, payer relations (commercial and government), medical policy, oncology and women’s health reimbursement strategy and execution, and billing analysis. Reported to Chief Revenue Officer. Managed MolDx technical assessment package submission to Palmetto GBA for WES while also petitioning NGS jurisdiction to improve reimbursement rates to be on par with MolDx. Vetted multiple commercial laboratory locations and selected new site for genomic profiling lab, working with state, city, and county officials to get best incentives package possible for company.

Vice President, Managed Care and Payer Relations - Sema4 OpCo, Inc.

Secured and executed in-network participating agreements with national and regional accounts. Liaised with revenue cycle management and legal, and made recommendations on plan enrollment, billing, and fee schedule maintenance to ensure achievement of company goals. Spearheaded and developed national reimbursement strategy and tactics. Led internal strategies to ensure development of advocacy among members of key national guideline groups, contributing to clinical decision making and payer coverage decisions across Sema4’s product portfolio.

Director, Managed Care - Sema4 OpCo, Inc.

Veracyte, Inc.

Directed all aspects of payor relationships, including medical coverage policies, contracting, issue resolution, and revenue generation process, driving high end profit outcomes through key account management. Leveraged industry/payor knowledge and field-based experience to create and implement beneficial value propositions. Incorporated and delivered health-based economic models to demonstrate organization’s products as cost effective with ability to improve patient outcomes. Maintained leadership role while working in conjunction with internal sales, marketing, customer service, and billing to drive revenue growth and ensure effective implementation of corporate strategies and initiatives.

Managed Care, National Account Manager

Natera

Ensured growth of Natera business with key regional payors. Worked cross-functionally to establish and execute payer-specific strategies and tactics. Secured in-network pricing agreements with large regional accounts including Carefirst, Highmark, Harvard Pilgrim, UHA, HMSA. Supported efforts with BSCA, Anthem CA, Anthem Central, and Anthem Northeast.

Regional Account Manager, Managed Care

Clinical Field Specialist

PerkinElmer

Signature Genomics Sales Specialist

Account Business Manager - Viacord & NTD Labs

Cord Blood Registry

Regional Manager

Merck

Professional Represetative II

Accomplished Market Access Leader and Managed Care & Payer Relations Executive specializing in Molecular Diagnostics, with demonstrated expertise in managed care, contracting and payer relations, 
reimbursement strategy and tactics, business development strategy, vendor relations and account management. 

Leverages positive leadership and energetic communication skills to develop and manage high-performing teams as well as build relationships with diverse internal & external partners. An innovative problem solver and resourceful business partner with a proven record of developing and implementing strategies that drive sales and achieve company objectives.

𝑲𝑬𝒀 𝑪𝑶𝑴𝑷𝑬𝑻𝑬𝑵𝑪𝑰𝑬𝑺:
◆ Team Development and Performance
◆ Healthcare Systems
◆ Maximize Revenue through Contract Execution and Management 
◆ Cross Functional Team Leader
◆ Skilled Contract Negotiations
◆ Leads with Vision and Insight

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