Principal Regulatory Market Strategy
Principal Regulatory Market Strategy
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Job Description
Help us change lives
At Exact Sciences were helpingchange how the world prevents detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purposedriven career an inclusive culture and robust benefits to support your life while youre working to help others.
Position Overview
Exact Sciences is a leading global advanced cancer diagnostics company. We have developed some of the most impactful tests in cancer diagnostics and are currently developing additional tests with the goal of bringing new innovative cancer tests to patients throughout the world. To support this mission the Principal Regulatory & Market Strategy will be responsible for providing guidance to Exact Sciences laboratory and operational leaders to ensure that they excel within the regulatory and business frameworks and environment in which they operate. In addition to the desire to be innovative and creative this role requires deep expertise in U.S. health care laws and regulations including fraud/waste/abuse government and commercial insurance billing and reimbursement provider licensing and patient consumer protection. This role functions within the Market Access & Strategy team.
This position is hybrid in Madison WI.
Remote work will be considered.
Essential Duties
Include but are not limited to:
- Promptly and proactively assessing and researching U.S. health care legal regulatory and strategy topics to provide high quality guidance and direction to laboratory and operational leaders.
- Collaborating (and representing the Market Access & Strategy Team) with other teams and departments to mitigate or resolve issues and barriers related to the performance and billing of laboratory testing and related patient services.
- Engaging with regulatory agencies outside counsel consultants and industry groups to better understand market dynamics and/or advocate on behalf of Exact Sciences to advance our overall reimbursement and business strategy.
- Maintaining current knowledge of official health care billing and coding guidelines and national trends including those from the Centers for Medicare and Medicaid Services (CMS) and other agencies within the Department of Health & Humans Services (HHS).
- Maintaining awareness of federal and state regulation of medical devices and laboratories.
- Identifying potential weaknesses in Exact Sciences business strategy and proactively suggesting improvements to address them.
- Preparing presentations or deliverables for company management.
- Ability to take direction and independently work to complete projects.
- Uphold company mission and values through accountability innovation integrity quality and teamwork.
- Maintain regular and reliable attendance.
- Ability to act with an inclusion mindset and model these behaviors for the organization.
- Ability to work a designated schedule.
- Ability to work on a mobile device tablet or in front of a computer screen and/or perform typing for approximately 90 of a typical working day.
- Ability and means to travel between Exact Sciences locations in Madison WI if onsite and to Exact Sciences locations in Madison WI if remote.
- Ability to travel 10 of working time away from work location; may include overnight/weekend travel.
Minimum Qualifications
- Bachelors degree in business administration or relevant areas as outlined by essential duties; or High School Diploma and 4 years of relevant experience in lieu of degree.
- 8 years of experience advising health care organization(s) on legal regulatory and strategy topics related to government and commercial insurance coverage billing and reimbursement fraud/waste/abuse provider licensing and patient/consumer protection.
- Advanced knowledge and understanding of official health care billing and coding guidelines including those from the Centers for Medicare and Medicaid Services (CMS) and other agencies within the Department of Health & Humans Services (HHS).
- Strong written verbal and presentational communication skills; ability to present to senior level leadership and external professional audiences.
- Demonstrated ability to perform the Essential Duties of the position with or without accommodation.
- Authorization to work in the United States without sponsorship.
Preferred Qualifications
- J.D. degree
- Advanced understanding of health care provider revenue cycle functions processes and health care IT systems.
- Experience with unique providerpayer contracting arrangements including valuebased care.
- 3 years of experience advising genomic or genetic CLIA laboratory providers on legal and/or strategy matters.
Salary Range:
$129000.00 $208000.00The annual base salary shown is a national range for this position on a fulltime basis and may differ by hiring location. In addition this position is bonus eligible and is eligible to be considered for company stock at hire and on an annual basis.
Exact Sciences is proud to offer an employee experience that includes paid time off (including days for vacation holidays volunteering and personal time) paid leave for parents and caregivers a retirement savings plan wellness support and health benefits including medical prescription drug dental and vision coverage. Learn more about our benefits.
Our success relies on the experiences and perspectives of a diverse team and Exact Sciences fosters a culture where all employees can develop personally and professionally with a sense of respect and belonging. If you require an accommodation please contact us here.
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We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to age color creed disability gender identity national origin protected veteran status race religion sex sexual orientation and any other status protected by applicable local state or federal law. Any applicant or employee may request to view applicable portions of the companys affirmative action program.
To view the Right to Work EVerify Employer and Pay Transparency notices and Federal Federal Contractor and State employment law posters visit our compliance hub. The documents summarize important details of the law and provide key points that you have a right to know.
Required Experience:
Staff IC
Employment Type
Full-Time
