Vice President, Market Access - West - Option Care Health
Sacramento, CA
About the Job
Extraordinary Careers. Endless Possibilities.
With the nation’s largest home infusion provider, there is no limit to the growth of your career.
Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and employees.
As a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a thriving workforce that is as diverse as the patients and communities we serve.
Join a company that is taking action to develop a culture that is more inclusive, respectful, engaging and rewarding for all team members. We are committed to hiring, developing, and retaining a diverse workforce.
Job Description Summary:
The VP, Regional Market Access is responsible for developing the market access & contracting strategy for the assigned area/region of the United States. This includes developing and maintaining relationships in Medical, Policy, Pharmacy, and Network provider departments within key accounts, developing innovative payment approaches for value services, and collaborating with local colleagues to pull thru access opportunities and overcome access barriers.
Job Description:
Job Responsibilities (listed in order of importance and/or time spent)
+ Develop the strategy for comprehensive, multi-year contracting to result in expanded coverage decisions and access to Option Care services from Key Accounts in the assigned area/region, including forward progress in value-based initiatives and clinical effectiveness with payers.
+ Evaluate, develop, and implement strategies for key partnerships with health plan subsidiaries and large employer groups.
+ Conduct strategic business reviews at least quarterly with Key Accounts, including the development of the priority objectives (strategy), gathering marketing materials & data to support the priority objectives, and aligning how OCH objectives support the account’s objectives
+ Works with Area counterparts in Operations and Sales to ensure payer pull-thru of opportunities, payer messaging for field teams, conduct market access education, and remove key barriers to access for the teams.
+ Work with the marketing team in the development of tools and collateral on payer messaging for various segments, as well as support in tools and resources for non-market access teams on access, including education.
+ Work with the Director of Contracting to maintain on-going account management of existing agreements and position Option Care as the leading choice for infusion services.
+ Coordinate internal resources (Clinical, Nursing, Operations, Sales, Marketing, Market Access, Contracting, Finance, BD, etc.) to meet the needs of the plan for value-based care
+ Responsible for long term (1-3 years) and short term (up to 1 year) pricing, contracting, and account strategies along with the Director of Contracting and Contract Performance teams, developing strategic roadmaps and plans for all targeted accounts.
Supervisory Responsibilities
Does this position have supervisory responsibilities? Yes
(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)
Basic Education and/or Experience Requirements
+ Bachelor’s degree
+ Five (5) or more years of experience within the managed care space
Basic Qualifications
+ Strong relationships with Key Health Plans within the area/region assigned
+ Proven ability to develop and execute on a strategy
+ Proven ability to develop relationships at higher levels within accounts
Travel Requirements: (if required)
+ Up to 50%
Preferred Qualifications & Interests (PQIs)
+ Master’s degree
Due to some state pay transparency laws, below is the minimum pay for the position:
Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.
Minimum pay is $184,614.84 Benefits:
-401k
-Dental Insurance
-Disability Insurance
-Health Insurance
-Life Insurance
-Paid Time off
-Vision Insurance
_Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information._
For over 40 years, Option Care Health has provided adult and pediatric patients with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost. Option Care Health has more than 70 infusion pharmacies and 100 alternate treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization, resources for financial assistance, education and customized treatments.
With the nation’s largest home infusion provider, there is no limit to the growth of your career.
Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and employees.
As a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a thriving workforce that is as diverse as the patients and communities we serve.
Join a company that is taking action to develop a culture that is more inclusive, respectful, engaging and rewarding for all team members. We are committed to hiring, developing, and retaining a diverse workforce.
Job Description Summary:
The VP, Regional Market Access is responsible for developing the market access & contracting strategy for the assigned area/region of the United States. This includes developing and maintaining relationships in Medical, Policy, Pharmacy, and Network provider departments within key accounts, developing innovative payment approaches for value services, and collaborating with local colleagues to pull thru access opportunities and overcome access barriers.
Job Description:
Job Responsibilities (listed in order of importance and/or time spent)
+ Develop the strategy for comprehensive, multi-year contracting to result in expanded coverage decisions and access to Option Care services from Key Accounts in the assigned area/region, including forward progress in value-based initiatives and clinical effectiveness with payers.
+ Evaluate, develop, and implement strategies for key partnerships with health plan subsidiaries and large employer groups.
+ Conduct strategic business reviews at least quarterly with Key Accounts, including the development of the priority objectives (strategy), gathering marketing materials & data to support the priority objectives, and aligning how OCH objectives support the account’s objectives
+ Works with Area counterparts in Operations and Sales to ensure payer pull-thru of opportunities, payer messaging for field teams, conduct market access education, and remove key barriers to access for the teams.
+ Work with the marketing team in the development of tools and collateral on payer messaging for various segments, as well as support in tools and resources for non-market access teams on access, including education.
+ Work with the Director of Contracting to maintain on-going account management of existing agreements and position Option Care as the leading choice for infusion services.
+ Coordinate internal resources (Clinical, Nursing, Operations, Sales, Marketing, Market Access, Contracting, Finance, BD, etc.) to meet the needs of the plan for value-based care
+ Responsible for long term (1-3 years) and short term (up to 1 year) pricing, contracting, and account strategies along with the Director of Contracting and Contract Performance teams, developing strategic roadmaps and plans for all targeted accounts.
Supervisory Responsibilities
Does this position have supervisory responsibilities? Yes
(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)
Basic Education and/or Experience Requirements
+ Bachelor’s degree
+ Five (5) or more years of experience within the managed care space
Basic Qualifications
+ Strong relationships with Key Health Plans within the area/region assigned
+ Proven ability to develop and execute on a strategy
+ Proven ability to develop relationships at higher levels within accounts
Travel Requirements: (if required)
+ Up to 50%
Preferred Qualifications & Interests (PQIs)
+ Master’s degree
Due to some state pay transparency laws, below is the minimum pay for the position:
Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.
Minimum pay is $184,614.84 Benefits:
-401k
-Dental Insurance
-Disability Insurance
-Health Insurance
-Life Insurance
-Paid Time off
-Vision Insurance
_Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information._
For over 40 years, Option Care Health has provided adult and pediatric patients with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost. Option Care Health has more than 70 infusion pharmacies and 100 alternate treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization, resources for financial assistance, education and customized treatments.
Source : Option Care Health