At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all.  You’ll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today’s biggest health challenges around the world.  Together, let’s embrace possibilities and change lives!Sr Payer Policy Analyst- HYBRID positionBasic Purpose:  The Sr. Payer Policy Analyst is responsible for supporting precision medicine products for the Oncology and Genetics Enterprises with policy and alliance development activities for the company, including implementation of clinical appeal strategies and payer outreach to impact reimbursement and influence payer policy for Integrated Oncology and Integrated Genetics assays. The Sr Analyst will act as internal conduit to gather and share information as it relates to payer policy, prior authorizations, billing and reimbursement issues. Performs analyses, detects billing issues, monitors trends and makes recommendations for corrective action and manages overall implementation of process improvements.Duties and Responsibilities:<ul><li>Works directly with Specialty Testing Marketing Management teams to develop an understanding of existing and emerging technologies to provide education, appeals influence and insight pertaining to payer policy.</li><li>Manage informational needs of multiple cross-functional stakeholders regarding payer coverage and reimbursement policy issues and/or changes.</li><li>Conduct detailed analyses of data and information relating to existing or proposed revenue cycle projects.</li><li>Summarize research findings into graphs, charts, written summaries and presentations for review by leadership and explain/interpret results upon request</li><li>Serve as a point of contact within RCM Payer Policy &amp; Relations Team for payer information, payer communication and issue identification.</li><li>Responsible for making recommendations to management and may initiate implementation of new procedures and processes related to appeals strategies.</li><li>Facilitate resolution of specialty testing coverage and reimbursement issues between Payers, Government agencies and LabCorp.</li><li>Extrapolate and summarize essential medical information for review, identifying denial trends by case type and payer-specific issues.</li><li>Work with Policy Reporter data to understand changes in payer policy impacting reimbursement.</li><li>Collaborate with other departments/business associates to analyze, understand and define business rules for oncology policy changes.</li><li>Collaborate with Specialty Analytic/Support and Medical Policy teams to deploy best practices to support reimbursement capture.</li><li>Apply critical reasoning to assess the need for formal appeal of clinical denials and collaborate with stakeholders to draft templates for customized appeals by tumor types.</li><li>Exceptional writing skills in crafting effective summaries for specialty testing denials to include prior authorization efforts, supportive clinical evidence, complying with all clinical and billing policies, guidelines and regulations.</li><li>Conduct clinical evidence searches, utilize internal and external subject matter experts and/or other avenues of research to identify supportive evidence for coverage of genetic and oncology services.     </li><li>Effectively communicate developments and updates on a regular basis through periodic reporting mechanisms and appropriate internal and external communication channels. Assists in advocating company positions both written and orally.</li><li>Maintain a thorough knowledge of regulatory processes and policy developments on matters affecting Labcorp Specialty testing. Communicate Labcorp’s policy positions, strategy and tactics, and advocate positions with regard to new or amended legislation, regulations, or public policy. </li><li>Develop and maintain key contacts and relationships with policy makers for Medicare Contractors, Medicaid Payers and Commercial insurers.  Ability to collaborate with third party groups affected by coverage and reimbursement policies, guidelines and regulations that impact oncology services. </li><li>Support efforts at the state and federal levels as appropriate by developing responses, talking points, strategy on key issues while helping to assure policy consistency across the organization.</li><li>Perform other and further duties and responsibilities as assigned.</li><li>Position may require travel (up to 20%) to meet fact-to-face with payers, industry leaders, and Labcorp Oncology, Genetics and RCM business units.</li></ul>Qualifications:Bachelor’s degree from an accredited four-year institution and 5 years work experience required (If no degree- minimum 7 years work experience required).Strong preference given to:<ul><li>Advanced degree ; MBA, JD, M.A. / M.S., CGC, RN</li><li>Prior Genetic Counseling work experience</li><li>Prior work experience in a clinical or business setting.</li><li>Prior work experience with insurance guidelines and payer policy.</li><li>Familiarity with clinical practice guidelines of national organizations such as NCCN, ACMG, ACC and AHA.</li><li>Prior work in case reviews for medical necessity.</li><li>Prior work experience with state and federal agencies and commercial insurance payers.</li><li>Prior work experience in healthcare revenue cycle (prior authorization, coding, claims, denials, appeals, billing compliance, etc.).</li><li>Working knowledge of the laboratory revenue cycle preferred.</li></ul>Application Window Closes: 9-5-25Pay Range: $76-105K   Shift: Monday-Friday; 8:00am-5:00pm ESTThis hybrid position offers a balanced schedule of three in-office days at the Burlington or Durham, NC location and two remote workdays per week, supporting both collaboration and flexibility.All job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan.  Casual, PRN &amp; Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only.  For more detailed information, please <a href="https://careers.labcorp.com/global/en/us-rewards-and-wellness" target="_blank">click here</a>. Labcorp is proud to be an Equal Opportunity Employer:Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage all to applyIf you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our <a href="https://careers.labcorp.com/global/en/accessibility" target="_blank">accessibility site</a> or contact us at <a href="mailto:Disability_apply@LabCorp.com" target="_blank">Labcorp Accessibility.</a> For more information about how we collect and store your personal data, please see our <a href="https://www.labcorp.com/about/web-privacy-policy" target="_blank">Privacy Statement</a>.