Market Access Account Manager

The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by the opportunity to unite modern wearable technologies with proven device therapies. Kestra’s solutions combine high quality and technical performance with a wearable design that provides the greatest regard for patient comfort and dignity. Innovating versatile new ways to deliver care, Kestra is helping patients, and their care teams harmoniously monitor, manage, and protect life.

The Market Access Account Manager, in conjunction with the Director of Market Access, develops health plan-specific provider contracting strategies, identifying Kestra focused geographic locations on which to concentrate health plan/facility (VA) targets for purposes of pull through of existing contracts.

ESSENTIAL DUTIES

· Exceptional negotiating skills. Demonstrated experience with contracts and agreements

· Onboards the provider contracts in concert with established company guidelines.

· Assists in achieving annual price increases through re-contracting initiatives as directed by the Market Access Director.

· Utilizes standardized contract templates and Pay for Performance strategies.

· Oversees the maintenance of all assigned Payer Contracts including establishing a reporting matrix for each. Works with legal and Corporate Network Management on an as needed basis to modify contract templates to ensure compliance with all contractual and/or regulatory requirements.

· Ensures compliance with applicable provider panel and network capacity, adequacy requirements and guidelines. Produces and monitors weekly/monthly reports to track and monitor compliance with network adequacy requirements.

· Develops and implements strategies to minimize the company's financial exposure. Monitors and adjusts strategy implementation as needed to achieve desire goals and reduce minimize the company's financial exposure.

· Responsible for assisting the field and RCM in pulling through complicated cases.

· Develop a process for tracking specialized required IPA training.

· Coordinate required training with appropriate Kestra Departments.

COMPETENCIES

· Exceptional communication skills that include verbal, written and presentation abilities.

· Passion: Contagious excitement about the company – sense of urgency. Commitment to continuous improvement.

· Integrity: Commitment, accountability, and dedication to the highest ethical standards.

· Collaboration/Teamwork: Inclusion of Team Member regardless of geography, position, and product or service.

· Action/Results: High energy, decisive planning, timely execution.

· Innovation: Generation of new ideas from original thinking.

· Customer Focus: Exceed customer expectations, quality of products, services, and experience always present of mind.

· Emotional Intelligence: Recognizes, understands, manages one’s own emotions and is able to influence others. A critical skill for pressure situations.

· Adhere to Pledge of Confidentiality

o Information regarding a patient of this company shall not be released to any source outside of this company without the signed permission of the patient. Furthermore, information will only be released internally on a need-to-know basis. All Team Members will not discuss patient cases outside the office or with anyone not employed by this company unless they are directly involved with the patient’s case.