Jill Blanchard Email & Phone Number

Vista, California, United States

Northeast, Us

Secured positive medical coverage policies, assessed in-network gaps, executed network agreements, worked cross-functionally with sales on advocacy, secured payer consent for offshoring. Managed Northeast payer accounts plus 2 National Accounts: UnitedHealthcare and the BCBS BlueCard program IDTF contract through BCBSTX.* Facilitated multiple commercial payer revenue optimization projects recovering $1.5M in 2023.* Executed payer network agreements to improve contracted / in-network status to 94% in Northeast region.* Secured favorable Mobile Cardiac Telemetry policy with HCSC / BCBSTX impacting 3.4M addressable market that allowed Zio XT as a step to Zio AT, reducing denial rate and improved reimbursements.

Southeast

Associate Director, Market Access (2020 - 2022)Sr. Market Access Manager (2018 - 2020)Market Access Manager (2016 - 2018)Regional Managed Care Account Manager, East Coast (2014 – 2015)Launched Cologuard in payer market driving medical policy initiatives and contracting strategies to secure coverage and network agreements. Partnered cross-functionally with Medical Affairs, HEOR, Legal, Revenue Cycle Management, Marketing, and Sales to achieve coverage, execute contracts, secure reimbursement, and leverage in network position by developing quality initiatives with payers to get more patients screened.* Implemented advocacy campaigns in collaboration with sales leaders to drive KOL and advocacy group support.* Secured payer access for 84M medical lives. Drove medical policy initiatives to secure positive coverage, negotiated and executed network agreements with 3 national payers, 42 regional commercial insurers, 44 Medicare Advantage plans, 4 Employer Group contracts, 2 clinically integrated networks as a Tier 1 provider, and 6 major PPO Networks.* Maximized revenue from all national and regional payer accounts by negotiating favorable rates above standard terms as a sole source provider of the service.* Optimized data driven business opportunities with payers to get members screened by partnering with Medicare Stars teams and multiple internal cross-functional teams.* Developed internal contract process flow and tools for legal, revenue cycle and finance resulting in a centralized resource for tracking medical policy and contract metrics for reporting to executive leadership.* Supported sales teams and customers with payer coverage and network status reports.

Waltham, Massachusetts, United States

PerkinElmer Inc./NTD Labs, Signature Genomics (Revvity is current company). Managed payer accounts through pivotal projects that drove medical policy initiatives to secure coverage for prenatal molecular diagnostics. Implemented contracting strategies resulting in execution of ancillary network agreements for patient access to our services, resulting in improved reimbursements. Collaborated with sales to drive utilization with targeted payers to demonstrate demand for new services through preauthorization programs and provider advocacy campaigns.* Fully executed 70+ contracts including national Anthem (14 states) and Amerigroup (11 states) for team total of 250 contracts overall; also managed Cigna, UnitedHealthcare, UnitedMilitary and HealthNet Federal Services.* Team secured 42 out of 58 Blues plan contracts when BCBS ended BlueCard program for laboratories. * Implemented targeted advocacy campaigns with sales and providers to close coverage gaps resulting in network contracts with 1 national payer, 3 regional BCBS plans and 5 regional commercial payers. * Launched new diagnostic services offered through partner labs (Verinata/Illumina, Good Start Genetics) resulting in amendments to existing contracts.* Organized process for tracking payer medical policies that included noninvasive prenatal testing (NIPT), microarrays, maternal serum screening, carrier screening as a leadership communication tool and for projecting new contracting opportunities.* Developed new employee managed care training program, including Managed Care 101, BlueCard Program, State Medicaid vs. Managed Medicaid, Test Requisition and its Role in Billing, Preauthorization Process, and Health Plan Status Report.

Implemented managed markets business strategies with agoal of achieving sales maximization, brand loyalty, andmarket share growth within targeted accounts. Managedprofitable contracting opportunities in multiple payorsegments. Partnered with payors to develop pull throughinitiatives and coordinate implementation with Sales.Cultivated working relationships between company andaccounts including clinical, economic and strategicdecision makers.

Southeast

Championed partnerships with pharmacists at regional healthplans and State Medicaid to attain positive formulary statusfor company brands. Implemented business plan, managedtarget accounts and contracting opportunities. Interacteddirectly with the local District Managers and Representativesto maximize pull through efforts and increase utilization andmarket share for all brands.

Florida

Grew sales and achieved market share targets with long term care pharmacy accounts by getting brand added to formulary, implemented conversion programs with contracted pharmacies, prioritized accounts by volume and identified key decision makers. Educated customers on brand and supplied CME programs to Medical and Nursing Directors.

Northern California

Achieved market share and sales volume goals for specialty products in anesthesia and psychiatry. Analyzed sales reports developed business strategies, and effectively utilized available resources to drive sales with key customers. Developed expert knowledge of disease state, products and competitive landscape.