Director, Market Access

This is a fully remote position, open to applicants in United States.

📋 Description

• Create innovative strategies for access, pricing, coverage, and contracting to address the requirements of patients and their healthcare providers, ultimately fostering business growth, profitability, and performance.

• Oversee payor contracting strategies within the designated geography/payors by identifying opportunities to secure new contracts and/or enhance rates and terms in existing agreements with regional payors, national payors, Managed Medicaid (MCOs), Lab Benefit Managers (LBMs), and others.

• Propel the advancement of payor medical policies by communicating the latest evidence and guidelines to payor accounts, with an emphasis on exome and genome sequencing.

• Work in collaboration with cross-functional teams, such as Revenue Cycle Management (RCM), Legal, Training, Sales, and Marketing, to align efforts for successful contract execution.

• Advise the RCM team on evolving payor requirements that may affect reimbursement outcomes.

• Offer subject matter expertise in areas such as professional society guidelines, health technology assessments, relevant published evidence, lab benefit management programs, medical policies, state legislation, and other regulations and market trends that could impact the business.

• Actively share insights derived from payor data and develop solutions to enhance reimbursement success.

• Provide strategic Market Access support to the GeneDx field sales team within the assigned geography to meet volume and revenue objectives.

• Identify and cultivate opportunities for strategic payor partnerships that will reinforce GeneDx's status as a leader in the genomics market.

• Forge partnerships with external entities such as advocacy groups, health systems, state legislators, and key opinion leaders who can facilitate policy change initiatives.

• Act as the payor expert, advising internal business leaders across your geography and beyond, based on your extensive knowledge of the current and future payor landscape.

• Address complex business challenges for GeneDx by leveraging both internal and external resources to create effective solutions.

⛳️ Requirements

• Over 10 years of experience in Market Access, ideally in the field of molecular diagnostics.

• More than 5 years of experience in genomics is highly preferred.

• Proven experience with indirect networks, including Independent Practice Associations (IPAs).

• Demonstrated experience managing a significant national payor, such as UnitedHealthcare.

• A Bachelor’s degree or higher in a related field.

• Proven ability to influence payor medical policies effectively.

• Strong executive presence coupled with a solution-focused mindset.

• Ability to simplify and communicate complex information clearly.

• Excellent analytical, communication, and interpersonal skills.

• Highly adaptable in a fast-paced and evolving environment.

• Willingness to travel for essential business meetings (up to 20% of the time).

🏝️ Benefits

• Health insurance

• 401(k) matching

• Paid time off

• Remote work options