Director, Market Access – Commercial Coverage, Reimbursement

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

📋 Description

• Formulate and implement strategies for commercial payers concerning both new and existing genomic sequencing and genetic testing products.

• Spearhead interactions with national and regional commercial insurers to obtain favorable coverage policies.

• Cultivate relationships with medical directors, laboratory benefit managers (LBMs), reimbursement leaders, and teams responsible for payer policy.

• Collaborate with HEOR and Medical Affairs to create clinical and economic evidence that promotes payer adoption.

• Keep track of commercial payer policies, reimbursement trends, and practices related to utilization management.

• Assist in product launches by crafting payer value propositions and access strategies.

• Work together with Government Affairs to harmonize commercial and public payer strategies.

• Act as the company's expert in commercial payer matters.

• Collaborate across functions with Medical Affairs, HEOR, Clinical Affairs, Government Affairs, Commercial, and Legal to enhance patient access and foster business growth.

⛳️ Requirements

• A Bachelor's degree is required; an advanced degree is preferred (MBA, MPH, MHA, PharmD, PhD, or equivalent).

• Generally requires 18+ years of experience in healthcare market access.

• Proven experience in leading commercial payer market access strategies for genomic sequencing, genetic testing, molecular diagnostics, precision medicine, or other advanced diagnostic technologies.

• Direct experience with national and regional commercial health plans, including interactions with medical directors, reimbursement leaders, laboratory benefit managers (LBMs), and payer policy teams.

• Demonstrated success in securing or influencing commercial payer coverage, reimbursement, and utilization policies.

• Strong comprehension of the development of commercial payer medical policies, evidence requirements, prior authorization processes, coding, and reimbursement.

• Exceptional skills in strategic planning, executive communication, and cross-functional leadership.

• Willingness to travel approximately 30–40% of the time.

• Must not require visa sponsorship; this position is not eligible for visa sponsorship.

🏝️ Benefits

• Eligibility for a variable cash program (bonus or commission).

• Equity eligibility for qualifying positions.

• Access to genomic sequencing services.

• Family planning benefits available.

• Health, dental, and vision benefits.

• Retirement benefits offered.

• Paid time off provided.

• Employee Resource Groups available for career development, cultural awareness, and social responsibility opportunities.