Senior Manager / Associate Director, Market Access & Reimbursement

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

📋 Description

• Enhance coverage, coding, and payment strategies for both existing and new products targeting public and private payors.

• Obtain unique CPT, PLA, or ICD-10 diagnostic codes as necessary.

• Develop and improve persuasive, evidence-based payor value dossiers and additional marketing materials for public and private payers.

• Align clinical trial endpoints to meet payer evidence requirements, including cost-effectiveness modeling and clinical utility studies.

• Collaborate with CDx Billing to assess market and payor trends, significant policy changes, and other reimbursement dynamics.

• Establish relationships with medical directors at both regional and national commercial health plans, as well as with Medicare Administrative Contractors (MACs).

• Present clinical and economic data to achieve favorable coverage policies.

• Collaborate with health economics firms to develop cost-effectiveness models.

• Partner with CDx Marketing to engage patient advocacy groups and clinicians to support coverage initiatives.

• Provide guidance to CDx R&D and Clinical teams regarding clinical utility study design.

• Stay updated on changes in healthcare compliance standards and educate internal sales teams on billing and prior authorization processes.

• Work closely with CDx Sales leadership to keep the team informed about new coverage policies and contracting updates.

⛳️ Requirements

• Over 10 years of experience in the healthcare industry.

• At least 7 years of experience in reimbursement and market access, with a strong preference for diagnostics experience in oncology.

• Bachelor’s degree or a higher degree in a relevant field.

• Proven record of success in market access for both LDT and IVD products.

• Comprehensive understanding of HEOR, managed care, and health policies.

• Demonstrated ability to excel in uncertain environments.

• Strong communication skills, with a proven ability to work collaboratively across functions and build internal relationships.

🏝️ Benefits

• 100% employer-covered medical insurance for single coverage effective on your start date, with 50% coverage for spouse/dependent medical insurance.

• 100% employer-paid dental and vision coverage for the entire family.

• No cost for employee coverage for Group Term Life, Short & Long Term Disability insurance.

• 4% employer match for retirement contributions.

• Incentive Performance Plan, Stock Option Program, and Commission for Sales Account Executives.

• Paid Family Leave Program.

• Generous Paid Time Off (PTO) plan and holiday program.

• Flexible work schedule and an attractive employee referral program.

• Convenient office location with newly designed office space.

• Complimentary coffee, snacks, and other refreshments available throughout the day.