Director, Market Access – Commercial Coverage & Reimbursement
Core
Lead U.S. commercial payer strategy to expand patient access to genomic sequencing and genetic testing by securing favorable coverage, reimbursement, and utilization policies.
Role type
Director, Market Access (Commercial Coverage & Reimbursement)
Builds
Commercial payer strategies and evidence generation for genomic sequencing and genetic testing products.
Domain
Healthcare / Genomics / Market Access
Required skills
Commercial payer strategy, evidence generation, reimbursement policy, provider adoption, medical policy development, prior authorization, coding, executive communication, cross-functional leadership
Preferred skills
MBA, MPH, MHA, PharmD, PhD
Technologies
None stated
Responsibilities
Develop and execute commercial payer strategies for new and existing genomic sequencing and genetic testing products; Lead engagement with national and regional commercial insurers to secure favorable coverage policies; Build relationships with medical directors, laboratory benefit managers (LBMs), reimbursement leaders, and payer policy teams; Partner with HEOR and Medical Affairs to develop clinical and economic evidence supporting payer adoption; Monitor commercial payer policies, reimbursement trends, and utilization management practices; Support product launches by developing payer value propositions and access strategies; Collaborate with Government Affairs to align commercial and public payer strategies; Serve as the company's commercial payer subject matter expert.
Seniority
Director, strategic leadership & cross-functional management
