Director, Market Access – CMS Coverage & Reimbursement Policy
Core
Lead Medicare market access strategies for genomic sequencing and genetic testing, shaping national reimbursement policy and improving beneficiary access.
Role type
Director, Market Access (Medicare Policy & Reimbursement)
Builds
Evidence-based strategies for Medicare coverage, coding, and reimbursement for genomic technologies.
Domain
Healthcare / Genomics / US Federal Policy
Required skills
Medicare reimbursement strategy, federal health policy, CMS/MAC engagement, NCD/LCD/MolDx development, CPT/PLA coding, policy analysis, executive communication
Preferred skills
MPH/MHA/PhD/JD/MBA, prior CMS employment, experience with precision medicine or molecular diagnostics
Technologies
CMS systems, MAC platforms, CPT/PLA coding frameworks
Responsibilities
Lead Medicare market access strategies; Develop strategies for NCDs, LCDs, MolDx, MAC engagement, CLFS pricing, and CPT/PLA coding; Monitor CMS rulemaking; Partner with Government Affairs on federal advocacy; Collaborate with Medical Affairs and HEOR to develop evidence; Represent the company with CMS and industry organizations.
Seniority
Director, strategic leadership with hands-on policy execution
