Healthcare Market Access Counsel
Core
Senior legal advisor leading strategy for payer contracting, reimbursement, and market access to advance patient access to diagnostic solutions.
Role type
Senior in-house healthcare legal counsel (market access)
Builds
Payer contracting frameworks, reimbursement strategies, and legal playbooks for commercial insurers and managed care organizations
Domain
Healthcare diagnostics, US payer contracting, and reimbursement law
Required skills
US healthcare law, payer contracting, reimbursement frameworks, appeals strategy, regulatory compliance, contract negotiation, risk management
Preferred skills
Diagnostics/life sciences experience, utilization management knowledge, in-house biotech experience, Medicare/Medicaid expertise
Technologies
CPT codes, CLFS, MolDx program, PAMA regulations
Responsibilities
Lead legal strategy for payer contracting and reimbursement; negotiate complex agreements with private payors; advise on coverage initiatives and appeals; develop legal frameworks and training; monitor regulatory landscape changes
Seniority
Senior, hands-on IC
