Senior Director, Market Access – Diagnostics, Women’s Health & Reproductive Genetics
Job Description:
• Lead national and regional payer engagement, including interactions with medical directors and policy decision-makers.
• Secure coverage, appropriate reimbursement, and reduce administrative barriers across commercial and government payers.
• Develop and lead market access strategies aligned with commercial goals and product positioning.
• Advise on reimbursement pathways, payer dynamics, and access risks/opportunities across pipeline and in-market tests.
• Guide coding, coverage, and payment strategy for modern technologies, informing business cases and go/no-go decisions.
• Partner with Medical Affairs and Clinical teams to assess evidence gaps and shape evidence-generation strategies.
• Support clinical study design to align with payer requirements for analytical validity, clinical validity, and clinical utility.
• Collaborate with RCM to align reimbursement performance with payer policies and improve revenue capture.
• Develop Market Access strategies to support product roadmap, pricing, and launch planning.
• Track payer policies, clinical guidelines, competitive trends, and emerging evidence.
Requirements:
• Bachelor’s degree in Business Administration, Healthcare, or Life Sciences
• 10 or more years of experience in market access, reimbursement or payer strategy within diagnostics, biotech, or healthcare services.
• Expertise in women’s health, reproductive genetics, or molecular diagnostics
• Demonstrated success securing payer coverage and reimbursement for novel diagnostics.
• Strong understanding of coding, coverage, and payment pathways for IVDs and LDTs.
• Exceptional communication, negotiation, and executive‑level presentation skills.
• Ability to lead cross‑functional teams and influence without direct authority.
Benefits:
• Medical, Dental, Vision, Life, STD/LTD
• 401(k)
• Paid Time Off (PTO) or Flexible Time Off (FTO)
• Tuition Reimbursement
• Employee Stock Purchase Plan
• Lead national and regional payer engagement, including interactions with medical directors and policy decision-makers.
• Secure coverage, appropriate reimbursement, and reduce administrative barriers across commercial and government payers.
• Develop and lead market access strategies aligned with commercial goals and product positioning.
• Advise on reimbursement pathways, payer dynamics, and access risks/opportunities across pipeline and in-market tests.
• Guide coding, coverage, and payment strategy for modern technologies, informing business cases and go/no-go decisions.
• Partner with Medical Affairs and Clinical teams to assess evidence gaps and shape evidence-generation strategies.
• Support clinical study design to align with payer requirements for analytical validity, clinical validity, and clinical utility.
• Collaborate with RCM to align reimbursement performance with payer policies and improve revenue capture.
• Develop Market Access strategies to support product roadmap, pricing, and launch planning.
• Track payer policies, clinical guidelines, competitive trends, and emerging evidence.
Requirements:
• Bachelor’s degree in Business Administration, Healthcare, or Life Sciences
• 10 or more years of experience in market access, reimbursement or payer strategy within diagnostics, biotech, or healthcare services.
• Expertise in women’s health, reproductive genetics, or molecular diagnostics
• Demonstrated success securing payer coverage and reimbursement for novel diagnostics.
• Strong understanding of coding, coverage, and payment pathways for IVDs and LDTs.
• Exceptional communication, negotiation, and executive‑level presentation skills.
• Ability to lead cross‑functional teams and influence without direct authority.
Benefits:
• Medical, Dental, Vision, Life, STD/LTD
• 401(k)
• Paid Time Off (PTO) or Flexible Time Off (FTO)
• Tuition Reimbursement
• Employee Stock Purchase Plan