Director, Market Access

🕒 Julho 17

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GeneDx

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

🧬 Biotecnologia

🏥 Saúde

🤖 Inteligência Artificial

Biotechnology • Healthcare • Artificial Intelligence

Na GeneDx, acreditamos que todos merecem cuidados médicos personalizados e direcionados - e tudo começa com um diagnóstico genético. Com um dos maiores conjuntos de dados de doenças raras do mundo, nossos testes de exoma e genoma líderes do setor traduzem dados genômicos complexos em respostas clínicas que desbloqueiam planos de saúde personalizados, aceleram a descoberta de medicamentos e melhoram a eficiência dos sistemas de saúde. Tudo começa com um único teste.

Descrição

• Develop innovative access, pricing, coverage and contracting strategies to support the needs of patients and their clinicians, that ultimately drive business growth, profitability and performance • Lead payor contracting strategy within the assigned geography/payors by identifying opportunities to obtain new contracts and/or improve rates and terms in existing contracts with regional payors, national payors, Managed Medicaid (MCOs), Lab Benefit Managers (LBMs), etc. • Drive the expansion of payor medical policies, conveying the latest evidence and guidelines to payor accounts, focusing on exome and genome sequencing. • Collaborate with cross-functional teams, including Revenue Cycle Management (RCM), Legal, Training, Sales, and Marketing, aligning efforts for successful contract implementation. • Guide the RCM team on changing payor requirements that may impact reimbursement success. • Provide subject matter expertise in the following areas: professional society guidelines, health technology assessments, relevant published evidence, lab benefit management programs, medical policies, state legislation, and other regulations and market trends that may have business impact. • Proactively share insights based on payor data and drive solutions to address opportunities to improve reimbursement success. • Provide strategic Market Access guidance to the GeneDx field sales team within the assigned geography to achieve volume and revenue targets. • Identify and develop opportunities for strategic payor partnerships that will further the GeneDx position as a market leader in genomics. • Establish partnerships with external stakeholders such as advocacy groups, health systems, state legislators, and key opinion leaders who may help accelerate policy change efforts. • Serve as the payor-expert, advising internal business leads across your geography and beyond, based on your deep knowledge of the current and future payor landscape. • Solve complex business problems on behalf of GeneDx, leveraging internal and external resources to devise effective solutions

🎯 Requisitos

• 10+ years of Market Access experience, preferably in molecular diagnostics • 5+ years of experience in genomics is strongly preferred • Demonstrated experience with indirect networks, including IPAs • Demonstrated experience managing a large national payor, such as UnitedHealthcare • Bachelor’s degree or higher in related field • Proven track record of influencing payor medical policies • Strong executive presence with a solution-oriented mindset • Demonstrated ability to simplify and communicate complex information • Strong analytical, communication, and interpersonal skills • Highly adaptable in a rapidly changing environment • Ability to travel for business-critical meetings (up to 20% of the time)

🏖️ Benefícios

• Health insurance • 401(k) matching • Paid time off • Remote work options