Senior Director, National Payer Accounts

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November 6

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Adaptive Biotechnologies Corp.

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Biotechnology • Healthcare Insurance • Pharmaceuticals

Adaptive Biotechnologies Corp. is a leader in immune-driven medicine, aiming to revolutionize disease detection and treatment. By utilizing the adaptive immune system, the company develops diagnostic and therapeutic solutions powered by its innovative Immune Medicine platform. They offer clinical diagnostics, particularly in Minimal Residual Disease (MRD) testing, and engage in drug discovery and therapeutic development through adaptive immunosequencing technologies. Their biopharma services support the progression of clinical trials and the development of transformative medicines. Adaptive Biotechnologies leverages the complex biology of the immune system, decoding it to advance medical science and improve patient outcomes.

501 - 1000 employees

Founded 2009

🧬 Biotechnology

⚕️ Healthcare Insurance

💊 Pharmaceuticals

💰 $125M Post-IPO Debt on 2022-09

📋 Description

• Set the payer strategy and vision for identified national and regional payer accounts; lead medical policy, coverage, and contracting approaches to expand access to clonoSEQ and future diagnostic tests developed by Adaptive. • Own the contract lifecycle with identified national and regional payers: negotiate, close, implement, and drive pull through-with clear operational handoffs and KPIs. • Integrate Adaptive solutions into payer value based care programs and clinical pathways; design pilots with payers and scale proven models across geographies and lines of business. • Build and deepen multilevel payer relationships (medical policy, contracting, clinical programs, HTAs/LBMs) and with organizations that influence payer decisions. • Develop account strategies for assigned payer targets; coach and direct the team to maximize coverage, pricing, and utilization outcomes. • Create contracting plans and forecasts; perform rate/volume/ROI modeling that reflects regulatory requirements and reimbursement risk scenarios. • Lead cross functional initiatives with Medical Affairs, Value & Access, Reimbursement Operations, Legal & Compliance, Sales and Strategic Accounts, Marketing, Regulatory/Quality, Data Analytics, and Account Operations. • Serve as executive point of contact for complex negotiations, aligning multiple decision makers and senior leadership to accelerate time to close. • Provide voice of payer insights to internal teams on policy trends, contract performance, denials drivers, and service levels; initiate corrective actions and content updates. • Partner with Field Sales/Strategic Accounts to align regional plans, deliver reimbursement training, identify KoL advocates for payer policy support, and enable adoption within assigned integrated healthcare systems. • Plan and host payer engagements (executive briefings, lab/site visits, advisory sessions); represent Adaptive at industry meetings, trade shows, and scientific forums. • Monitor industry, regulatory, scientific, and competitive developments and incorporate learnings into strategy, pricing, and external positioning. • Resolve payer account issues, mobilizing internal experts to remove barriers to coverage, pricing, and adjudication; escalate systemic issues with action plans. • Cultivate strategic external relationships (payer trade associations, professional societies, disease management organizations, employer/broker channels) to shape policy and pathway adoption. • Track and report performance (policy wins, contracts executed, covered lives, ASP/denial trends, cycle times) and adjust tactics based on results. • All other duties as assigned.

🎯 Requirements

• Bachelors in a scientific or business discipline + 17 years of related experience, or • Masters + 14 years of related experience, or • PhD + 10 years of related experience • 15+ years in the healthcare or laboratory industry, with deep expertise in market access, payer strategy, or managed care. • 5+ years of people management experience, including leading teams and developing talent. • Proven record of securing coverage policies and executing contracts with national and regional payers, including successful pull‑through. • Demonstrated experience with innovative molecular diagnostics, specialty oncology therapeutics (medical benefit), and/or medical device markets. • Established, influential relationships with key payer decision‑makers and industry stakeholders. • Consistent achievement of or exceeding defined goals; success in complex payer negotiations (e.g., disruptive innovation adoption, reversing contract terminations, improving rates, contracting for previously excluded services). • Ability to lead and work effectively across Medical Affairs, HEOR, Legal, Reimbursement, and Commercial teams in a fast‑paced, matrixed environment. • Strong project management, financial analysis, and communication skills; consultative selling expertise and relevant technical training.

🏖️ Benefits

• equity grant • bonus eligible • Travel Requirement (25%)