Director of Payer Relations – National Accounts

🕒 April 24

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Cyted Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🧬 Biotechnology

Healthcare • Healthcare Insurance • Biotechnology

Cyted Health is redefining digestive health by pioneering non-endoscopic diagnostics, enabling early detection of diseases and providing access to care for everyone, everywhere. The company's commitment to transforming access to digestive health underscores its innovative approach within the healthcare sector.

📋 Description

• Develop and execute US payer relations and national account strategies to achieve reimbursement, coverage, and patient access goals. • Establish strategies and tactics to secure favourable coverage policies and payment contracts with commercial payers. • Lead efforts to establish and optimize coding, coverage, and payment pathways for Cyted’s molecular diagnostic portfolio. • Monitor federal and state healthcare policy developments and assess their impact on access strategy and business objectives. • Identify reimbursement risks and opportunities, proactively shaping mitigation and growth plans. • Define access KPIs and track performance against coverage, payment, and revenue targets. • Build and maintain strong relationships with payers, LBMs, IDNs, IDN finance structures, Medicare, Medicaid, VA, DoD, and other relevant stakeholders. • Lead payer engagement plans across national and regional accounts, aligning access strategy to key health system priorities. • Represent the company in payer meetings, contract discussions, industry conferences, and relevant forums. • Partner with national and regional accounts to remove reimbursement barriers and accelerate pull through. • Create and communicate clear payer value propositions supported by clinical and health economic evidence. • Develop health economic models, reimbursement dossiers, and other payer facing materials tailored to decision makers. • Support commercial teams and key accounts with reimbursement education and structured problem solving. • Collaborate cross functionally with Sales, Marketing, Medical Affairs, Regulatory, and Finance to align access strategy with commercial and launch goals. • Ensure payer insights inform evidence generation, messaging, and product positioning decisions.

🎯 Requirements

• A bachelor's degree in Health Policy, Business, Life Sciences, or a related field; advanced degree (MPH, MBA, etc.) preferred. • 8-10+ years of experience in market access, reimbursement, or managed care within the US healthcare system. • Proven track record in securing reimbursement and access for medical devices, molecular diagnostics, or therapies. • Established relationships with key payer stakeholders, including LBMs, IDNs, IDNFS and CMS. • Deep knowledge of US reimbursement processes, including CMS and private payer systems. • Strong communication, negotiation, and presentation skills. • Ability to synthesize complex clinical and economic data into compelling, payer-relevant narratives. • Willingness to travel as required (up to 50%). • Expertise in US reimbursement and health policy landscape. • Strong negotiation and relationship-building skills. • Strategic mindset with ability to execute tactically. • Experience working within molecular diagnostics, or related medical technology sectors. • Strong understanding of health economics and outcomes research (HEOR) principles.

🏖️ Benefits

• 401(k) Safe Harbor Plan with employer match: Dollar-for-dollar match on the first 1% 50 cents on the dollar up to 6% • Access to the company's medical insurance with company contributions of up to $1000/month • Access to self-pay vision and dental insurance options • Life Insurance: 3x your annual base earnings, employer-paid • Long-Term Disability (LTD): 60% of base salary up to $10,000/month • Short-Term Disability (STD): 60% of salary up to $2,500/week for up to 13 weeks • Employee Assistance Program (EAP): Full access to our EAP platform including courses and resources to support your wellbeing • 20 vacation days per year • 8 sick days • 8 paid holidays • Parental Leave: 6 weeks fully paid primary caregiver leave 2 weeks fully paid secondary caregiver leave • Holiday Purchase Scheme: Buy up to 5 extra vacation days per year • Annual CPD Allowance: $1,000 per year for professional development activities relevant to your role • Regular Company Events: Including summer and holiday parties, team socials, and more