Senior Manager / Associate Director, Market Access & Reimbursement

🔥 30 minutes ago

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Cleveland Diagnostics

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2013

🧬 Biotechnology

🏥 Healthcare

🔥 Funding within the last year

💰 $14.4M Funding Round - Cleveland Diagnostics on 2025-10

Biotechnology • Healthcare

Cleveland Diagnostics is a molecular diagnostics company developing blood-based cancer tests using its IsoClear™ platform, which measures structural differences in proteins to determine whether biomarkers originated in cancer cells. Their first commercial test, IsoPSA, aims to improve prostate cancer decision-making by identifying risk of high-grade disease and can reduce unnecessary prostate biopsies; the IsoPSA test is offered as a laboratory-developed test (LDT) performed in CLIA-certified, high-complexity laboratories and has not been FDA-cleared.

📋 Description

• Refine coverage, coding, and payment strategies for existing and new products for both public and private payors. • Secure unique CPT, PLA, or ICD-10 diagnostic codes as needed. • Create and refine compelling, evidence-based payor value dossiers and other marketing materials for public and private payers. • Align clinical trial endpoints to address payer evidence requirements, including cost effectiveness modeling and clinical utility studies. • Work with CDx Billing to analyze market and payor trends, broad policy changes, and other reimbursement dynamics. • Build relationships with medical directors at regional and national commercial health plans, as well as at Medicare Administrative Contractors (MACs). • Present clinical and economic data to secure positive coverage policies. • Partner with health economics firms to build cost-effectiveness models. • Work with CDx Marketing to mobilize patient advocacy groups and clinicians to support coverage. • Advise CDx R&D and Clinical teams on clinical utility study design. • Monitor changes among healthcare compliance standards and train internal sales teams on billing and prior authorization processes. • Coordinate with CDx Sales leadership to inform the team about new coverage policies and contracting developments.

🎯 Requirements

• 10+ years healthcare industry experience • 7+ years in reimbursement and market access, with a strong preference for diagnostics experience in the oncology field • Bachelor’s degree or advanced degree in related field • Prior success in market access across both LDT or IVD products • Deep understanding of HEOR, managed care, and health policies • Proven ability to thrive in ambiguous environments • Strong communication skills, demonstrated ability to work cross-functionally, and internal relationship-building.

🏖️ Benefits

• 100% Employer-paid medical for single coverage effective on your date of hire and 50% employer-paid medical for spouse/dependent coverage • 100% Employer-paid Dental & Vision for entire family • No cost for employee coverage for Group Term Life, Short & Long Term Disability • 4% retirement contribution Employer match • Incentive Performance Plan & Stock Option Program & Commission (Sales Account Execs) • Paid Family Leave Program • Generous PTO plan & holiday program • Flexible work schedule & lucrative employee referral program • Easy to get to office location with newly built-out office space • Free coffee, snacks and other goodies all day long