Senior VP, Payer Strategy and Reimbursement

November 25

⛷️ Utah – Remote

Although this job is listed in Utah, this company may be open to hiring remote in other states.

💵 $300.8k - $376k / year

⏰ Full Time

🟠 Senior

👔 Vice President

🦅 H1B Visa Sponsor

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Myriad Genetics

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Biotechnology • Pharmaceuticals • Healthcare Insurance

Myriad Genetics is a pioneer in the field of genetic testing and precision medicine, based in Salt Lake City, Utah. The company provides a wide range of genetic tests that help assess cancer risks, guide cancer treatment, inform prenatal care, and manage mental health conditions. Myriad Genetics aims to deliver life-changing insights through genetic testing, allowing healthcare providers and patients to make informed decisions to improve outcomes. Their offerings include tests for hereditary cancer risk, fetal sex prediction, chromosome conditions, and genetic diseases, leveraging over 30 years of expertise in genomics and personalized healthcare.

1001 - 5000 employees

Founded 1991

🧬 Biotechnology

💊 Pharmaceuticals

⚕️ Healthcare Insurance

📋 Description

• Develop and execute an enterprise-wide payer strategy to secure broad, sustainable coverage across commercial and government markets. • Lead payer contracting, negotiations, and relationship management with national and regional payers, and Lab Benefit Management organizations (LBM's). • Define and communicate Myriad’s payer value story, leveraging clinical evidence, health economics, and patient outcomes data. • Partner with Clinical, Medical Affairs, and Government Affairs to inform medical policy development and health technology assessments. • Oversee payer analytics, market insights, and economic modeling to guide pricing, coverage, and contract decisions. • Drive Myriad’s transition toward value-based payer relationships and reimbursement models. • Lead enterprise coding strategy including development of new code applications, ensuring value-based pricing, and driving coding policies that foster access and reimbursement. • Oversee enterprise reimbursement operations, including policy interpretation, appeals, and payer compliance. • Partner with Revenue Cycle leadership to optimize prior authorization, billing, collections, denials management, and yield improvement. • Ensure alignment between payer contracts, billing practices, and revenue realization processes. • Implement technology-driven process improvements and automation to improve speed, accuracy, and scalability. • Establish KPIs, dashboards, and performance metrics to monitor revenue cycle and reimbursement health. • Build and develop a high-performing team spanning payer relations, reimbursement policy, contract operations, and analytics. • Foster a culture of collaboration, accountability, and continuous improvement. • Serve as a strategic thought partner to the Executive Leadership Team (ELT) and commercial organization, influencing long-term payer strategy, product development, and financial planning.

🎯 Requirements

• 15+ years of experience in payer relations, reimbursement, or market access leadership within diagnostics, laboratory services, or health technology. • Proven success leading enterprise payer negotiations and reimbursement operations at scale. • Deep knowledge of payer economics, coding, coverage policy, and healthcare reimbursement frameworks. • Experience integrating strategy with execution across complex commercial and operational environments. • Demonstrated success leading high-performing teams and transforming functions for growth and efficiency. • Exceptional executive communication, stakeholder influence, and relationship management skills. • Bachelor’s degree required; MBA, MPH, or MHA strongly preferred.

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible work environment • Paid time off