Director, Market Access – Commercial Coverage, Reimbursement

🔥 3 minutes ago

🇺🇸 United States – Remote

💵 $187.4k - $281k / year

⏰ Full Time

🔴 Lead

👔 Director

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Illumina

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1998

🏥 Healthcare

💼 Consulting

🏭 Manufacturing

💰 $750M Post-IPO Debt on 2023-01

Healthcare • Consulting • Manufacturing

Illumina is a leading company in the genomics field, providing innovative technologies for the analysis of genetic variation and function. They offer a wide range of products and services, including sequencing platforms, microarray technology, library preparation kits, bioinformatics software, and comprehensive genomic solutions. Illumina's next-generation sequencing platforms are used for various research and clinical applications, such as cancer research, reproductive health, and genetic disease detection. The company is dedicated to improving human health by enabling researchers and clinicians to accelerate their genomic discoveries and applications, ultimately impacting precision medicine and life sciences globally.

📋 Description

• Develop and execute commercial payer strategies for new and existing genomic sequencing and genetic testing products • Lead engagement with national and regional commercial insurers to secure favorable coverage policies • Build relationships with medical directors, laboratory benefit managers (LBMs), reimbursement leaders, and payer policy teams • Partner with HEOR and Medical Affairs to develop clinical and economic evidence supporting payer adoption • Monitor commercial payer policies, reimbursement trends, and utilization management practices • Support product launches by developing payer value propositions and access strategies • Collaborate with Government Affairs to align commercial and public payer strategies • Serve as the company's commercial payer subject matter expert • Work cross-functionally with Medical Affairs, HEOR, Clinical Affairs, Government Affairs, Commercial, and Legal to improve patient access and support business growth

🎯 Requirements

• Bachelor's degree required; advanced degree preferred (MBA, MPH, MHA, PharmD, PhD, or equivalent) • Typically requires 18+ years of healthcare market access experience • Experience leading commercial payer market access strategies for genomic sequencing, genetic testing, molecular diagnostics, precision medicine, or other advanced diagnostic technologies • Direct experience working with national and regional commercial health plans, including medical directors, reimbursement leaders, laboratory benefit managers (LBMs), and payer policy teams • Demonstrated success securing or influencing commercial payer coverage, reimbursement, and utilization policies • Strong understanding of commercial payer medical policy development, evidence requirements, prior authorization, coding, and reimbursement • Excellent strategic planning, executive communication, and cross-functional leadership skills • Approximately 30–40% travel • Must not require visa sponsorship; this role is not eligible for visa sponsorship

🏖️ Benefits

• Variable cash program eligibility (bonus or commission) • Equity eligibility for eligible roles • Access to genomics sequencing • Family planning benefits • Health, dental, and vision benefits • Retirement benefits • Paid time off • Employee Resource Groups offering career development experiences, cultural awareness, and social responsibility opportunities

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