Vice President of Market Access, Reimbursement and Payer Strategy

22 hours ago

🇺🇸 United States – Remote

🌲 North Carolina – Remote

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

⏰ Full Time

🔴 Lead

👔 Vice President

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SAGA Diagnostics

WebsiteLinkedInAll Job Openings

Cancer companion diagnostics • Circulating tumor DNA analysis • Tissue analysis • Actionable mutations • Mutation screening

11 - 50 employees

🧬 Biotechnology

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Description

• The Vice President (VP) of Market Access will be a key member of the leadership team, responsible for the development and execution of market access strategies to maximize the adoption, coverage and reimbursement of the company’s oncology diagnostics portfolio. • This role will involve navigating complex healthcare ecosystems, engaging with payers, providers, and policymakers, and ensuring that patients and healthcare providers can access our products. • Develop and implement comprehensive market access strategies to secure optimal reimbursement for our tests across public and private payers in the U.S. and, where applicable, international markets. • Proactively identify and address market access barriers, ensuring the clinical and economic value of MRD testing is clearly communicated. • Build and maintain relationships with key payers, health systems, and other stakeholders to negotiate favorable coverage and reimbursement policies. • Lead discussions and negotiations with payers, presenting evidence-based value propositions for MRD diagnostics. • Oversee the development of health economic models, budget impact analyses, and value dossiers to support payer negotiations and demonstrate the effectiveness and cost-effectiveness of MRD testing. • Work with policymakers and industry organizations to advocate for policies that support innovation and adoption of molecular diagnostics. • Partner with R&D, clinical, regulatory, and commercial teams to align market access strategies with product development and launch plans. • Build, mentor, and lead a high-performing market access team, fostering a collaborative and results-oriented culture. • Support the commercial team in developing pricing strategies and access programs that reflect the value of MRD tests.

Requirements

• Education: Bachelor’s degree in a relevant field is required. Advanced degrees (MBA, MPH, PhD, or equivalent) in business, health economics, public health, or a related discipline are strongly preferred. • Minimum of 10 years of leadership experience in market access, reimbursement, or payer strategy, preferably in molecular diagnostics or oncology. • Proven track record of successful market access strategy development and execution for high-value diagnostics. • Deep understanding of U.S. healthcare systems, including Medicare, Medicaid, and private payers, and their reimbursement mechanisms. • Expertise in health economics, outcomes research, and value-based pricing strategies. • Familiarity with the diagnostic reimbursement landscape, including CPT coding, coverage policies, and payment systems. • Exceptional strategic thinking, negotiation, and problem-solving skills. • Proven ability to lead and inspire cross-functional teams in a dynamic, fast-paced environment. • Strong written and verbal communication skills, with the ability to convey complex market access concepts to diverse audiences. • Experience presenting to executive leadership, payers, and other external stakeholders. • Experience with oncology diagnostics, specifically MRD testing. • Established relationships with U.S. payers and key stakeholders in oncology diagnostics reimbursement. • Knowledge of international reimbursement pathways and global market access challenges.

Benefits

• Generous benefits package including medical, dental, vision, FSA, HRA, and paid parental leave. • Membership to SAGA’s Equity scheme.