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Vice President of Market Access, Reimbursement and Payer Strategy

Posted about 1 month agoViewed

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💎 Seniority level: Vp, Minimum of 10 years

📍 Location: United States

🔍 Industry: Molecular diagnostics, oncology

🏢 Company: SAGA Diagnostics👥 11-50💰 $12,436,626 Series A over 3 years agoBiotechnologyMedicalOncologyGenetics

🗣️ Languages: English

⏳ Experience: Minimum of 10 years

🪄 Skills: NegotiationCross-functional collaborationStrategic thinking

Requirements:
  • Bachelor’s degree in a relevant field is required; advanced degrees (MBA, MPH, PhD) 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.
  • Deep understanding of U.S. healthcare systems, including Medicare, Medicaid, and private payers.
  • Expertise in health economics, outcomes research, and value-based pricing strategies.
  • Familiarity with diagnostic reimbursement landscape, including CPT coding and coverage policies.
  • Exceptional strategic thinking, negotiation, and problem-solving skills.
  • Strong written and verbal communication skills.
Responsibilities:
  • Develop and implement comprehensive market access strategies to secure optimal reimbursement for tests across U.S. and international markets.
  • Identify and address market access barriers, ensuring clear communication of MRD testing's clinical and economic value.
  • Build relationships with payers, health systems, and stakeholders to negotiate favorable reimbursement policies.
  • Lead payer discussions presenting evidence-based value propositions for MRD diagnostics.
  • Oversee health economic models, budget impact analyses, and value dossiers for payer negotiations.
  • Advocate for policies supporting molecular diagnostics innovation and monitor regulatory changes.
  • Collaborate with R&D, clinical, regulatory, and commercial teams to align market access strategies.
  • Build and lead a high-performing market access team.
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