Remote Director/Senior Director

Summary

Join BillionToOne's team as a Director or Sr. Director of Market Access, Policy Development Oncology to develop and implement policy and coverage strategies to gain access and acceptable reimbursement with all payors.

Requirements

• An advanced degree (GC along with PhD or MD) in a relevant scientific or health discipline
• Proven experience in the full lifecycle development of MolDX Local Coverage Determinations (LCDs)
• 3 to 5 years of experience as a Medical Science Liaison or in a similar role within oncology
• 3 to 5 years of experience in developing local coverage determinations and medical policies for emerging technologies
• Expertise in articulating scientific insights in discussions with health insurance companies, Laboratory Benefit Managers, and other technical assessment bodies
• A track record of establishing and nurturing relationships with key stakeholders within health plans, including Medical Directors and policy teams
• Documented relationships and collaboration with NCCN on clinical guidelines

Responsibilities

• Demonstrate a deep understanding of reimbursement, healthcare policy, CMS, and MolDX processes to inform policy development
• Spearhead the creation of medical policies for Northstar Select™, Northstar Response™, and forthcoming oncology products
• Collaborate with Directors of Market Access to design and execute strategies that secure coverage and payment for innovative technologies
• Implement proactive and comprehensive strategies focused on CMS and MolDX to optimize reimbursement
• Partner with the Revenue Cycle Management (RCM) team to ensure that BillionToOne capitalizes on revenue opportunities while maintaining alignment with reimbursement guidelines
• Continuously monitor CMS and HHS agency activities that may impact BillionToOne’s public policy landscape
• Analyze existing and emerging payer policies, market trends, pricing strategies, and barriers to provider and patient access
• Engage cross-functionally with commercial, medical affairs, communications, patient advocacy, and other Corporate Affairs teams to drive business objectives
• Collect and synthesize stakeholder feedback for interaction with health technology assessment agencies, NCCN, payers, and patient associations
• Maintain an informed perspective on the translational medicine, oncology, companion diagnostics, and pharmaceutical services markets, including competitive dynamics and payer challenges

Benefits

• Multiple medical benefit options; employee premiums paid 100% of select plans, dependents covered at 80%
• Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%)
• Retirement savings program including a 4% Company match
• Free daily on-site lunches provided from top eateries
• Latest and greatest hardware (laptop, lab equipment, facilities)
• A variety of perks on campus (state of the art gym, restaurant)
• Free on-site EV charging (compatible with all EVs, including Tesla)