GeneDx (Nasdaq: WGS) delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug discovery. The company is uniquely positioned to accelerate the use of genomic and large-scale clinical information to enable precision medicine as the standard of care. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world’s largest, rare disease data sets. For more information, please visit www.genedx.com.

The Market Access Director (South) will grow existing and develop new GeneDx payor relationships across the region including select National Payors and Lab Benefit Managers (LBMs). You will secure favorable payor contracts, expand medical policy coverage for exome and genome sequencing, develop strategic payor partnerships, and serve as the voice of the payor at GeneDx. Your strategic efforts will shape our market presence and success by expanding patient access to a genetic diagnosis.

KEY RESPONSIBILITIES

Develop innovative access, pricing, coverage and contracting strategies to support the needs of patients and their clinicians, that ultimately drive business growth, profitability and performance
Lead payor contracting strategy within the assigned geography/payors by identifying opportunities to obtain new contracts and/or improve rates and terms in existing contracts with regional payors, national payors, Managed Medicaid (MCOs), Lab Benefit Managers (LBMs), etc.
Drive the expansion of payor medical policies, conveying the latest evidence and guidelines to payor accounts, focusing on exome and genome sequencing.
Collaborate with cross-functional teams, including Revenue Cycle Management (RCM), Legal, Training, Sales, and Marketing, aligning efforts for successful contract implementation.
Guide the RCM team on changing payor requirements that may impact reimbursement success.
Provide subject matter expertise in the following areas: professional society guidelines, health technology assessments, relevant published evidence, lab benefit management programs, medical policies, state legislation, and other regulations and market trends that may have business impact.
Proactively share insights based on payor data and drive solutions to address opportunities to improve reimbursement success.
Provide strategic Market Access guidance to the GeneDx field sales team within the assigned geography to achieve volume and revenue targets.
Identify and develop opportunities for strategic payor partnerships that will further the GeneDx position as a market leader in genomics.
Manage vendor relationships with the Market Access Team (e.g. DRG, Policy Reporter, etc.)
Establish partnerships with external stakeholders such as advocacy groups, health systems, state legislators, and key opinion leaders who may help accelerate policy change efforts.
Serve as the payor-expert, advising internal business leads, based on your deep knowledge of the current and future payor landscape.
Solve complex business problems on behalf of GeneDx, leveraging internal and external resources to devise effective solutions.

QUALIFICATIONS

10+ years of Market Access experience, preferably in molecular diagnostics
5+ years of experience in genomics is strongly preferred
Demonstrated experience working with California payors, including IPAs
Bachelor’s degree or higher in related field
Proven track record of influencing payor medical policies
Strong executive presence with a solution-oriented mindset
Demonstrated ability to simplify and communicate complex information.
Strong analytical, communication, and interpersonal skills
Highly adaptable in a rapidly changing environment
Ability to travel for business-critical meetings (up to 20% of the time)

Pay Transparency, Budgeted Range

$190,000—$220,000 USD

Science - Minded, Patient - Focused.

At GeneDx, we create, follow, and are informed by cutting-edge science. With over 20 years of expertise in diagnosing rare disorders and diseases, and pioneering work in the identification of new disease-causing genes, our commitment to genetic disease detection, discovery, and diagnosis is based on sound science and is focused on enhancing patient care.

Experts in what matters most.

With hundreds of genetic counselors, MD/PhD scientists, and clinical and molecular genomics specialists on staff, we are the industry’s genetic testing experts and proud of it. We share the same goal as healthcare providers, patients, and families: to provide clear, accurate, and meaningful answers we all can trust.

SEQUENCING HAS THE POWER TO SOLVE DIAGNOSTIC CHALLENGES.

From sequencing to reporting and beyond, our technical and clinical experts are providing guidance every step of the way:

TECHNICAL EXPERTISE

High-quality testing: Our laboratory is CLIA certified and CAP accredited and most of our tests are also New York State approved.
Advanced detection: By interrogating genes for complex variants, we can identify the underlying causes of conditions that may otherwise be missed.

CLINICAL EXPERTISE

Thorough analysis: We classify variants according to our custom adaptation of the most recent guidelines. We then leverage our rich internal database for additional interpretation evidence.
Customized care: Our experts review all test results and write reports in a clear, concise, and personalized way. We also include information for research studies in specific clinical situations.
Impactful discovery: Our researchers continue working to find answers even after testing is complete. Through both internal research efforts and global collaborations, we have identified and published hundreds of new disease-gene relationships and developed novel tools for genomic data analysis. These efforts ultimately deliver more diagnostic findings to individuals.

Learn more About Us here.

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Benefits include:

Paid Time Off (PTO)
Health, Dental, Vision and Life insurance
401k Retirement Savings Plan
Employee Discounts
Voluntary benefits

GeneDx is an Equal Opportunity Employer.

All privacy policy information can be found here.