Head of Market Access and Reimbursement

CareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers. CareDx offers products, testing services, and digital healthcare solutions along the pre- and post-transplant patient journey, and is the leading provider of genomics-based information for transplant patients.
The Director, Market Access will have direct responsibility for working with state Medicaid's and regional commercial payers to establish medical policy, innetwork status, reimbursement to maximize access of CareDx products for patients and providers. This position is key to establishing and maintaining dedicated partnerships with critical state Medicaid's and regional payers across the U.The position requires frequent interactions with senior level medical directors, state Medicaid medical directors, policy makers and their staff as well as the CareDx team, for which exceptional communication and presentation skills are key. The Director will also play a crucial role in developing tailored payer value messages and materials relevant to the Medicaid payer stakeholder as well as working with CareDx Patient Advocacy and Government Affairs.
Create unique synergies and partnerships that leverage the CareDx portfolio and accelerate patient access to our products and testing services.
Work collaboratively with company business units (Sales and Marketing), Medical Affairs, Market Access team members, Patient Advocacy, and Government Affairs to achieve new or improved coverage policies.
Design and implement strategies leveraging KOLs, Patient Advocacy Groups, state regulations, clinical and cost data in order to negotiate favorable medical policy/coverage with payers.
Lead and drive the in-network contracting with regional payers, negotiating favorable reimbursement rates and obtaining pricing on state Medicaid fee schedules.
Develop and execute state specific access strategies & target pipeline aimed at increasing payer coverage for CareDx products.
Build and maintain strong, productive relationships with key decisionmakers at payer organizations, including medical directors, reimbursement specialists, policy makers, administrators and staff.
Work closely with internal teams, including revenue cycle management, sales, and clinical, to gather and present relevant data to support reimbursement and policy decisions, demonstrating the value of CareDx products.
Monitor competitor strategies and market dynamics to identify opportunities and threats in payer contracting and medical policy. Partner with sales, marketing, clinical, and regulatory teams to ensure alignment on market access priorities and provide insights that help shape the broader strategy.
Bachelor's degree in life sciences, healthcare, business, or related field. Advanced degree (MBA, MHA, or equivalent) is a plus.
Minimum of 2-5 years of experience in market access, payer contracting, reimbursement strategy, or similar roles within the diagnostics or medical devices industry.
Proven experience in driving innetwork contracting and securing positive medical policies with state Medicaid's and regional payers.
Strong understanding of payer requirements, reimbursement processes, and coverage criteria for diagnostic products.
Ability to manage multiple payer relationships and projects simultaneously with a focus on achieving measurable results.
Must be able to travel at least 15% of the time.
Knowledge of healthcare reimbursement systems, including commercial payers, Medicaid, and government programs.
Ability to analyze payer trends, competitive dynamics, and market access opportunities to inform strategy.
Ability to adapt to the fastchanging healthcare and reimbursement environment.
Every individual at CareDx has a direct impact on our collective mission to improve the lives of organ transplant patients worldwide. We believe in taking great care of our people, so they take even greater care of our patients.
Health and welfare benefits, including a gym reimbursement program
~Employee Stock Purchase Plan
~ Living Donor Employee Recovery Policy
In addition, we have a Living Donor Employee Recovery Policy that allows up to 30 days of paid leave annually to a fulltime employee who makes the selfless act of donating an organ or bone marrow.
With products that are making a difference in the lives of transplant patients today and a promising pipeline for the future, it's an exciting time to be part of the CareDx team. LI-Remote
Remote: US only roles
$Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work, and this role may be eligible for additional discretionary bonuses/incentives and restricted stock units.