Director, Market Access (Medicaid)

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 build and develop the payer value messages, core value dossiers, and technology evaluation assessments for both commercial and government payers. This position is key to establishing and maintaining dedicated partnerships with critical national payers such as UnitedHealthcare, Aetna, and BlueCross BlueShield Association. This position will have direct responsibility for working with payers to establish medical policy, value-based reimbursement, and contract management to maximize access for patients and providers to technology and services. This position requires frequent interactions with senior level medical directors, national account contracting directors, and the CareDx executive leadership team, for which exceptional communication and presentation skills are key.

Responsibilities:

• Will be responsible for articulating and selling the company value proposition to state Medicaide (FFS), Managed Medicaid Orginizations (MCOs) and some regional payers.
• Create unique synergies and partnerships that leverage the CareDx portfolio and accelerate patient access to our products and testing services.
• Will work collaboratively with company business units (Sales and Marketing), Medical Affairs, Market Access team members, and Government Affairs to provide value-based solutions to payers, to develop bespoke strategic partnerships including portfolio contracts featuring our first in class next generation testing services, patient support programs and telehealth programs.
• Proactively identify trends which may impact company business, and produce programs, both proactively, and in collaboration with aforementioned stakeholders
• Work closely with Outcomes Research to appropriately align Company value and economic messaging
• Will address any field coverage gap issues for CareDx products
• Will educate Medical Directors and other stakeholders on key initiatives that can help drive business (HEDISgrades for payers, ACO criteria, etc.)
• Will design and implement strategies leveraging clinical and cost data in order to negotiate favorable medical policy/coverage with national and regional payers
• Proactively offer and report on value and education around Payers, reimbursement, and the evolving Managed care and Health Care environment.

Skills and Capabilities:

• Must communicate quarterly on assigned accounts including, but not limited to: business plan current payer trends coverage gap issues/solutions
• An understanding of medical policies, state Medicaid fee for service, payer contracting, negotiating,
• Will be responsible for building a target list with each field representative where coverage gaps exist for CareDx products
• Will be responsible for building and maintaining internal CRM type system for payer contacts.
• Will be responsible for integrating marketing into daily initiatives and needs for the payer market.
• Execute CareDx portfolio presentation to assigned customers throughout executive leadership within all pertinentdepartments.
• Will effectively communicate both verbally, and written, to Executive Leadership Team, VPs, MarketingDirectors, Contracting Directors and Industry Leaders.
• Must be proficient in sophisticated power point design and presentation, excel and dossier development.

Additional Details:

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.

Our competitive Total Rewards package includes:

• Competitive base salary and incentive compensation
• Health and welfare benefits including a gym reimbursement program
• 401(k) savings plan match
• Employee Stock Purchase Plan
• Pre-tax commuter benefits
• And more!

In addition, we have a Living Donor Employee Recovery Policy that allows up to 30 days of paid leave annually to a full-time 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. Join us in partnering with transplant patients to transform our future together.

CareDx, Inc. is an Equal Opportunity Employer and participates in the E-Verify program.

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