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Director, Market Access – CMS Coverage & Reimbursement Policy
Illumina · US - Washington DC - Remote · Posted 10 days ago
Set the company's Medicare coverage and reimbursement strategy for genomic sequencing and genetic testing, shaping national policy with CMS and MACs.
The Director, Market Access – CMS Coverage & Reimbursement Policy will lead the company's strategy for Medicare coverage, coding, reimbursement, and federal payment policy affecting genomic sequencing and genetic testing. This individual will serve as the company's primary expert on CMS coverage policy, Medicare Administrative Contractors (MACs), coding processes, reimbursement methodologies, and federal regulatory developments impacting access to genomic sequencing and genetic testing.
Working closely with Government Affairs, Medical Affairs, HEOR, Clinical Affairs, Regulatory Affairs, and Commercial teams, this leader will develop evidence-based strategies that improve Medicare beneficiary access while shaping national reimbursement policy.
Responsibilities
- Lead Medicare market access strategies for genomic sequencing and genetic testing.
- Develop strategies for NCDs, LCDs, MolDx, MAC engagement, CLFS pricing, CPT/PLA coding, and reimbursement.
- Monitor CMS rulemaking and federal reimbursement policy developments.
- Partner with Government Affairs on federal advocacy and policy initiatives.
- Collaborate with Medical Affairs and HEOR to develop evidence supporting Medicare coverage.
- Represent the company with CMS, Medicare contractors, and industry organizations.
Requirements
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This role centers on Medicare Reimbursement, Cms Coverage Policy, Mac Engagement, and Ncds. There are 164 open roles at Illumina right now.
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