Director, Market Access

Lucid Diagnostics; United States; Remote; USD 80,000 - 140,000; Full time

Job summary

An established industry player is seeking a motivated Market Access Director to lead the charge in securing favorable medical policies and in-network contracts. This remote role offers the opportunity to engage with various health plans and payers, driving innovative strategies for reimbursement of cutting-edge diagnostic technologies. You'll collaborate with cross-functional teams to present data-driven insights, ensuring the success of market access initiatives. If you are passionate about improving healthcare quality and have a strategic mindset, this role could be your perfect fit in a dynamic and collaborative environment.

Qualifications

• 2-5 years of experience in market access or payer contracting in diagnostics.
• Strong understanding of payer requirements and reimbursement processes.

Responsibilities

• Lead in-network contracting and negotiations with payers for EsoGuard.
• Develop and execute market access strategies to increase coverage.

Skills

Negotiation Skills

Communication Skills

Problem-Solving Abilities

Market Access Strategy

Data Analysis

Relationship Management

Healthcare Reimbursement Knowledge

Education

Bachelor’s degree in life sciences, healthcare, business

Advanced degree (MBA, MHA)

Job description

Market Access Director
Location: Remote
Reports To: Vice President, Market Access & Reimbursement

We are seeking a highly motivated Market Access Director to take ownership of securing positive medical policy decisions and driving in-network contracts with regional and national payers for our diagnostic laboratory. This role will be responsible for ongoing strategic innovation, cross-functional collaboration, and the execution of new coverage & reimbursement strategies. This role will engage with health plans, ACOs, IDNs, VA/DoD, and other risk-bearing payers to drive positive policy coverage for Lucid Diagnostics’s proprietary technology. This remote position does not have any direct reports and reports directly into the VP, Market Access and Reimbursement.

Lucid Diagnostics Inc. is a commercial-stage, cancer prevention medical diagnostics company and subsidiary of PAVmed Inc. (Nasdaq: PAVM). Lucid is focused on the millions of patients with gastroesophageal reflux disease (GERD), also known as chronic heartburn, who are at risk of developing esophageal precancer and cancer. Lucid's EsoGuard Esophageal DNA Test, performed on samples collected in a brief, noninvasive office procedure with its EsoCheck Esophageal Cell Collection Device, represent the first and only commercially available tools designed with the goal of preventing cancer and cancer deaths through widespread, early detection of esophageal precancer in at-risk patients.

Our work environment is fast paced, with a collaborative atmosphere. Most of all, we are passionate about delivering innovations that improve the quality of healthcare and the patient’s experience.

Job Responsibilities:

• Medical Policy Development: Advocate for the creation and adoption of positive medical policies with payers, laboratory management companies, and technology assessors that support the reimbursement of EsoGuard.
• In-Network Contracting: Lead and drive the in-network contracting process with regional and national payers, ensuring EsoGuard is included in payer networks, and achieving favorable reimbursement rates.
• Payer Negotiations: Lead negotiations with insurance companies, including commercial payers, Medicare, Medicaid, lab benefit management companies, and other third-party payers, to secure favorable reimbursement terms for EsoGuard.
• Market Access Strategy Execution: Develop and execute regional and national market access strategies & target pipeline aimed at increasing payer coverage for EsoGuard.
• Stakeholder Relationships: Build and maintain strong, productive relationships with key decision-makers at payer organizations, including medical directors, reimbursement specialists, and policy makers.
• Data-Driven Approach: 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 our EsoGuard.
• Competitive Intelligence: Monitor competitor strategies and market dynamics to identify opportunities and threats in payer contracting and medical policy. Use insights to inform strategy and stay ahead in the market.
• Internal Collaboration: Partner with sales, marketing, clinical, and regulatory teams to ensure alignment on market access priorities and provide insights that help shape the broader strategy.
• Reporting and Metrics: Track and report progress on payer negotiations, market access goals, and key performance metrics to senior leadership, ensuring visibility into success and areas requiring further attention.

Job Qualifications and Skills:

• 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 industry.
• Proven experience in driving in-network contracting and securing positive medical policies with regional and national 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 25% of the time.
• Excellent negotiation and communication skills.
• Strong problem-solving abilities to resolve complex payer issues.
• Knowledge of healthcare reimbursement systems, including commercial payers, Medicare, Medicaid, and government programs.
• Ability to present clinical and economic evidence in a clear, compelling manner.
• Ability to analyze payer trends, competitive dynamics, and market access opportunities to inform strategy.
• Strategic mindset with the ability to work independently and drive results.
• Self-motivated, goal-oriented, and results-driven with strong attention to detail.
• Ability to adapt to the fast-changing healthcare and reimbursement environment.
• Strong interpersonal skills with the ability to build relationships and influence key decision-makers.
• Experience with sole-sourced diagnostic tests.

PAVmed Inc. and its subsidiaries are committed to creating a diverse work environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. We are also committed to compliance with all fair employment practices regarding citizenship and immigration status.