Director, Market Access & Reimbursement - Diagnostics

Remote

San Francisco (CA)

Hybrid

USD 180,000 - 280,000

Full time

3 days ago
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Job summary

DELFI Diagnostics, Inc. invites a Director/Senior Director of Market Access & Reimbursement to own the US access strategy end-to-end for DELFI's product lines.

Translate clinical and health-economic evidence into coding, coverage, and payment strategies to place our early cancer detection tests into patient care. This role is hands-on, requiring deep CMS/Medicare expertise, strategic payer engagement, and the ability to build a scalable market access function while collaborating with Medical

Qualifications

  • Bachelor's degree with extensive market access experience in diagnostics, medical devices, or pharma.
  • Deep CMS/Medicare expertise and familiarity with payer pathways.
  • Proven ability to secure coverage with CMS and U.S. payers.
  • Strong CPT/HCPCS/ICD-10 coding and payer policy knowledge.
  • Hands-on leader capable of starting without a large team.

Responsibilities

  • Own and execute U.S. market access and reimbursement strategy across product lines.
  • Serve as subject-matter expert on CMS/Medicare processes and pricing pathways.
  • Develop coverage strategies with Medicare, regional payers, and VA.
  • Build formal reimbursement plans for new launches and value-based options.
  • Collaborate with Medical Affairs, Clinical, Regulatory, and HE to align evidence needs.
  • Ensure compliant payer engagement with Legal/Compliance.
  • Identify health-economic evidence gaps and translate needs into studies.
  • Engage payers and health technology assessment bodies to shape coverage policies.
  • Establish tools, processes, and networks to scale the function and build a team.

Skills

CMS/Medicare expertise
Payer policy knowledge
Coding (CPT/HCPCS/ICD-10)
Strategic reimbursement planning
Stakeholder negotiation
Communication & influencing

Education

Bachelor's degree
Master's degree

Job description

DELFI Diagnostics, Inc. invites a Director/Senior Director of Market Access & Reimbursement to own the US access strategy end-to-end for DELFI's product lines.

Translate clinical and health-economic evidence into coding, coverage, and payment strategies to place our early cancer detection tests into patient care. This role is hands-on, requiring deep CMS/Medicare expertise, strategic payer engagement, and the ability to build a scalable market access function while collaborating with Medical

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