Director, Medicare Market Access & Reimbursement Policy

Illumina, Inc.; United States; Remote; USD 187,000 - 281,000; Full time

Benefits offered by this job

Health/dental/vision benefits

Retirement benefits

Paid time off

Job summary

Illumina, Inc. is seeking a Director of Market Access to lead Medicare coverage and reimbursement policy for genomic sequencing and genetic testing.

This role will drive national strategy, engage CMS, MACs, and MolDx, and partner across Government Affairs, Medical Affairs, and HEOR to strengthen access. The position requires 10+ years in Medicare policy with proven ability to influence coverage, coding, and pricing, while communicating effectively with executives and stakeholders.

Qualifications

• 10+ years of experience in Medicare reimbursement, federal health policy, or market access.
• Demonstrated experience leading Medicare coverage and reimbursement strategies for genomic sequencing, genetic testing, molecular diagnostics, precision medicine, or other advanced diagnostic technologies.
• Over 5 years of direct experience working with CMS, Medicare Administrative Contractors (MACs), MolDx, or other Medicare reimbursement and policy organizations.
• Demonstrated success influencing Medicare coverage, coding, pricing, or reimbursement policy.
• Deep knowledge of NCDs, LCDs, CLFS, CPT and PLA coding, gapfill and crosswalk pricing, and Medicare payment policy.
• Excellent policy analysis, stakeholder engagement, and executive communication skills.

Responsibilities

• Lead Medicare market access strategies for genomic sequencing and genetic testing.
• Develop strategies for NCDs, LCDs, MolDx, MAC engagement, 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.

Skills

Policy analysis

Stakeholder engagement

Executive communication

Education

Bachelor's degree

Advanced degree preferred (MPH, MHA, PharmD, PhD, JD, MBA, or equivalent)

Job description

Illumina, Inc. is seeking a Director of Market Access to lead Medicare coverage and reimbursement policy for genomic sequencing and genetic testing.

This role will drive national strategy, engage CMS, MACs, and MolDx, and partner across Government Affairs, Medical Affairs, and HEOR to strengthen access. The position requires 10+ years in Medicare policy with proven ability to influence coverage, coding, and pricing, while communicating effectively with executives and stakeholders.