Director, Medicare Market Access & Reimbursement Strategy

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

Benefits offered by this job

Health benefits

Retirement benefits

Paid time off

Job summary

Illumina is seeking a Director, Market Access – CMS Coverage & Reimbursement Policy to lead Medicare coverage, coding, and reimbursement strategies for genomic sequencing and genetic testing. You will act as the primary CMS policy expert, guiding MAC engagement, CLFS pricing, and regulatory developments affecting access to genomic testing.

You will collaborate with Government Affairs, HEOR, Clinical Affairs, and Regulatory teams to develop evidence-based strategies that improve beneficiary

Qualifications

• Bachelor’s degree required; advanced degree preferred.
• 10+ years of experience in Medicare reimbursement, federal health policy, or market access.
• Demonstrated experience leading Medicare coverage and reimbursement strategies for genomic sequencing or molecular diagnostics.
• 5+ years working with CMS, MACs, MolDx, or related Medicare policy organizations.

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.
• Collaborate with Medical Affairs and HEOR to develop evidence supporting Medicare coverage.
• Represent the company with CMS, Medicare contractors, and industry organizations.

Skills

Medicare reimbursement

Federal health policy

Market access

CMS policy

Coding & pricing (CPT/PLA)

Stakeholder engagement

Executive communication

Education

Bachelor’s degree

Advanced degree (MPH/MHA/PharmD/PhD/JD/MBA)

Job description

Illumina is seeking a Director, Market Access – CMS Coverage & Reimbursement Policy to lead Medicare coverage, coding, and reimbursement strategies for genomic sequencing and genetic testing. You will act as the primary CMS policy expert, guiding MAC engagement, CLFS pricing, and regulatory developments affecting access to genomic testing.

You will collaborate with Government Affairs, HEOR, Clinical Affairs, and Regulatory teams to develop evidence-based strategies that improve beneficiary