Director, Medicare Market Access & Reimbursement Strategy

Illumina; Washington (District of Columbia); Hybrid; USD 187,000 - 281,000; Full time

Job summary

Illumina is expanding access to genomic technology to realize health equity for billions of people worldwide. The role directs Medicare market access strategies for sequencing and testing, collaborating with CMS, MACs, and policy teams to shape coverage and reimbursement.

We seek a senior leader with a strong track record in Medicare policy, CPT/PLA coding, and pricing strategy who can navigate federal reform, engage stakeholders, and communicate insights to executives.

Qualifications

• Bachelor's degree required; advanced degree preferred (MPH, MHA, PharmD, PhD, JD, MBA, or equivalent).
• 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.
• Ideal candidates would have worked at CMS.
• 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, 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.

Skills

Policy analysis

Stakeholder engagement

Executive communication

CMS experience

Medicare policy understanding

Education

Bachelor's degree required

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

Job description

Illumina is expanding access to genomic technology to realize health equity for billions of people worldwide. The role directs Medicare market access strategies for sequencing and testing, collaborating with CMS, MACs, and policy teams to shape coverage and reimbursement.

We seek a senior leader with a strong track record in Medicare policy, CPT/PLA coding, and pricing strategy who can navigate federal reform, engage stakeholders, and communicate insights to executives.