Head of Payer Policy

NeoGenomics Laboratories; United States; On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

401k match

Tuition reimbursement

16 days paid time off plus holidays

Job summary

A leading cancer reference laboratory is seeking a Director, Payer Policy to drive favorable coverage and reimbursement for oncology diagnostics. This role requires 10 years of experience in payer relations, strong knowledge of coding, and a proven track record in navigating complex healthcare environments. The successful candidate will develop multi-year strategies to enhance NeoGenomics’ payer value story and work cross-functionally to ensure evidence development aligns with payer expectations. Competitive benefits and a focus on career development are offered.

Qualifications

• 10 years of experience required in payer relations, market access, reimbursement, or managed care leadership.
• Deep expertise in payer policy, coding, coverage frameworks, and reimbursement economics.
• Strong understanding of oncology testing, precision medicine, and regulatory pathways.

Responsibilities

• Develop and execute payer strategy for oncology diagnostics.
• Lead policy engagement and coverage advocacy.
• Oversee payer policy monitoring and ensure alignment of billing operations.

Skills

Payer relations

Market access

Reimbursement

Oncology testing

Precision medicine

Education

Bachelor’s degree in Business, Health Policy, Science, or related field

Advanced degree (MBA, MPH, MHA, MS, PharmD, PhD)

Job description

Overview

Are you motivated to participate in a dynamic, multi-tasking environment? Do you want to join a company that invests in its employees? Are you seeking a position where you can use your skills while continuing to be challenged and learn? Then we encourage you to dive deeper into this opportunity. We believe in career development and empowering our employees. Not only do we provide career coaches internally, but we offer many training opportunities to expand your knowledge base! We have highly competitive benefits with a variety of HMO and PPO options. We have company 401k match along with an Employee Stock Purchase Program. We have tuition reimbursement, leadership development, and even start employees off with 16 days of paid time off plus holidays. We offer wellness courses and have highly engaged employee resource groups. Come join the Neo team and be part of our amazing World Class Culture!

NeoGenomics is looking fora Director, Payer Policy who wants to continue to learn in order to allow our company to grow. Now that you know what we're looking for in talent, let us tell you why you'd want to work at NeoGenomics: As an employer, we promise to provide you with a purpose-driven mission in which you have the opportunity to save lives by improving patient care through the exceptional work you perform. Together, we will become the world's leading cancer reference laboratory.

Position Summary: The Director, Payer Policy is responsible for shaping, influencing, and executing NeoGenomics’ enterprise payer strategy to drive favorable coverage, positive payer policies, and improved reimbursement across commercial and Lab Benefit Management (LBM) organizations. This leader cultivates strategic relationships with national and regional health plans, advocates for patient access to precision oncology diagnostics, and ensures NeoGenomics’ portfolio is positioned for long-term reimbursement success. The Director works cross-functionally with Medical Affairs, Clinical, R&D, Managed Care, Legal, Compliance, Revenue Cycle, and Commercial teams to ensure evidence development and operational processes align to payer expectations and maximize financial performance. This role is central to shaping the company’s payer value story, informing evidence strategy, and serving as NeoGenomics’ external face to the payer community.

Core Responsibilities

• Develop and execute a multi-year payer strategy to secure broad, durable coverage for NeoGenomics’ oncology diagnostic portfolio
• Lead payer policy engagement, including proactive outreach, policy reviews, coverage advocacy, and targeted education on new and emerging technologies
• Define and communicate NeoGenomics’ payer value proposition, leveraging clinical evidence, HEOR, real-world data, and patient outcomes
• Partner with Medical Affairs, Clinical, and R&D to influence evidence plans needed to support positive coverage decisions
• Oversee payer policy monitoring and regulatory surveillance; communicate changes and recommended actions to internal stakeholders
• Ensure payer contracts, policies, and billing operations are fully aligned to maximize reimbursement yield and reduce leakage
• Advocate directly with payer Medical Directors, policy teams, and LBMs to support positive coverage and overturn restrictive decisions
• Develop and present scientifically grounded, evidence-based dossiers and materials tailored to payer needs
• Support preparation of clinical, economic, and outcomes evidence that strengthens the payer value story
• Build and maintain strategic, trust-based relationships with payer medical directors, policy leads, contracting leaders, and reimbursement teams
• Represent NeoGenomics at payer forums, trade associations, policy roundtables, and national reimbursement conferences
• Align payer policy strategies with commercial go-to-market planning and product launch readiness

Experience, Education and Qualifications

• Bachelor’s degree in Business, Health Policy, Science, or related field required
• Advanced degree (MBA, MPH, MHA, MS, PharmD, PhD) preferred
• 10 years’ experience required in of payer relations, market access, reimbursement, or managed care leadership, preferably within diagnostics, laboratory services, or biotech
• Deep expertise in payer policy, coding, coverage frameworks, and reimbursement economics
• Demonstrated experience influencing coverage decisions and navigating LBM organizations
• Strong understanding of oncology testing, precision medicine, and relevant regulatory pathways
• Proven track record of leading cross-functional teams in complex, matrixed environments
• Experience shaping evidence strategy and collaborating with Medical Affairs/HEOR teams preferred
• Experience in laboratory or diagnostic reimbursement environments preferred

Travel: As needed for conferences