Healthcare Market Access Counsel

Veracyte; South San Francisco (CA); Hybrid; USD 152,000 - 216,000; Full time

Job summary

Veracyte, Inc. is seeking an experienced Healthcare & Market Access Counsel to serve as a senior legal advisor supporting Market Access, Reimbursement, and Commercial teams.

You will lead payer contracting strategies, navigate regulatory requirements, and develop practical solutions to improve patient access to our diagnostic solutions. You will partner with senior leaders to shape payer strategies, review and negotiate complex agreements, and ensure compliance with healthcare laws.

Qualifications

• 5+ years of relevant legal experience in healthcare law, market access, or payer contracting.
• Experience reviewing and negotiating contracts with private payors, health plans, or managed care organizations.
• Strong understanding of U.S. healthcare reimbursement and coding systems.
• Ability to translate complex legal issues into actionable business guidance.
• Strong collaboration and communication across cross-functional teams.

Responsibilities

• Lead legal strategy on payer contracting, reimbursement, coverage, and market access matters.
• Draft and negotiate complex agreements with private payors.
• Provide proactive counsel on payer strategy and market access opportunities and risks.
• Develop practical recommendations translating regulatory requirements into business actions.
• Support reimbursement and appeals strategies with stakeholders across teams.
• Advise on compliance with federal and state healthcare laws and regulations.
• Assess payer policies and contractual provisions for legal and business risk.
• Provide clear legal guidance to enable business objectives while managing risk.
• Develop frameworks, playbooks, templates, and scalable processes for contracting activities.
• Deliver training on payer contracting, reimbursement requirements, and evolving market access considerations.
• Monitor changes in healthcare regulations affecting diagnostics and coverage.

Skills

Healthcare law

Payer contracting

Negotiation

Contract review

Cross-functional collaboration

Regulatory guidance

Education

Juris Doctor (JD)

Active bar membership

Job description

At Veracyte, we offer exciting career opportunities for those interested in joining a pioneering team that is committed to transforming cancer care for patients across the globe. Working at Veracyte enables our employees to not only make a meaningful impact on the lives of patients, but to also learn and grow within a purpose drivenenvironment. This is what we call the Veracyte way its about how we work together, guided by our values, to give clinicians the insights they need to help patients make life-changing decisions.

Our Values:

• We Seek A Better Way: We pursue bold ideas, embrace complexity, and keep pushing forward.
• We Make It Happen: We act with urgency, deliver with excellence, and always find a way.
• We Are Stronger Together: We engage with empathy, align around what's best for Veracyte, and celebrate as one team.
• We Care Deeply: We show up with integrity, kindness, and respect for one another.

The Position

The Healthcare & Market Access Counsel serves as a senior legal advisor to the companys Market Access, Reimbursement, and Commercial organizations, providing strategic counsel on complex healthcare, payer, reimbursement, and coverage matters. This role will lead the legal strategy supporting payer contracting and market access initiatives, applying significant independent judgment to navigate evolving regulatory requirements, reimbursement frameworks, and business priorities.

The Healthcare & Market Access Counsel will partner closely with senior business leaders and cross-functional stakeholders to shape payer and reimbursement strategies, identify and mitigate legal and business risk, and develop practical solutions that advance patient access to the companys innovative diagnostic solutions. The successful candidate will combine deep healthcare legal expertise with strong business acumen and the ability to influence decisions across functions.

Key Responsibilities

• Lead legal strategy and provide senior-level counsel on payer contracting, reimbursement, coverage, and broader market access matters, balancing legal risk with commercial and patient-access objectives.
• Independently lead the review, drafting, and negotiation of complex and strategically significant agreements with private payors, including commercial insurers and managed care organizations.
• Serve as a strategic legal advisor to Market Access and senior business leaders, providing proactive counsel on payer strategy, reimbursement frameworks, coverage initiatives, and emerging market access opportunities and risks.
• Shape the company's legal approach to reimbursement and payer strategy, translating complex legal and regulatory requirements into practical business recommendations.
• Lead legal support for reimbursement and appeals strategies, partnering with Market Access, Reimbursement, Commercial, and other stakeholders to develop approaches to complex payer and coverage challenges.
• Advise on compliance with applicable federal and state healthcare laws, regulations, and guidance affecting billing, coding, reimbursement, payer contracting, and coverage.
• Evaluate complex payer policies, coverage determinations, reimbursement requirements, and contractual provisions, identifying material legal, regulatory, and business risks and recommending appropriate strategies.
• Influence cross-functional decision-making by providing clear, pragmatic legal guidance that enables business objectives while appropriately managing organizational risk.
• Develop and implement legal frameworks, playbooks, contracting positions, templates, and scalable processes that improve consistency, efficiency, and risk management across payer contracting and reimbursement activities.
• Establish and deliver guidance and training for business leaders and internal stakeholders on payer contracting, reimbursement requirements, healthcare regulatory developments, and evolving market access considerations.
• Monitor and anticipate changes in the healthcare legal and regulatory landscape affecting managed care, reimbursement, coverage, and diagnostics, including federal policies such as PAMA and defrayal obligations, and evolving state biomarker coverage legislation, and proactively assess their potential impact on company strategy and operations. Partner with Legal and Compliance leadership on complex or high-risk matters, providing recommendations and escalating issues appropriately while maintaining ownership through resolution.
• Provide leadership and subject-matter expertise across the organization, helping strengthen organizational capabilities in healthcare, reimbursement, payer contracting, and market access.
• Embody company values by working collaboratively, embracing complexity, demonstrating accountability, and contributing to a culture of respect and innovation.

Who You Are

Required Qualifications

• Juris Doctor (JD) from an accredited law school and active bar membership in good standing
• 5+ years of relevant legal experience, including healthcare law, market access, or payer contracting
• Experience reviewing and negotiating contracts with private payors, health plans, or managed care organizations
• Strong understanding of U.S. healthcare reimbursement and coding systems, including commercial insurance and managed care structures, the MolDx program, AMA CPT codes, and the CLFS.
• Demonstrated experience supporting or advising on appeals strategies, coverage disputes, or reimbursement challenges
• Ability to translate complex legal and regulatory issues into clear, actionable guidance for business partners
• Strong collaboration and communication skills, with a track record of working effectively across cross-functional teams
• High level of integrity, sound judgment, and attention to detail

Preferred Qualifications

• Experience in diagnostics, life sciences, or laboratory services environments
• Familiarity with payer policy development, utilization management, or claims adjudication processes
• Experience working closely with market access, billing, revenue cycle, or reimbursement teams
• Knowledge of federal and state healthcare regulations impacting diagnostics and coverage (e.g., Medicare, Medicaid, and commercial frameworks)
• Prior in-house experience in a growth-oriented healthcare or biotech organization or a commercial insurance company
• Comfort navigating ambiguity and contributing to evolving processes in a dynamic, mission-driven environment

#LI-Onsite, #LI-Hybrid, or #LI-Remote

For candidates based in ourSan Diego office, the range is $160,00 - $206,700.

For candidates based in our South San Francisco office, the range is $167,000 - $216,500.

For REMOTE candidates, the range is $152,000- $196,000.

The final salary offered to a successful candidate will be dependent on several factors that may include but are not limited to years of experience, skillset, geographic location, industry, education, etc. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work, and this role may be eligible for additional discretionary bonuses/incentives, and restricted stock units.

Pay range

$152,000—$216,000 USD

What We Can Offer You

Veracyte is a growing company that offers significant career opportunities if you are curious, driven, patient-oriented and aspire to help us build a great company. We offer competitive compensation and benefits, and are committed to fostering an inclusive workforce, where diverse backgrounds are represented, engaged, and empowered to drive innovative ideas and decisions. We are thrilled to be recognized as a 2024 Certified Great Place to Work in both the US and Israel - a testament to our dynamic, inclusive, and inspiring workplace where passion meets purpose.

About Veracyte

Veracyte(Nasdaq: VCYT) is a global diagnostics company whose vision is to transform cancer care for patients all over the world. We empower clinicians with the high-value insights they need to guide and assure patients at pivotal moments in the race to diagnose and treat cancer. Our Veracyte Diagnostics Platform delivers high-performing cancer tests that are fueled by broad genomic and clinical data, deep bioinformatic and AI capabilities, and a powerful evidence-generation engine, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support continued innovation and pipeline development. For more information, please visit www.veracyte.com or follow us on LinkedIn or X (Twitter).

Veracyte, Inc. is an Equal Opportunity Employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability status. Veracyte participates in E-Verify in the United States. View our CCPA Disclosure Notice

Equal employment opportunity, including veterans and individuals with disabilities.