Manager of Clinical Payor & Policy Relations

Caris Life Sciences; Town of Texas (WI); Remote; USD 122,000 - 140,000; Full time

Job summary

A leading innovator in molecular science, Caris Life Sciences is seeking a Manager of Clinical Payor & Policy Relations. This role involves developing strategies to enhance medical policy coverage for Caris Molecular Intelligence testing services. The ideal candidate will have a strong background in healthcare policy and experience in market access, working closely with both internal teams and external partners to ensure optimal coverage and reimbursement for innovative diagnostic products.

Qualifications

• 3+ years’ experience in healthcare, health insurance, or molecular diagnostics.
• Understanding of healthcare delivery systems and roles of key stakeholders.
• Ability to thrive in a fast-paced, collaborative environment.

Responsibilities

• Develop value propositions to influence medical policy and expand payor coverage.
• Collaborate with Market Access team on outreach strategies.
• Maintain knowledge on evolving payor landscape and coverage policies.

Skills

Communication

Collaboration

Analytical Skills

Education

Graduate degree in genetic counseling, life sciences, nursing, pharmacy, health policy, or health economics

Bachelor’s degree with relevant market access and reimbursement experience

Tools

Microsoft Office Suite

Job description

Manager of Clinical Payor & Policy Relations page is loaded

Manager of Clinical Payor & Policy Relations

Apply locations Remote - Texas Remote - US time type Full time posted on Posted 10 Days Ago job requisition id JR103372

At Caris, we understand that cancer is an ugly word—a word no one wants to hear, but one that connects us all. That’s why we’re not just transforming cancer care—we’re changing lives.

We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day:“What would I do if this patient were my mom?”That question drives everything we do.

But our mission doesn’t stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare—driven by innovation, compassion, and purpose.

Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins.

Position Summary

The Manager of Clinical Payor & Policy Relations will be responsible for research and promotion of positive medical policy coverage for Caris Molecular Intelligence (CMI) testing services. They will be responsible for profiling the payer landscape and will assist the Market Access team with the overall development and implementation of value propositions, access strategy and payer tactics. This position will develop working relationships with higher level external partners and collaborate with internal colleagues from other functional areas.

Job Responsibilities

• Assist with developing a clear value proposition to payors and other key opinion leaders that will influence medical policy and expand positive payor coverage.

• Collaborate with the Market Access team to develop and execute payor outreach strategies to support optimal access and coverage of current and emerging CMI products in the pipeline.

• Support a teamwork approach engaging with various internal and external collaborators on strategic reimbursement plans.

• Develop and provide support for the creation of payor directed materials, value dossiers, payor conference messaging, presentations, and other payor-focused communication and educational tools.

• Assess clinical evidence and gaps that may influence payor coverage determinations.

• Assist in collaborative efforts on health economic and clinical utility studies that support payor coverage and reimbursement.

• Maintain current knowledge on evolving payor landscape and track changes in commercial and government payors’ coverage policies and update leadership of opportunities for broader patient access and reimbursement.

• Partner with billing teams in the execution of reimbursement strategies to ensure medically appropriate services are reimbursed.

Required Qualifications

• A graduate degree in genetic counseling, life sciences, nursing, pharmacy, health policy, health economics, or relevant discipline, or a combination of a bachelor’s degree and relevant market access and reimbursement work experience within biotech, medical device, or molecular diagnostic laboratory required.

• 3+ years’ experience working in a healthcare, health insurance, or molecular diagnostic setting.

• Understanding of healthcare delivery systems, specifically commercial and government-sponsored programs such as Medicaid and Medicare, and roles of key stakeholders.

• Ability to communicate technical and non-technical information to scientific and non-scientific colleagues/clients.

• Ability to thrive in a highly collaborative, fast-paced environment.

• Ability to handle multiple tasks, set priorities, schedule, and meet deadlines.

• Highly self-motivated, self-directed, and attentive to detail.

• Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use.

Preferred Qualifications

• 5+ years of relevant market access and reimbursement experience within a molecular diagnostic laboratory, and/or genetic counseling.

• Strong competency of the US payer landscape and market drivers.

• Experience and track record of success in advocating for improved coverage with US commercial payers, Medicare and Medicaid.

• Strong working knowledge of revenue codes, HCPCS, CPT codes, ICD-10 and provider classifications.

• Ability to work in a complex and matrix team environment; experience working in a team-oriented, collaborative environment.

• Proven abilities in leading complex problem management and process analysis.

• Proven abilities in problem management, process analysis and root cause analysis.

• Strong interpersonal and peer leadership skills to influence without authority.

• A strategic thinker with excellent verbal, written and presentation skills to get buy-in and drive consensus within the team and the rest of the organization.

Physical Demands

• Duties are performed in an office setting.

• This position requires the ability to use a computer keyboard, read printed materials and communicate through email and over telephone.

Training

• All job specific, safety, and compliance training are assigned based on the job functions associated with this employee.

Other

• Approximately 20% travel and the ability to work flexible hours when required.

Annual Hiring Range

$122,000 - $140,000

Actual compensation offer to candidate may vary from posted hiring range based upon geographic location, work experience, education, and/or skill level. The pay ratio between base pay and target incentive (if applicable) will be finalized at offer.

Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions ) and reference verification.

This job description reflects management’s assignment of essential functions. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

About Us

Caris Life Sciences is a leading innovator in molecular science and artificial intelligence focused on fulfilling the promise of precision medicine through quality and innovation.

Our Laboratories

Caris is committed to quality and excellence at our state-of-the-art laboratories. Learn more about our tissue lab and the advanced technologies that are helping improve the lives of cancer patients.