Market Access Operations Lead: Payer & Credentialing

Veracyte, Inc.

San Diego (CA)

Hybrid

USD 100,000 - 135,000

Full time

11 days ago

A complete application in a minute

Tailored resume and cover letter, ready to send.

Get past ATS filters

Job summary

Veracyte, Inc. seeks an experienced Market Access Operations Manager to lead payer credentialing, enrollment, and contract lifecycle across commercial and government payers.

You will own the system of record for enrollment documentation and work with Legal, Compliance, and Regulatory to ensure timely, compliant execution. You will develop SOPs, implement process improvements, and create reporting dashboards to measure enrollment efficiency and coverage, enabling rapid patient access to

Qualifications

  • Bachelor’s degree or equivalent combination of education and relevant experience.
  • Demonstrated experience in healthcare reimbursement operations and payer enrollment.
  • Experience managing payer enrollment across commercial and government payers.
  • Familiarity with enrollment data standards and portals (NPPES, PECOS).

Responsibilities

  • Lead payer credentialing, enrollment, and network participation activities across payers and Medicaid programs.
  • Manage state Medicaid enrollment requirements and related documentation.
  • Coordinate federal documentation (SAM, FSS, SBA plans) within deadlines.
  • Maintain system of record for market access docs across CRM and CLM platforms.
  • Develop SOPs and operational controls for enrollment and contract administration.
  • Create dashboards and KPIs for enrollment cycle times and contract completeness.
  • Collaborate with Legal, Compliance, and Finance to safeguard sensitive information.

Skills

Payer credentialing
Enrollment management
Contracting knowledge
Regulatory compliance
Project management
Data governance

Education

Bachelor’s degree or equivalent combination of education and relevant experience

Tools

NPPES
PECOS
CLM systems
Availity

Job description

Veracyte, Inc. seeks an experienced Market Access Operations Manager to lead payer credentialing, enrollment, and contract lifecycle across commercial and government payers.

You will own the system of record for enrollment documentation and work with Legal, Compliance, and Regulatory to ensure timely, compliant execution. You will develop SOPs, implement process improvements, and create reporting dashboards to measure enrollment efficiency and coverage, enabling rapid patient access to

Get your free, confidential resume review.

or drag and drop your file here.

Similar jobs

Similar jobs worth comparing

Market Access Lead: Payer Credentialing & Contracts Hybrid
Market Access Lead: Payer Credentialing & Contracts Hybrid

Veracyte • South San Francisco (CA)

Hybrid
USD 100,000 - 135,000
Senior Market Access Operations Lead
Senior Market Access Operations Lead

Veracyte, Inc. • South San Francisco (CA)

Hybrid
USD 100,000 - 135,000
Senior Counsel, Healthcare Market Access & Payer
Senior Counsel, Healthcare Market Access & Payer

Veracyte, Inc. • South San Francisco (CA)

Hybrid
USD 152,000 - 216,000
Market Access Operations Manager
Market Access Operations Manager

Veracyte • South San Francisco (CA)

Hybrid
USD 100,000 - 135,000
Market Access Operations Manager
Market Access Operations Manager

Veracyte • San Diego (CA)

Hybrid
USD 100,000 - 135,000
Market Access Manager
Market Access Manager

Veracyte • South San Francisco (CA)

Hybrid
USD 100,000 - 135,000
Senior Healthcare & Market Access Counsel (Remote)
Senior Healthcare & Market Access Counsel (Remote)

Veracyte • Oregon

Hybrid
USD 152,000 - 216,000
Director, Payer Enrollment & Managed Care Ops
Director, Payer Enrollment & Managed Care Ops

Valley Health System • Paramus (NJ)

On-site
USD 101,000 - 127,000
Medical, Dental & Vision
Group Life Insurance
Flexible Spending Accounts and Commutr
+7
Strategic Manager, Provider Enrollment & Payer Ops
Strategic Manager, Provider Enrollment & Payer Ops

Valley Health System • Blacksburg (VA)

On-site
USD 101,000 - 127,000
Medical/dental/vision benefits
Retirement plan
Tuition assistance
+2
Strategic Manager, Provider Enrollment & Payer Operations
Strategic Manager, Provider Enrollment & Payer Operations

Friendsofkerhonkson • Paramus (NJ)

On-site
USD 101,000 - 127,000
Medical/Dental/Vision benefits
Retirement plan
Paid holidays and PTO
+1