Remote Director: Medicare Market Access & Reimbursement

Ladders; United States; Remote; USD 187,000 - 281,000; Full time

Benefits offered by this job

Genomic sequencing access

Family planning support

Comprehensive health, dental, and-视ion

Retirement benefits

Generous paid time off

Job summary

Ladders is seeking a Director, Market Access - CMS Coverage & Reimbursement Policy to join the Pharmaceuticals & Biotech leadership team. This remote role shapes Medicare market access strategy for genomic sequencing and advanced diagnostics, collaborating with Government Affairs, Medical Affairs, and HEOR to influence coverage decisions.

You will engage CMS, Medicare contractors, and external stakeholders to build evidence and advocacy plans that support favorable coverage outcomes while

Qualifications

• 10+ years of experience in Medicare reimbursement or federal health policy.
• 5+ years direct experience with CMS, MACs, or similar organizations.
• Proven track record leading Medicare coverage and reimbursement strategies for genomic sequencing and advanced diagnostics.
• In-depth knowledge of NCDs, LCDs, CLFS, CPT/PLA coding, and Medicare payment policy.
• Strong 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, 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 organization with CMS, Medicare contractors, and industry organizations.

Skills

Policy analysis

Stakeholder engagement

Executive communication

CMS knowledge

Education

Bachelor's degree

Advanced degree (MPH, MHA, PharmD, PhD, JD, MBA, or equivalent)

Job description

Ladders is seeking a Director, Market Access - CMS Coverage & Reimbursement Policy to join the Pharmaceuticals & Biotech leadership team. This remote role shapes Medicare market access strategy for genomic sequencing and advanced diagnostics, collaborating with Government Affairs, Medical Affairs, and HEOR to influence coverage decisions.

You will engage CMS, Medicare contractors, and external stakeholders to build evidence and advocacy plans that support favorable coverage outcomes while