Senior Market Access Operations Lead

Veracyte, Inc.

South San Francisco (CA)

Hybrid

USD 100,000 - 135,000

Full time

9 days ago

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Job summary

Veracyte, Inc. in South San Francisco, CA is seeking a Market Access Operations Manager to lead payer credentialing, enrollment, state Medicaid participation, contract execution, and the system of record for market access documentation.

You will work with Legal, Compliance, and Finance to translate reimbursement strategies into accurate operational execution, build SOPs, dashboards, and KPIs, and drive improvements in enrollment cycle time and contract completeness.

Qualifications

  • Bachelor's degree or equivalent education/experience.
  • 6-7 years of experience in healthcare reimbursement operations, payer credentialing, or related fields.
  • Experience managing payer enrollment across commercial and government payers.
  • Familiarity with enrollment systems and state Medicaid/provider portals.
  • Ownership of recurring compliance calendars (revalidation, licensure renewals).
  • Experience administering contracts, fee schedules, or reimbursement documentation.

Responsibilities

  • Lead all payer credentialing, re-credentialing, enrollment, and network participation activities across payers and Medicaid programs.
  • Manage state Medicaid enrollment requirements and provider enrollment documentation.
  • Maintain system of record for market access documentation and contract lifecycle management.
  • Collaborate with Legal, HR, Compliance, Regulatory, and Finance to gather sensitive information.
  • Develop SOPs, process documentation, and operational controls for enrollment and reimbursement operations.
  • Develop dashboards and KPIs to measure enrollment cycle time and contract completeness.

Skills

Project management
Cross-functional collaboration
Data-driven decision making
Discretion & confidentiality

Education

Bachelor's degree

Tools

NPPES
PECOS
CRM
CLM platforms

Job description

Veracyte, Inc. in South San Francisco, CA is seeking a Market Access Operations Manager to lead payer credentialing, enrollment, state Medicaid participation, contract execution, and the system of record for market access documentation.

You will work with Legal, Compliance, and Finance to translate reimbursement strategies into accurate operational execution, build SOPs, dashboards, and KPIs, and drive improvements in enrollment cycle time and contract completeness.

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