Director, Market Access

Baylor Genetics

. Develop and execute strategic payer account plans expanding coverage, contracting, and reimbursement for Baylor Genetics testing, with emphasis on WGS-first policies .

Posted 11/11/2026full-timeRemote • United StatesLeadWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in payer strategy, reimbursement pathways, and market access within the healthcare sector, with a strong focus on value-based partnerships and health economics. Proven ability to lead negotiations, develop payer-specific value propositions, and communicate complex analyses to diverse stakeholders.

Highest-signal resume keywords

Payer StrategyReimbursement NegotiationHealth EconomicsValue-Based PartnershipsMarket Access

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Payer CoverageManaged Care ContractingBudget-Impact ModelsReal-World EvidenceValue DossiersClinical Utility AnalysisTotal-Cost-Of-Care AnalysisHEOR StudiesWGS-First StrategiesMolecular Diagnostics

Soft Skills

Executive-Level CommunicationNegotiation SkillsCross-Functional InfluenceDeductive Storytelling

Certifications & Qualifications

MBAMPHMHAMSPharmDPhD

Industry Keywords

Commercial Health PlansMedicare AdvantageMedicaidManaged MedicaidIntegrated Delivery NetworksGenomicsOncologyReproductive GeneticsWomen’s HealthRare Disease

About the role

Key responsibilities & impact

Develop and execute strategic payer account plans expanding coverage, contracting, and reimbursement for Baylor Genetics testing, with emphasis on WGS-first policies
Establish value-based partnerships with commercial health plans, Medicare Advantage organizations, Medicaid and Managed Medicaid plans, integrated delivery networks, and other risk-bearing entities
Lead payer negotiations for coverage policies, fee schedules, network agreements, value-based arrangements, and administrative pathways
Create payer-specific value propositions connecting WGS-first testing to improved diagnostic yield, earlier clinical decision-making, reduced serial testing, fewer avoidable procedures, and lower total cost of care
Partner with HEOR, Medical Affairs, Clinical Affairs, Product, Finance, Revenue Cycle, and Commercial teams on evidence strategies, budget-impact models, cost-offset analyses, real-world evidence, and payer-facing value dossiers
Lead payer initiatives, pilots, and evidence-development partnerships measuring health outcomes, utilization impact, patient journey improvements, and cost savings
Secure positive medical policies and reduce prior authorization, documentation, coding, and reimbursement barriers
Monitor payer policy, reimbursement, competitive, and regulatory trends and provide account strategies and executive recommendations
Maintain account plans, opportunity forecasts, contracting milestones, risks, decisions, and next steps in business systems
Represent Baylor Genetics at payer medical-policy reviews, value-evidence meetings, industry forums, and executive discussions
Deliver payer partnership strategies, prioritized account plans, coverage-policy submissions, contracting proposals, value dossiers, budget-impact materials, payer pilots, evidence-generation initiatives, and executive reporting

Requirements

What you’ll need

Bachelor’s degree in Life Sciences, Business, Healthcare Administration, Public Health, Health Economics, or a related field
14+ years of progressive experience in market access, payer strategy, reimbursement, managed care contracting, HEOR, or molecular diagnostics
Demonstrated success securing payer coverage, negotiating contracts, improving reimbursement, or building value-based payer partnerships
Working knowledge of commercial, Medicare, Medicaid, and Managed Medicaid coverage and reimbursement pathways
Ability to interpret and communicate clinical utility, health-economic, real-world evidence, budget-impact, and total-cost-of-care analyses to payer audiences
Executive-level communication, negotiation, deductive storytelling, and cross-functional influence skills
Ability and willingness to travel approximately 40% domestically
MBA, MPH, MHA, MS, PharmD, PhD, or equivalent advanced degree preferred
Experience in genomics, molecular diagnostics, rare disease, oncology, reproductive genetics, women’s health, WGS, or WES preferred
Established relationships with national and regional health plans, payer medical directors, policy teams, and contracting leaders preferred
Experience designing or executing HEOR studies, budget-impact models, real-world evidence programs, value dossiers, or payer pilots preferred
Experience advancing WGS-first or comprehensive genomic testing coverage strategies preferred

Benefits

Comp & perks

Equal opportunity employer committed to fostering an inclusive and diverse workplace
Application process accommodations available through Human Resources