Senior Director, Health Policy & Reimbursement

Baylor Genetics

. Monitor federal and state legislative, regulatory, coding, payment, and coverage developments affecting clinical laboratories, molecular diagnostics, genomics, rare disease, and precision medicine .

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

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in health policy, reimbursement strategy, and coding processes, with a strong focus on translating legislative changes into actionable business strategies. Proven ability to lead teams, engage with external stakeholders, and develop comprehensive policy and reimbursement plans in the context of molecular diagnostics and precision medicine.

Highest-signal resume keywords

Health Policy LeadershipReimbursement Strategy DevelopmentCPT Coding StrategyICD-10-CM CoordinationStakeholder Engagement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Health Policy AnalysisReimbursement SubmissionsCoding Performance AssessmentLegislative InterpretationEconomic Rationale DevelopmentPolicy Brief CreationRisk AssessmentEvidence-Based AdvocacyMarket Access StrategyGovernment Affairs Coordination

Soft Skills

Executive-Level CommunicationNegotiation SkillsCross-Functional InfluenceTeam LeadershipDeductive Storytelling

Certifications & Qualifications

Bachelor’s Degree in Health PolicyMBAMPHMHAJDMSPharmDPhD

Industry Keywords

Molecular DiagnosticsGenomicsPrecision MedicineCPT ApplicationsICD-10-CMMedicaidLegislative InitiativesPatient AdvocacyLaboratory Trade AssociationsPublic Health

About the role

Key responsibilities & impact

Monitor federal and state legislative, regulatory, coding, payment, and coverage developments affecting clinical laboratories, molecular diagnostics, genomics, rare disease, and precision medicine
Translate policy changes into enterprise implications and action plans
Represent Baylor Genetics in health policy matters with trade associations, standards-setting organizations, public agencies, coalitions, payer policy forums, and other external stakeholders
Lead end-to-end coding strategy for products, including CPT applications through the American Medical Association and ICD-10-CM proposals through the CDC and other federal processes
Develop evidence, utilization, clinical-workflow, and economic rationales supporting coding, valuation, coverage, and reimbursement submissions
Lead state health policy strategies to accelerate adoption and sustainable funding of rapid WGS for critically ill infants and children
Partner with Government Affairs, external coalitions, and registered lobbyists to engage state legislatures and members of Congress
Lead reimbursement planning for new products, platform extensions, and tuck-in acquisitions
Integrate reimbursement and policy diligence into business-development evaluations
Guide responses to proposed rules, payer policies, fee schedules, laboratory payment reforms, and public-comment opportunities
Build policy briefs, scenario analyses, risk assessments, and recommendations for senior leadership and the Board
Partner with Revenue Cycle and Finance to assess payment adequacy, coding performance, denials, fee-schedule changes, and financial impact
Maintain governance, documentation, and compliance controls for policy engagement, coding submissions, coalition activity, and external representation
Lead, coach, develop, and retain a team responsible for health policy, coding, reimbursement strategy, and government-affairs coordination
Establish objectives, operating rhythms, decision rights, and accountability aligned with enterprise priorities
Conduct portfolio, policy, and pipeline reviews; remove barriers and ensure timely execution
Develop succession plans and organizational capability in laboratory policy, coding, payment, and state-government engagement
Promote integrity, evidence-based advocacy, cross-functional partnership, and execution excellence
Deliver federal and state health policy strategies, coding roadmaps, rWGS adoption strategies, policy engagement plans, reimbursement-readiness assessments, and executive dashboards

Requirements

What you’ll need

Bachelor’s degree in Health Policy, Public Health, Life Sciences, Business, Healthcare Administration, Health Economics, or a related field
7+ years of leading teams in health policy and reimbursement
12+ years of progressive experience in combination with the specified experience
8+ years of progressive experience in health policy, reimbursement, coding, government affairs, market access, or related healthcare leadership roles
8+ years of direct laboratory health policy and reimbursement experience, preferably in molecular diagnostics, genomics, or precision medicine
Demonstrated experience leading CPT coding strategy and familiarity with ICD-10-CM coordination and federal coding processes
Demonstrated success influencing state or federal health policy, reimbursement, Medicaid, or legislative initiatives through compliant advocacy and coalition engagement
Experience leading and developing teams responsible for policy, coding, reimbursement, or government affairs
Ability to interpret legislation, regulations, coding guidance, payment policy, and payer requirements and translate them into business strategy
Executive-level communication, deductive storytelling, negotiation, and cross-functional influence skills
Ability and willingness to travel approximately 40–50% domestically
Preferred: MBA, MPH, MHA, JD, MS, PharmD, PhD, or equivalent advanced degree
Preferred experience with rWGS, WGS, WES, NGS, rare disease, oncology genomics, reproductive genetics, or pediatric critical care
Preferred experience with AMA CPT processes, CMS payment systems, state Medicaid programs, and CDC ICD-10-CM coordination processes
Preferred established relationships with laboratory trade associations, patient-advocacy organizations, state policy coalitions, federal agencies, and legislative stakeholders
Preferred experience supporting product pipeline strategy, licensing, mergers and acquisitions, or post-acquisition integration
Preferred experience developing public-comment letters, legislative language, fiscal-impact analyses, or reimbursement evidence packages

Benefits

Comp & perks

Equal opportunity employer committed to an inclusive and diverse workplace
Reasonable accommodation during the application process
Remote work arrangement