Market Access Operations Manager

Veracyte, Inc.

. Lead payer credentialing, re-credentialing, enrollment, and network participation across commercial payers, Medicare contractors, state Medicaid programs, managed care plans, laboratory benefit managers, and other reimbursement stakeholders .

Posted 11/3/2026full-timeSan Diego • California • United StatesMid-LevelSenior💰 $100,000 - $135,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in payer credentialing, enrollment, and compliance management across commercial and government payers, with a strong focus on operational documentation and project management. Proficient in managing sensitive information and developing workflows to enhance efficiency in healthcare reimbursement operations.

Highest-signal resume keywords

Payer CredentialingMedicaid Enrollment ManagementOperational Documentation DevelopmentProject Management SkillsHealthcare Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Payer EnrollmentRe-credentialingContract Lifecycle ManagementEnrollment Tracking PlatformsNPPESPECOSMedicaid Provider PortalsCompliance CalendarsFee Schedule AdministrationOperational Controls

Soft Skills

ProfessionalismAccuracyConfidentiality

Tools & Technologies

Enrollment Tracking SystemsContract Repository SystemsAI ToolsDashboardsReporting Tools

Certifications & Qualifications

Certified Provider Credentialing Specialist (CPCS)

Industry Keywords

Healthcare Reimbursement OperationsManaged Care OperationsMarket Access OperationsLaboratory Benefit ManagersDiagnostic Reimbursement Pathways

About the role

Key responsibilities & impact

Lead payer credentialing, re-credentialing, enrollment, and network participation across commercial payers, Medicare contractors, state Medicaid programs, managed care plans, laboratory benefit managers, and other reimbursement stakeholders
Manage state-specific Medicaid enrollment, including out-of-state laboratory enrollment, documentation, attestations, fees, risk-level screening, fingerprinting, site visits, and managed care contracting
Manage federal government documentation, including SAM ID opportunities, Federal Supply Schedule changes, FSS applications, and SBA plan documents
Coordinate ownership, control, and managing employee disclosures for payer and government enrollment applications
Maintain laboratory, facility, and organizational records across payer systems and enrollment platforms, including NPPES, PECOS, NPI, taxonomy, PTAN, W-9, remittance address, and payer directory data
Partner with Regulatory and Quality to maintain CLIA certification and state laboratory licenses and permits
Own post-execution contract lifecycle management, including dates, renewals, notice windows, amendments, and deadline escalations
Maintain the market access documentation system of record, including agreements, amendments, payer policies, coverage determinations, correspondence, evidence, and dossier materials
Collaborate with Reimbursement Operations to resolve enrollment-related claims, reimbursement delays, and payer portal issues, including Availity
Develop SOPs, process documentation, and operational controls; support payer audits, credentialing reviews, and compliance requests
Select, implement, and administer enrollment tracking and contract repository systems; manage vendors, consultants, and third-party partners
Develop dashboards, reporting, and KPIs for enrollment cycle time, Medicaid enrollment, revalidation, denial dollars, and contract completeness
Improve workflows through automation and AI tools
Manage group inboxes for payer correspondence and contracting communications
Report to the Director, Market Access & Payer Relations and collaborate with Market Access, RCM, consultants, Client Services, Finance, Legal, Compliance, Regulatory, and Commercial Operations

Requirements

What you’ll need

Bachelor’s degree or equivalent combination of education and relevant experience
Minimum 6–7 years of experience in healthcare reimbursement operations, payer credentialing, provider enrollment, managed care operations, revenue cycle, market access operations, or a related function
Experience managing payer enrollment across commercial and government payers, including hands-on multi-state Medicaid enrollment and revalidation
Working knowledge of NPPES, PECOS, state Medicaid provider portals, and enrollment tracking platforms
Experience managing recurring compliance calendars such as revalidation, recredentialing, licensure renewal, or contract renewal
Experience administering contracts, fee schedules, or reimbursement documentation with version control and access management
Strong project management skills coordinating cross-functional reimbursement, billing, legal, compliance, finance, and commercial initiatives
Experience developing and maintaining operational documentation, workflows, and standard operating procedures
Ability to manage sensitive personal and corporate information with professionalism, accuracy, and confidentiality
Preferred: experience supporting molecular diagnostics, genomic testing, laboratory developed tests, precision medicine, oncology diagnostics, or specialty diagnostic products
Preferred: experience enrolling out-of-state laboratories in state Medicaid programs
Preferred: experience with Medicaid managed care plan contracting and roster processes
Preferred: experience with credentialing and contracting in VA and DoD facilities
Preferred: experience implementing or administering enrollment tracking platforms or contract lifecycle management systems
Preferred: Certified Provider Credentialing Specialist (CPCS) or similar credentialing certification
Preferred: familiarity with Medicare coverage, commercial payer operations, laboratory benefit managers, and diagnostic reimbursement pathways
Preferred: experience with healthcare compliance, audit readiness, and credentialing governance processes

Benefits

Comp & perks

Competitive compensation and benefits
Potential eligibility for discretionary bonuses/incentives
Potential eligibility for restricted stock units
Inclusive workforce and workplace
Career opportunities and professional growth
2024 Certified™ Great Place to Work recognition in the US and Israel