Director - Market Access Medical Policy (Remote)

Position Summary

The Director, Market Access Medical Policy is the expert in Caris Life Science Products and their clinical application for the Market Access team and coordinates the overall development and implementation of clinical and product positioning to improve access for our products. They will be responsible for developing strategies and value propositions to obtain favorable medical policies for Caris products with payers and laboratory benefit managers. This position will develop working relationships with higher level external partners such as payer medical directors and policy makers and collaborate with commercial, regulatory, and clinical departments to navigate payer, policy, and reimbursement landscapes.

Job Responsibilities

• Clinical and product expert for the Reimbursement, Health Economics and Policy team.
• Communicate the clinical utility of cancer genomic profiling (CGP) and the targeted oncology therapeutics and be the team’s expert in new target discoveries and their application.
• Present clinical data and educational materials to market access policy makers, including medical directors, at meetings and conferences.
• Lead, develop, and execute outreach strategies to medical policy developers and medical directors at health plans to support optimal access and coverage of current and emerging Caris Life Sciences products.
• Work collaboratively with Medical Affairs and Clinical Development teams to develop relationships and partnerships with influential bodies to drive guideline development. Convene relevant stakeholders to review existing guidelines and propose necessary changes.
• Attend select tradeshows and participate in meetings to present relevant data necessary to promote Caris Life Sciences and educate clients in the marketplace.
• Assess clinical evidence and gaps in access impacting payer determinations.
• Communicate clinical gaps and competitive needs to the internal clinical development team in order to improve product claims to obtain payer coverage.
• Assist in collaborative efforts on health economic and clinical utility studies that support payer coverage and reimbursement.
• Maintain current clinical, product, and payer knowledge, as well as the evolving payer landscape and track changes in commercial and government payers’ coverage policies and update leadership of opportunities for broader patient access and reimbursement.
• Support a teamwork approach engaging with various internal and external collaborators on strategic reimbursement plans.
  
  

Required Qualifications

• M.D., Ph.D. in a biological science related to pharmacology, cancer biology, or molecular and cellular biology or equivalent training and experience required.
• Deep scientific understanding and practical application of oncology biomarkers and companion diagnostics.
• Knowledge of managed care and/or insurance industry.
• Strong understanding of digital health and real-world evidence generation.
• Ability to communicate technical and non-technical information to scientific and non-scientific colleagues/clients.
• Strong interpersonal and peer leadership skills to influence without authority.
• A strategic thinker with excellent verbal, written and presentation skills to get buy-in and drive consensus within the team and the rest of the organization.
  
  

Preferred Qualifications

• A minimum of 5 years of relevant market access and reimbursement experience; preferably from biotech, medical device, or a molecular diagnostic laboratory.
• Strong competency of the US payer landscape and market drivers.
• Scientific expert in Comprehensive Genomic Profiling.
• Highly self-motivated, self-directed, and attentive to detail.
• Ability to work in a complex and matrix team environment; experience working in a team-oriented, collaborative environment.
• Proven abilities in leading complex problem management and process analysis.
• Ability to handle multiple tasks, set priorities, schedule, and meet deadlines.
• Proven abilities in problem management, process analysis and root cause analysis.
• Strong interpersonal and relationship-building skills, with the ability to manage up, down and across levels of the organization.
  
  

Other

• Approximately 25% travel and the ability to work flexible hours when required.
  
  

Physical Demands

• This position requires the ability to use a computer keyboard, read printed materials and communicate through email and over telephone.
  
  

Annual Hiring Range

$170,000 - $190,000

Actual compensation offer to candidate may vary from posted hiring range based upon geographic location, work experience, education, and/or skill level. The pay ratio between base pay and target incentive (if applicable) will be finalized at offer.

Description Of Benefits

• Highly competitive and inclusive medical, dental and vision coverage options
• Health Savings Account for medical expenses and dependent care expenses
• Flexible Spending Account to pay for certain out-of-pocket expenses
• Paid time off, including: vacation, sick time and holidays
• 401k match and Financial Planning tools
• LTD and STD insurance coverages, as well as voluntary benefit options
• Employee Assistance Program
• Pet Insurance
• Legal Assistance
• Tuition Assistance
  
  

Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification.

This job description reflects management’s assignment of essential functions. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.