Veracyte, Inc. · 2 days ago
Sr. Manager of Market Access, Clinical Support
United States
Full-time
Remote
Senior Level, Lead/Staff
$176K/yr - $209K/yr
10+ years expVeracyte, Inc. is a global diagnostics company committed to transforming cancer care for patients. The Sr. Manager of Market Access will support clinical and medical policy aspects of Market Access and Reimbursement Operations, focusing on coverage and contracting initiatives, and engaging with healthcare practitioners and payers.
BiotechnologyHealth CareHealth Diagnostics
Responsibilities
Partnering with Market Access, Medical Affairs, Marketing and Reimbursement leadership to optimize the appeals content necessary to support coverage and appeal efficacy initiatives
Be the key face of Veracyte in peer-to-peer and external review initiatives with a targeted list of payers in order to positively affect medical coverage polices for Veracyte’s portfolio of testing
Lead the creation and management of content such as dossiers, presentations, etc. needed to support coverage and contracting initiatives with payors and Laboratory Benefit Managers (LBMs)
In collaboration with cross-functional teams, support the development of content leveraging clinical, scientific, and health economic data, targeted to key healthcare decision-makers responsible for making medical policy and/or coverage decisions at health insurance companies and LBMs as needed
Support engagement with Healthcare Practitioners (HCPs) and patient advocates to reinforce coverage/contracting initiatives
Participate in Market Access, Reimbursement Operations, and other cross-functional team meetings
Update and maintain appeals content (with a focus on clinical and medical policy aspects) in response to changes to payor medical policies, State Biomarker laws, and general healthcare trends
Create customized appeals content specifically targeted to strategic coverage and contracting opportunities identified as needed
Plan, execute, and participate in peer-to-peer and external review appeals
Initiate, track, and report submissions to state departments of insurance regarding complaints or disputes of non-covered claims
Conducts the necessary research and detailed review of patient medical records in order to determine if medical necessity criteria were met and craft personalized appeal letters demonstrating the clinical value of our services for individual patients as needed
Qualification
Required
Advanced degree in life sciences with one or more of the following: MD, DO, PharmD, PA, RN, PhD, MS
Significant background or knowledgebase in diagnostics and oncology
10+ years of experience within healthcare, and 5+ years of experience in laboratory reimbursement
Possess a willingness and ability to work hands-on and with a sense of urgency in a fast-paced, scientific, entrepreneurial environment
A deep understanding of US healthcare ecosystems, payer landscape, payer medical policies, coding, and reimbursement frameworks
Excellent listening and communication skills with the ability to maintain open communication with people of all backgrounds and expertise inside and outside the Company
Proven ability to successfully communicate, consult, collaborate and coach in a complex and competitive environment
Ability to translate complex medical messages into communications that are understood by each target audience
Ability to distill large complex clinical data sets into meaningful and understandable messages
Ability to anticipate payer objections and craft compelling evidence-based arguments
Flexibility to travel +/- 20% of the time to meet with key physicians and payers and attend industry events domestically
Warm, engaging personality with highly developed influencing skills and ability to represent the Company and its products/services with credibility
Strong team player with excellent interpersonal skills and the ability to work cross-functionally throughout the Company
Leadership ability to build team consensus
Impeccable ethics, conducting business in the most professional and HIPAA-compliant manner possible
Desire to help patients by improving access to quality diagnostic testing
Benefits
Competitive compensation and benefits
Additional discretionary bonuses/incentives
Restricted stock units
Company
Veracyte, Inc.
Veracyte is a global diagnostics company that empowers clinicians with the high-value insights they need to guide and assure patients at pivotal moments in the race to diagnose and treat cancer.
501-1000 employees
H1B Sponsorship
Veracyte, Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (8)
2024 (17)
2023 (7)
2022 (2)
2021 (6)
2020 (8)
Funding
Current Stage
Public CompanyTotal Funding
$1.1BKey Investors
Visium Healthcare PartnersGE VenturesDomain Associates
2021-02-05Post Ipo Equity· $550M
2020-08-05Post Ipo Equity· $194M
2019-05-01Post Ipo Equity· $137.8M
Leadership Team
John Leite
Chief Commercial Officer (CCO)
Recent News
2026-01-12
TradingView
2026-01-12
Company data provided by crunchbase