Director/Sr. Director of Market Access, Policy Development, Oncology

Do you want to join one of the fastest-growing molecular diagnostics startups and develop products that can affect the lives of millions?

BillionToOne, ranked at the top 5% of Y Combinator companies with $300M+ in funding from prominent VC firms, has developed a DNA molecular counter that increases cfDNA diagnostic resolution by over 1,000 fold. BillionToOne's first product, UNITY™ is the first and only non-invasive prenatal test that can directly screen an unborn baby and assess its risk for common and severe recessive gene disorders and chromosomal abnormalities, as well as fetal sex and fetal antigens, from a single tube of blood from the pregnant mother without paternal testing.

In 2023, BillionToOne launched two liquid biopsy products that will markedly improve oncology treatment and care. With Northstar Select™, clinicians will be able to select cancer therapies that will be most effective to each patient based on their individual genetic makeup. Northstar Response™ will enable clinicians to monitor a patient’s early response to these cancer therapies, by measuring minute changes in their ctDNA, which can reduce ineffective treatments and unwanted toxicity, lower costs, and substantially improve clinical outcomes.

BillionToOne is looking for a Director or Sr. Director of Market Access, Policy Development, Oncology to develop and implement coverage and coding strategies that will gain access and acceptable reimbursement with all payors (State Medicaid, Medicare, Tricare, and commercial payors). Reporting to the Vice President of Market Access, the Director of Market Access works with medical affairs, sales, marketing, laboratory operations, and other applicable company personnel to secure coverage and reimbursement for BillionToOne tests to maximize company sales.

This position is remote and requires 40% travel.

Key Responsibilities:

• Strong understanding of reimbursement and health care policy, CMS, and MolDX process
• Support developing medical policy for Northstar Select™, and Northstar Response™and other oncology offerings as developed
• Lead initiatives and execute coverage, and payment strategies
• Support a proactive, comprehensive CMS/MolDX strategy
• Coordinate with RCM to ensure BillionToOne recognizes revenue consistent with reimbursement and coverage policies, identifies opportunities, and develops strategies to improve reimbursement experience
• Monitor CMS and HHS agency activities of interest to BillionToOne that shape the formulation of relevant public policy issues
• Interpret existing and emerging payer policies, competitive landscape, trends, pricing, contracting strategies, and potential barriers to provider and patient access
• Work across a matrix with colleagues in commercial, medical affairs, communications, patient advocacy, and other parts of Corporate Affairs to achieve business goals
• Gather and synthesize feedback for development of programs with health technology assessment agencies, NNCC, Payors, and relevant patient associations
• Maintain an active awareness of the translational medicine, oncology, companion diagnostic, and pharmaceutical services markets, competitors, customers, and payer challenges

 Requirements:

• M.S., Ph.D., or MD degree in science, or health care relevant field required
• 3-5 year’s experience in Payor account management, including experience in developing local coverage determinations and medical policy for new technology
• 3-5 years of Payor Access experience within the oncology diagnostics sector
• Experience in managing key customer or Market Access relationships, creating, and presenting technical presentations to senior-level managers and medical directors
• Demonstrated ability to Identify and cultivate relationships with key contacts within health plans, including Medical Directors, medical policy, medical management, and pricing/reimbursement personnel
• Relationships and experience working with NCCN on guidelines

Knowledge, Skills & Abilities:

• Experience developing and executing strategic plans to obtain optimal payer coverage/policies and reimbursement for prenatal/oncology tests
• Self-driven, passionate, innovative, and able to manage multiple tasks in a fast-paced environment
• Ability to build cross-functional teams that share information and achieve positive results
• Ability to manage multiple projects that are highly complex in nature and broad in scope
• Competent in computer skills. Familiar with Microsoft Office programs such as Access, Word, Excel, and PowerPoint
• High level of intensity, enthusiasm, and professionalism

Benefits And Perks: