Director, Market Access Central

GeneDx (Nasdaq: WGS) delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug discovery. The company is uniquely positioned to accelerate the use of genomic and large-scale clinical information to enable precision medicine as the standard of care. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world’s largest, rare disease data sets. For more information, please visit www.genedx.com. 

  Summary  

  The Market Access Director (Central) will grow existing and develop new GeneDx payor relationships across the Central US and will have direct ownership of our Medicare and Tricare relationships. You will secure favorable payor contracts, expand medical policy coverage for exome and genome sequencing, develop strategic payor partnerships, and serve as the voice of the payor at GeneDx. Your strategic efforts will shape our market presence and success by expanding patient access to a genetic diagnosis.  

  Job Responsibilities 

• Develop innovative access, pricing, coverage, and contracting strategies to support the needs of patients and their clinicians, ultimately driving business growth, profitability, and performance.  

• Lead payor contracting strategy for assigned geography and national payors (Medicare and Tricare) by identifying opportunities to secure new contracts and/or improve rates and terms in existing contracts.  

• Drive the expansion of payor medical policies, delivering the latest evidence and professional society guidelines to payor accounts, with a focus on exome and genome sequencing.  

• Collaborate with cross-functional teams—including Billing Operations, Legal, Training, Sales, and Marketing—to ensure seamless contract execution and alignment on strategic goals.  

• Advise the RCM team on evolving payor requirements and processes that may impact reimbursement success.  

• Serve as a subject matter expert on professional society guidelines, health technology assessments, published evidence, lab benefit management programs, medical policies, state legislation, federal regulations, and broader market trends impacting coverage and reimbursement.  

• Proactively analyze and share payor data to identify opportunities and lead initiatives that improve reimbursement success.  

• Provide strategic Market Access guidance to the GeneDx field sales team in the Central US to support revenue and volume targets.  

• Develop and strengthen strategic partnerships with payors, advocacy groups, health systems, state legislators, lobbyists, and key opinion leaders to advance contracting and policy change efforts.  

• Serve as an internal advisor and payor expert, providing insight on the current and emerging payor landscape to guide business decisions.  

• Solve complex business challenges by leveraging internal expertise and external resources to create actionable solutions.  

  

People Manager 

• No 

  

Education, Experience, and Skills 

• 10+ years of Market Access experience, preferably in molecular diagnostics.  

• 5+ years of experience in genomics strongly preferred.  

• Demonstrated experience working with Medicare, Tricare, and regional commercial payors in the Central US.  

• Bachelor’s degree or higher in a related field.  

• Proven track record of influencing payor medical policies.  

• Strong executive presence and a solution-oriented mindset.  

• Ability to simplify and clearly communicate complex information.