Demo

Director - Market Access Medical Policy (Remote)

Caris Life Sciences
Oregon, IL Remote Full Time
POSTED ON 1/13/2025
AVAILABLE BEFORE 4/3/2025

Caris Life Sciences Director - Market Access Medical Policy (Remote)

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.

    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.

    Caris Life Sciences is a leading innovator in molecular science and artificial intelligence focused on fulfilling the promise of precision medicine through quality and

    Please make sure you read the following details carefully before making any applications.

    J-18808-Ljbffr

    Remote working / work at home options are available for this role.

    Salary : $170,000 - $190,000

    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a Director - Market Access Medical Policy (Remote)?

    Sign up to receive alerts about other jobs on the Director - Market Access Medical Policy (Remote) career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $219,423 - $248,819
    Income Estimation: 
    $280,031 - $485,657
    Income Estimation: 
    $182,352 - $239,442
    Income Estimation: 
    $347,923 - $493,999
    Income Estimation: 
    $383,487 - $495,340
    Income Estimation: 
    $464,486 - $686,839
    Income Estimation: 
    $303,285 - $401,652
    Income Estimation: 
    $344,185 - $446,259
    Income Estimation: 
    $383,487 - $495,340
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at Caris Life Sciences

    Caris Life Sciences
    Hired Organization Address Phoenix, AZ Full Time
    Position Summary The Pathologist Assistant I is responsible for assisting the assigned Pathologists in organizing and pe...
    Caris Life Sciences
    Hired Organization Address Phoenix, AZ Full Time
    Position Summary The Technical Supervisor of Molecular Operations is responsible for the technical components of the Mol...
    Caris Life Sciences
    Hired Organization Address Phoenix, AZ Full Time
    Position Summary The Technical Supervisor of Molecular Operations is responsible for the technical components of the Mol...
    Caris Life Sciences
    Hired Organization Address Phoenix, AZ Full Time
    Position Summary The Laboratory Operations Specialist I is responsible for facilitating the movement of patient samples ...

    Not the job you're looking for? Here are some other Director - Market Access Medical Policy (Remote) jobs in the Oregon, IL area that may be a better fit.

    Medical Director

    Theoria Medical, Freeport, IL

    Medical Director

    Theoria Medical, Janesville, WI

    AI Assistant is available now!

    Feel free to start your new journey!