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 (East) will grow existing and develop new GeneDx payor relationships across the assigned geography 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 Eastern 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.
- Strong analytical, communication, and interpersonal skills.
- Highly adaptable in a rapidly changing environment.
Certificates, Licenses, Registrations
- None
Work Environment
- The role is fully remote.
- Ability to travel for business-critical meetings (up to 20%)\
#LI-REMOTE
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Science - Minded, Patient - Focused.
At GeneDx, we create, follow, and are informed by cutting-edge science. With over 20 years of expertise in diagnosing rare disorders and diseases, and pioneering work in the identification of new disease-causing genes, our commitment to genetic disease detection, discovery, and diagnosis is based on sound science and is focused on enhancing patient care.
Experts in what matters most.
With hundreds of genetic counselors, MD/PhD scientists, and clinical and molecular genomics specialists on staff, we are the industry’s genetic testing experts and proud of it. We share the same goal as healthcare providers, patients, and families: to provide clear, accurate, and meaningful answers we all can trust.
SEQUENCING HAS THE POWER TO SOLVE DIAGNOSTIC CHALLENGES.
From sequencing to reporting and beyond, our technical and clinical experts are providing guidance every step of the way:
TECHNICAL EXPERTISE
- High-quality testing: Our laboratory is CLIA certified and CAP accredited and most of our tests are also New York State approved.
- Advanced detection: By interrogating genes for complex variants, we can identify the underlying causes of conditions that may otherwise be missed.
CLINICAL EXPERTISE
- Thorough analysis: We classify variants according to our custom adaptation of the most recent guidelines. We then leverage our rich internal database for additional interpretation evidence.
- Customized care: Our experts review all test results and write reports in a clear, concise, and personalized way. We also include information for research studies in specific clinical situations.
- Impactful discovery: Our researchers continue working to find answers even after testing is complete. Through both internal research efforts and global collaborations, we have identified and published hundreds of new disease-gene relationships and developed novel tools for genomic data analysis. These efforts ultimately deliver more diagnostic findings to individuals.
Learn more About Us here.
Our Culture
At GeneDx, we are dedicated to cultivating an environment where creativity and innovation thrive. We believe in the power of community and collaboration, where diverse perspectives are embraced, and every voice contributes to our shared success. Our team is a vibrant mix of professionals who challenge and support each other in equal measure, fostering growth both personally and professionally. When you join us, you're not just taking on a job—you're joining a movement. A movement that champions curiosity, embraces change, and believes in making an impact, one patient at a time. Cultural principles we live by:
- Be bold in our vision & brave in our execution.
- Communicate directly, with empathy.
- Do what we say we're going to do.
- Be adaptable to change.
- Operate with a bias for action.
Benefits include:
- Paid Time Off (PTO)
- Health, Dental, Vision and Life insurance
- 401k Retirement Savings Plan
- Employee Discounts
- Voluntary benefits
GeneDx is an Equal Opportunity Employer.
All privacy policy information can be found here.
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What We Do
GeneDx is focused on delivering personalized, actionable insights that improve health outcomes. We sit at the intersection of diagnostics and data science, pairing decades of genomic expertise with an unmatched ability to interpret clinical data at scale.
Our exome and genome testing is among the best in the industry. We expect that it will be even more advanced in the future with the help of Centrellis®, our innovative health information platform. Powered by millions of medical records, Centrellis® integrates digital tools with artificial intelligence to ingest and synthesize clinical and genomic data.
As a result of our robust test menu, including our exome and genome testing, and the comprehensive insights generated by Centrellis®, we are developing a more complete understanding of complex disease than ever before. This translates to faster diagnosis, more effective treatment plans, and enhanced drug discovery.
Our offerings help a whole spectrum of healthcare partners -- clinicians, researchers, health systems, pharmaceutical companies, and payors -- improve patient experiences and advance population health
