Policy and Reimbursement Senior Director #4459

Responsibilities

• Coverage and Reimbursement Leadership:
• Navigate diverse coverage frameworks and leverage government processes (across CMS and other public payers) to advocate for policies that facilitate inclusion and support of our products in public insurance programs.
• Collaborate closely with the VP, SVP, cross functional colleagues, and company leadership to execute engagement strategies that promote comprehensive coverage and meaningful reimbursement.
• Manage/direct external consultants on GRAIL public payer reimbursement activities.
• In partnership with VP, collaborate with commercial business units as appropriate to ensure cross-pollination of public and private payer strategies, including identifying opportunities for coverage.
• Coordinate with internal stakeholders across Commercial, HEOR, Medical Affairs, Regulatory Affairs, and Marketing to enhance support for product coverage and reimbursement strategies.
• Collaborate with HEOR colleagues on analytics development to demonstrate the value of early cancer detection for Medicare and other public payers.
• Work cross-functionally to support evidence-generation planning for coverage
• Acts as a resource on reimbursement and related health policy issues to internal business areas, industry partners, and regulatory agencies.
• Public Policy Strategy:
• Monitor external policy developments and industry trends to identify opportunities and mitigate risks.
• Lead the development and execution of policy strategies on federal and state legislative and regulatory issues.
• Produce and spearhead comment letters on behalf of GRAIL and actively participate in policy discussions to align on company policy positions.
• Support government affairs and strategic alliances through coordinated engagement, policy research projects, material development, and other contributions.
• Engage with industry trade associations to promote and align on company policy priorities.
• Develop and maintain processes to ensure organizational awareness of government policies affecting GRAIL and respond to such policies in collaboration with internal government affairs and business partners.
• These responsibilities summarize the role’s primary responsibilities and are not an exhaustive list. They may change at the company’s discretion.
• These responsibilities summarize the role’s primary responsibilities and are not an exhaustive list. They may change at the company’s discretion.

Required Qualifications

• Minimum of 15 years of experience in public policy at the national or state level, with a focus on healthcare product coverage and payment.
• Proven leadership in navigating complex policy issues and implementing strategic reimbursement plans.
• Extensive knowledge of public program coverage, including Medicare and Medicaid.
• Bachelor’s degree required; advanced degree preferred.

Preferred Qualifications

• Understanding of the molecular diagnostics and screening market is preferred.
• Strong capability to develop and maintain robust internal and external relationships, enhancing the company’s policy positions.
• Exceptional interpersonal, communication, and organizational skills.
• Innovative, energetic, and resourceful with a diplomatic and intuitive approach.  Commitment to communal success and the idea that we succeed only by helping teammates succeed.

Physical Demands of the Working Environment

• The role is a combination of time spent in our Washington DC office, the Hill and your home office. You must be flexible to work where needed.