Market Access Channel Strategy Lead (Medicaid)

TL;DR

Market Access Channel Strategy Lead (Medicaid): Driving medical coverage policies and in-network contract procurement for clinical diagnostic genetic tests with an accent on Medicaid FFS and Managed Care accounts. Focus on navigating complex government policy landscapes, legislative advocacy, and cross-functional collaboration to expand patient access to diagnostic services.

Location: Must be based in the United States

Company

hirify.global is a clinical diagnostic laboratory specializing in genetic testing and medical diagnostics.

What you will do

• Achieve positive medical coverage policy decisions by engaging with Medicaid FFS and Managed Care stakeholders.
• Drive in-network contracting strategies to expand provider lab access within assigned accounts.
• Serve as a subject matter expert on government policy and legislative impacts on genetic testing reimbursement.
• Collaborate with cross-functional teams including Legal, Medical Science Liaisons, and Revenue Cycle Management.
• Synthesize payer market intelligence to inform strategic planning and identify access barriers.
• Conduct routine account business reviews to track progress against strategic objectives.

Requirements

• 8+ years of direct experience in U.S. Payer account management (medical benefit).
• Proven success in achieving positive coverage policy decisions with Medicaid FFS/Managed Care.
• Bachelor's degree required.
• Strong understanding of Part B Medical policy and state legislative mandates.
• Ability to work effectively in a field-based, cross-functional environment.
• Excellent verbal and written communication skills.

Nice to have

• Experience with molecular diagnostics (MolDx) or genetics.
• Biopharma Payer account management experience.
• Knowledge of the US Payer payment system or CLFS.
• Experience in small or start-up biopharma environments.

Culture & Benefits

• Full-time employment with a focus on professional growth in a regulated environment.
• Opportunity to impact patient access to critical genetic diagnostic testing.
• Collaborative team environment working across multiple internal departments.
• Commitment to ethical performance and integrity in a complex payer landscape.