Associate Director / Director, Market Access & Reimbursement

Posted 21 Days Ago
Be an Early Applicant
Remote
Senior level
Healthtech • Biotech
The Role
The Associate Director/Director of Market Access & Reimbursement at Helix will strategize and manage relationships with payers, develop communication tools related to reimbursement strategies, educate teams on market access, support sales in resolving reimbursement issues, and oversee daily reimbursement operations.
Summary Generated by Built In

You + Helix

Helix is a place where innovators and doers gather in order to drive significant progress in population genomics. We have come together to work at the intersection of clinical care, research, and genomics.  

If you’re excited by the idea of making a meaningful impact and joining a team where we pride ourselves on driving innovation through fostering an environment with an emphasis on empowering one another to grow, Helix might be the place for you!

Helix + The World

Helix is the leading population genomics company. Helix enables health systems, public health organizations and life science companies to accelerate the integration of genomic data into patient care and public health decision making.

We are continuing to scale our world-class team to support our dedication to empowering every person to improve their life through DNA. 

Helix + Transparency

At Helix, we value transparency. You will find the expected compensation, interview process, what to anticipate during onboarding, and your first 90 days listed in the job description for all Helix roles.

What is special about this role?

With Helix’s growing network of health system partners, innovative Sequence Once, Query Often™ model, and proprietary clinico-genomic dataset, we have a unique opportunity to transform use of genomics as well as how it's reimbursed. As the Associate Director / Director of Market Access and Reimbursement at Helix, you will be in charge of defining and implementing a market access strategy to do just that. With this role, we’re looking for someone who’s comfortable working across all aspects of market access and reimbursement, including  developing materials to articulate our value proposition to payers, negotiating contracts with priority payers, determining our billing and coding strategy, and overseeing day-to-day billing operations.

As Associate Director / Director, Market Access & Reimbursement you will:

  • Prioritize and manage relationships and contracting activities with priority payers for Helix’s population genomics businesses – including building / growing relationships with tech assessment groups, laboratory benefit managers, and other relevant stakeholders
  • Keep up to date with changes in the industry, payer policy trends, and other information to make proactive recommendations on appropriate payer targets and strategies
  • Drive the development of tools and materials to effectively communicate our reimbursement strategy and economic value proposition of our platform and unique Sequence Once, Query™ Often model to payers, health systems executives, and other key stakeholders
  • Educate cross-functional teams on market access and reimbursement related topics that influence design of our products and adoption and access to germline testing
  • Support externally facing teams (sales, partner success, medical affairs) by proactively identifying and resolving reimbursement related issues that could impact customer relationships; where necessary, work directly with our health system partners to resolve any issues
  • Identify and execute on novel pilot programs with target payers to explore alternative payment models for germline genomics, with an aim to demonstrate the value of broader use of genetic screening in healthy individuals and our Sequence Once, Query Often model
  • Oversee day-to-day reimbursement operations, including driving the reporting and analysis of on key operational measures and developing and implementing strategies to improve them 

About you:

  • Mission-oriented, with a deep passion for improving people’s lives through DNA
  • At least 10 years of experience and a demonstrated track record of achieving favorable reimbursement for molecular diagnostics with commercial payers, developing coding strategies,  and supporting revenue cycle management processes 
  • Strong network / relationships with commercial payers and other organizations / societies that influence access to molecular diagnostics
  • In-depth understanding of the US payer landscape and reimbursement trends and mechanisms, with respect to molecular diagnostics
  • Able to think outside the box with respect to reimbursement strategies for Helix’s Sequence Once, Query Often™ model
  • Comfort with analysis of health economic arguments and the underlying science and clinical impact of molecular diagnostics
  • Strong verbal and written communication
  • BA or BS required

Pluses:

  • Set the strategic direction for reimbursement strategy for the launch of a novel molecular diagnostic
  • Experience securing coding, coverage, and payment for a novel molecular diagnostic
  • Led the development of health economic analysis for an innovative payment model or care paradigm

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. For more information or to make an accommodation request reach out to [email protected]

Expected Interview Process:

1) Recruiter Screen 2) Manager Screen/Tech Screen 3) Onsite  4) Offer

Expected Pay For This Role:

There are 3 distinct parts to your Helix offer: 1) Base Salary  2) Annual Bonus 3) Equity 

Expected Helix Base: $153,000 - $239,000

Expected Helix Discretionary Annual Bonus: 15% - 20% of your annual salary

Equity: We offer generous equity at Helix. If you receive a Helix offer your recruiter will book dedicated time with you to educate you on our equity model.

The salary range above is our reasonable estimate of the base compensation for this role across US locations. Actual starting pay will be based on non-discriminatory job-related factors, including exact work location, experience, relevant training and education, and skill level. Your recruiter can share more about your specific work location salary range during the hiring process. 

Aside from working alongside brilliant, dedicated, passionate, down-to-earth, curious, warm, and thoughtful people, we also provide great benefits:

  • Comprehensive Health Insurance with Date of Hire eligibility 
    • Above average employer paid premium coverage 
  • 12 weeks Helix Paid Parental Leave option 
  • 401(k) with employer matching of up to 3% and 100% Vesting on the Date of Hire
  • Comprehensive Well-Being Benefits 
    • 18 well-being programs covering financial, legal and wellness solutions
  • Flexible PTO
  • Remote options for many roles and a home office stipend 

What To Expect During Your Onboarding Week:

We want to make sure your first week is spent learning the foundations. You will be invited to live orientation sessions and spend time with your hiring manager developing your individual roadmap to success. This experience will include sessions that cover your benefits, security & privacy training, an introduction to the OKR framework used at Helix and our communication tools and norms. 

What To Expect During Your First 90 days:

First 30 days:  you’ll spend time learning the Helix way, completing training and onboarding for your roles, and getting introduced to your team and relevant stakeholders. You’ll also gain a deeper understanding of our customers, our products, the impact we make in the lives of our communities, and how to thrive at Helix through participation in Helix U.  

Day 30 - 60: you’ll spend time contributing to projects, deeply familiarizing yourself with team and company processes, and developing a deeper understanding of Helix’s products, services and capabilities.

Day 60 - 90: you’ll build your OKRs with your manager, start to take ownership of projects and initiatives on your team, and begin to demonstrate your impact on the Helix mission. 

Helix is proud to be an equal opportunity employer, and committed to providing employment opportunities regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, pregnancy, childbirth and breastfeeding, age, sexual orientation, military or veteran status, or any other protected classification, in accordance with applicable federal, state, and local laws.


#LI-Remote 

The Company
San Mateo, CA
200 Employees
Hybrid Workplace
Year Founded: 2015

What We Do

Helix is a rapidly growing startup focused on personal genomics. Helix has a simple but powerful mission: to empower every person to improve their life through DNA. We’re creating an ecosystem where people can explore diverse and uniquely personalized applications provided by high-quality partners.

Why Work With Us

We are collaborators—scientists, engineers, designers, marketers, and more—working across four offices to solve complex challenges locked within the human genome. We are biased toward action as we strive to uphold integrity in sequencing, science, and communication. At Helix, transparency, collaboration, and empowerment drive us in all that we do.

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