Policy and Reimbursement Director

28 Apr, 2022

Jobs

Policy and Reimbursement Director

GRAIL Healthcare
Washington, D.C.
GRAIL is a healthcare company whose mission is to detect cancer early, when it can be cured. GRAIL is focused on alleviating the global burden of cancer by developing pioneering technology to detect and identify multiple deadly cancer types early. The company is using the power of next-generation sequencing, population-scale clinical studies, and state-of-the-art computer science and data science to enhance the scientific understanding of cancer biology, and to develop its multi-cancer early detection blood test. GRAIL is headquartered in Menlo Park, CA with locations in Washington, D.C., North Carolina, and the United Kingdom. GRAIL, LLC is a wholly-owned subsidiary of Illumina, Inc. (NASDAQ:ILMN). For more information, please visit www.grail.com.
Are you a leader in the healthcare industry ready to take on a new challenge in policy and reimbursement for an innovative company in the cancer field? GRAIL is looking for a Policy and Reimbursement Director who has extensive experience in reimbursement policy at the national or state level for healthcare products or services.
This position will report to the Senior Director of Coverage and Reimbursement Policy, and work in collaboration with the Government Affairs and Commercial Payer teams, the Director will play an integral role in developing and driving reimbursement and policy initiatives for GRAIL’s multi-cancer early detection product

You will:

    • Be responsible for working across GRAIL to drive reimbursement goals, including those related to coding, coverage, and payment strategies for current and future screening and diagnostic products.
    • Monitor policy proposals and industry trends to identify and flag opportunities and risks to the company on coding, coverage, and reimbursement.
    • Support policy development and engage with agency personnel on federal and state legislative and regulatory matters.
    • Engage industry trade associations and other collaborative venues to promote alignment on company policy priorities and positions.
    • Develop strong working relationships with key internal stakeholders in support of coverage and reimbursement of current and future screening and diagnostic products including HEOR, medical affairs, regulatory affairs, marketing, and commercial colleagues.
    • Grow and refine a deep understanding of the company’s product, technology, methodology and patient population and communicate and translate this knowledge effectively and appropriately to a variety of audiences.

Your background should include:

    • Bachelor’s degree or equivalent; advanced degree preferred.
    • 10+ years of experience in reimbursement policy at the national or state level, including coverage, coding, and payment of healthcare products or services.
    • Successful track record of being a leader in managing complex policy issues and/or reimbursement strategic plans at a company, trade association, or relevant Department or Agency.
    • Strong understanding of the molecular diagnostic and screening testing market, including products, companies, and technology.
    • Ability to develop and maintain strong internal and external relationships while enhancing the company’s policy positions
    • Experience working with health outcomes research studies preferred.
    • Strong understanding of coverage in public programs, including Medicare and Medicaid.
    • Superior interpersonal communication (written and verbal), and organizational skills
    • Innovative, energetic, entrepreneurial and resourceful; diplomatic, intuitive, inquisitive and mature; willing to offer opinions, suggestions, and judgments that are supported by sound logic.
GRAIL is an Equal Employment Office and Affirmative Action Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability or any other legally protected status. We will reasonably accommodate all individuals with disabilities so that they can participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.
Following extensive monitoring, research, consideration of business implications, and advice from internal and external experts, GRAIL has made the decision to require all U.S. employees receive the COVID-19 vaccines as a condition of employment. “Full vaccination” is defined as two weeks after both doses of a two-dose vaccine or two weeks since a single-dose vaccine has been administered. Anyone unable to be vaccinated, either because of a sincerely held religious belief or a medical condition or disability that prevents them from being vaccinated, can request a reasonable accommodation.

Job posted: 2022-04-28