Market Access Manager

Market Access Manager

The Market Access Manager will be responsible for driving payer engagement, optimizing coverage and reimbursement, and supporting provider adoption for our FDA-approved colorectal cancer screening test, ColoSense. This role will lead strategies across Medicaid, managed Medicaid, commercial payers, and other evolving market access opportunities to ensure broad test adoption and patient access. The ideal candidate will have a strong background in market access strategy, payer contracting, reimbursement policy, and healthcare economics.

RESPONSIBILITIES

• Research and submit coverage policy submissions to state Medicaid FFS programs.
• Track fee schedules across state Medicaid programs and maintain Smartsheet trackers.
• Coordinate clinical presentations and prepare senior leaders for Medicaid Advisory Committee meetings.
• Support strategies to identify and overturn Medicaid coverage denials.
• Manage Geneoscopy's provider enrollment and credentialing process with priority state Medicaid programs and individual MCO plans.
• Work directly with the credentialing and enrollment vendor to ensure applications are complete, accurate, and submitted on time.
• Conduct quality control on applications and respond to vendor and plan inquiries.
• Track status of enrollments, re-enrollments, and revalidations; triage internally to gather information needed for submissions.
• Coordinate with vendors on contract submissions across commercial, Medicare Advantage, and Managed Medicaid plans.
• Manage contract lifecycle tracking, including status, key dates, and payer compliance requirements.
• Maintain an organized repository of executed contracts across all payer types, ensuring documents are accessible, version-controlled, and audit-ready.
• Support negotiations with timely follow-up and documentation.
• Work with state Medicaid agencies to ensure ColoSense's inclusion in fee schedules at appropriate reimbursement rates.
• Support efforts to ensure that coverage decisions translate into consistent and timely payment.
• Partner with Revenue Cycle Management (RCM) to monitor payer behavior post-coverage, including claims performance and denial trends.
• Identify reimbursement friction points and escalate trends to inform contracting and policy strategy.
• Work closely with Government Affairs and Medical Affairs teams to align Medicaid strategy with overall commercial objectives.
• Support contracting and compliance efforts related to reimbursement.
• Other duties as assigned.

EDUCATION REQUIREMENTS

• A bachelor's degree in business, healthcare administration, public policy, or a related field is required.
  • A master's degree is preferred.

QUALIFICATIONS

• Possess 3+ years of experience in market access, provider credentialing, and reimbursement strategy within the diagnostics, laboratory, or healthcare industries.
• Expertise in Medicaid, managed Medicaid, commercial payer contracting, and reimbursement frameworks.
• Strong understanding of payer policy development, fee schedules, and healthcare economics.
• Proven ability to navigate state and federal reimbursement policies and advocate for favorable coverage decisions.
• Possess excellent communication, negotiation, and relationship-building skills.
• Demonstrate proficiency in analyzing reimbursement data and developing strategic recommendations.
• Exemplify the ability to multitask and thrive in an agile, fast-paced, deadline-driven environment while remaining flexible, proactive, resourceful, and efficient.
• Possess proficient verbal and written communication skills, while willing to share and receive information and ideas from all levels of the organization to achieve the desired results.
• Possess high ethics and conduct business in the most professional manner.
• Seek inclusiveness and collaboration but step up to responsibility, make tough decisions, and be accountable for those decisions.
• Act as a results-oriented team player with strong interpersonal and communication skills, capable of working collaboratively with colleagues.

SCHEDULE
This is a salaried position, requiring at least 40 hours per week. There may be projects that require activities beyond the standard hours.

COMPENSATION & BENEFITS

• Base salary range: $120,000 - $160,000/annually determined based on the candidate's experience, knowledge, and abilities.
• Bonus: discretionary annual bonus based on a percentage of the employee's base salary
• Benefits: health, vision, dental, life insurance, 401k (with employer match), and paid time off.
• Company stock options

ADDITIONAL INFORMATION

Geneoscopy's Core Values
Ability to embody Geneoscopy's beliefs, philosophies, and principles:

• Integrity - we do the right thing through our words, actions, and behaviors
• Courage - step up, speak up, stand out
• Agility - think and act fast, embracing change
• Passion - for our customers, our people, our work, and for excellence
• Collaboration - our differences are assets

Physical Demands

• Employees may be required to lift routine office supplies and use standard office equipment.
• Must possess the ability to sit and/or stand for long periods.
• Must possess the ability to perform repetitive motion.

Work Environment

• May have exposure to fumes and bio-hazardous material in the laboratory environment.
• May be required to handle blood-borne pathogens and general laboratory reagents.

By completing this online employment application, you certify that the information on this application is true and complete to the best of your knowledge. You understand that any misrepresentation or omission of fact in response to any inquiry made in this application may result in the rejection of the application or if hired, dismissal whenever it is discovered. You authorize and release all parties from any liability or damage that may result from seeking, furnishing, or using such information. You understand and agree that, if hired, your employment is for no definite period and may, regardless of the date of payment of compensation, be terminated by Geneoscopy at any time, for any or no reason, with or without notice. You understand that no representation to the contrary is valid unless in writing, setting a definite term of employment, and signed by the company's CEO. You further understand and agree that any job offer is contingent upon your passing, to the company's satisfaction, a criminal background check, reference checks, and other possible screenings. You understand that this application is active for 90 days only, and if you do not hear from the company but still wish to be considered for employment after 90 days, you will need to fill out a new application.