Senior Manager, Market Access Strategy, Analytics & Enablement

Overview

The Senior Manager, Market Access, Analytics & Enablement provides strategic leadership across U.S. market access strategy, analytics, coding, reimbursement, operational enablement, and payer insights for on-market and pipeline diagnostic products. This role leads the development and execution of scalable market access strategies to support payer coverage, coding optimization, reimbursement success, and commercial adoption across the U.S. healthcare landscape. The individual partners with Global Market Access, HEOR, Medical Affairs, Marketing, Sales, Regulatory, Product Development, Government Affairs, Information Technology, and Field Reimbursement teams to drive evidence-based decision making and operational excellence.

Success requires strategic thinking and the ability to aggregate data from multiple sources to inform market access planning for pipeline and commercialized products.

Market Access Strategy & Operations

• Lead the aggregated analytics alignment on Market Access strategies for current and new market and pipeline diagnostic products.
• Partner with Global Market Access teams to adapt global strategies to meet U.S. payer, coding, reimbursement, and commercialization needs.
• Integrate payer and reimbursement considerations into go-to-market planning and lifecycle management using databases for informed decision making.
• Pull from healthcare policy, reimbursement trends, coding updates, and payer coverage changes to proactively identify risks and opportunities.
• Develop strategic solutions and market access plans that support patient access and commercial success.
• Collaborate with Government Affairs, industry associations, and external stakeholders on coding and reimbursement policy initiatives impacting diagnostic products.
• Support market gap assessments and execute strategic initiatives to address payer concerns and reimbursement barriers.

Analytics & Enablement

• Lead the strategy, development, and implementation of analytics frameworks, dashboards, operational tools, and business intelligence capabilities that support Market Access decision-making.
• Oversee analyses related to medical policy coverage, coding utilization, billing and reimbursement trends, pricing and fee schedules, claims and utilization analytics, and team performance metrics.
• Partner with other analytics and IT teams to leverage large datasets, data warehouses, and visualization platforms (e.g., Definitive, Excel, Smart Sheet, Tableau, and Snowflake).
• Utilize AI-enabled tools and analytics solutions to generate actionable insights and accelerate business outcomes.
• Develop payer heat maps, reimbursement landscape assessments, and market access reporting tools to support field and leadership decision-making.

• Maintain deep expertise in healthcare coding systems, including CPT, ICD-10, DRG, modifiers, and reimbursement methodologies.

Leadership & Cross-Functional Collaboration

• Drive alignment across Market Access, Sales, Marketing, HEOR, Medical Affairs, Regulatory, Product Development, and Global Strategy teams.
• Influence cross-functional stakeholders and senior leadership through clear communication of complex reimbursement and market access insights.
• Manage consultants, vendors, and external partners supporting Market Access initiatives.
• Ensure all activities are conducted in compliance with company policies, healthcare regulations, and ethical business standards.

Operational Excellence & Project Management

• Lead and align cross-functional projects from strategy through execution, ensuring timely delivery of key initiatives and tools.
• Utilize operational excellence frameworks and performance management methodologies to drive accountability and continuous improvement.
• Support KPI development, business process optimization, and organizational enablement initiatives across the Market Access function.

Required Education, Training and Experience

• Bachelor degree required in Public Health, Life Sciences, Law, Economics, or related field;
  Master’s degree preferred.
• 5+ years of diagnostic experience with familiarity of diagnostic technologies in laboratory settings, regulatory impacts, commercialization, and reimbursement considerations
• US payer systems
• Coding and reimbursement strategy
• Healthcare analytics
• Diagnostic commercialization
• Market Access operations
• CPT coding strategy and reimbursement pathways for diagnostic products
• Experience in IVD laboratory diagnostics and reimbursement

Preferred Education, Training and Experience

• Experience working with CMS, AMA CPT processes, MolDX, and commercial payer policy frameworks
• Knowledge of claims databases, fee schedules, and healthcare coding systems
• Experience with business intelligence platforms and healthcare analytics tools
• Demonstrated success supporting payer engagement and policy initiatives

• Deep understanding of the U.S. Market Access and reimbursement landscape
• Strong executive communication and presentation skills
• Strategic mindset with strong…