Director - Medical Policy

** At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives.*
* We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day:  _"What would I do if this patient were my mom?"_  That question drives everything we do.

But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose.

** Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins.*
* ** Position Summary*
* The Director of Medical Policy will manage Market Access strategies for current and pipeline products and drive payer and health policy initiatives for the Caris Life Sciences product portfolio. This position plays a critical role in shaping and aligning the company's medical policy strategy and will lead tactics and communications in support of influencing reimbursement policies, including coverage and evidence generation for current and pipeline products.

This position is responsible for identifying, analyzing and responding to medical policy developments for commercial and government payers and well as Lab Benefit Management (LBM) companies. This position reports to the VP of Market Access, however sits at the intersection of Medical Affairs, HEOR and Government Affairs.

** Job Responsibilities*
* + Monitor and analyze payer and LBM medical policies, coverage decisions and reimbursement trends across commercial and government payers to assess impact on company pipeline.

+ Interpret payer and policy changes and communicate implications to the broader internal stakeholders.

+ Clinical and product expert for the Market Access team and responsible for presenting clinical data to market access policy makers, including Medical Directors and Medical Policy groups, and meetings and conferences.

+ Own and support the development of evidence generation plans, value propositions and technical assessment submission packages to submit to gain coverage of Caris products to assigned payers and LBM's.

+ Engage with payer stakeholders including Medical Directors and Medical Policy contacts to communicate updates to data and to advocate for coverage of Caris's tests. Maintain policy relationships with industry, including trade associations and professional societies.

+ Support National and State legislative initiatives advocating for coverage of evidence-based biomarkers for all cancer patients to improve access and promote health equality.

+ Market Access representative and advocate in strategic and tactical planning within the business units, focused on evidence generation, product development, and commercialization from a Payer perspective.

+ Partner with market access, marketing, HEOR and other related solutions teams to support the execution of business plans for the business unit.

+ Closely track and understand professional society guidelines and technology assessments that influence payer policy decisions.

+ Ability to work in a deadline-driven and fast-paced environment, including managing multiple projects on time and within budget completion.

+ Ability to use expert knowledge and judgment to make sound decisions.

+ Ability to effectively collaborate, interface, and influence with all levels of an internal organization.

+ Ability to lead, manage, and prioritize strategies, initiatives, and workload independently and proactively in a fast-paced, entrepreneurial environment.

+ Adaptable, open to change, and ability to work in ambiguous situations and respond to new information and unexpected circumstances.

+ Ability to develop a value proposition and effective business case to influence medical policy.

+ Apply outstanding problem solving, project and program management skills.

+ Exercise strong analytical and business skills; ability to communicate effectively with high level executives.

+ Exercise strong collaboration, influencing, project management, organizational, and change management skills.

+ Exercise strong oral and written communication and presentation skills.

+ Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork.

+ Maintain regular and reliable attendance.

+ Develop and maintain payer engagement strategies to support long-term access and reimbursement goals.

+ Lead internal training sessions to educate commercial and medical teams on payer trends and policy changes.

+ Track and report on key performance indicators (KPIs) related to payer coverage, policy wins, and access milestones.

+ Collaborate with Clinical Development and HEOR to align evidence generation with payer expectations.

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