Senior Manager / Associate Director, Market Access & Reimbursement

Cleveland Diagnostics

Senior Manager/Associate Director of Market Access & Reimbursement for Cleveland Diagnostics. Responsible for commercial coverage strategy ensuring patient access to diagnostics technologies.

Posted 7/27/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $85,000 - $150,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Expertise in reimbursement strategies and market access within the healthcare industry, particularly in diagnostics and oncology. Strong ability to develop evidence-based materials and navigate complex payer environments while building relationships with key stakeholders.

Highest-signal resume keywords

Healthcare Industry ExperienceReimbursement and Market AccessDiagnostics Experience in OncologyHealth Economics and Outcomes Research (HEOR)Strong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingICD-10 CodingCost-Effectiveness ModelingClinical Utility StudiesMarket AnalysisPayer Value DossiersClinical Trial Endpoint AlignmentBilling and Prior Authorization ProcessesRelationship Building with Medical DirectorsInternal Sales Training

Soft Skills

Cross-Functional CollaborationInternal Relationship-BuildingAbility to Thrive in Ambiguous Environments

Industry Keywords

Managed CareHealthcare Compliance StandardsLDT ProductsIVD ProductsPayer Evidence RequirementsPublic and Private PayorsMedicare Administrative Contractors (MACs)Patient Advocacy Groups

About the role

Key responsibilities & impact

Refine coverage, coding, and payment strategies for existing and new products for both public and private payors.
Secure unique CPT, PLA, or ICD-10 diagnostic codes as needed.
Create and refine compelling, evidence-based payor value dossiers and other marketing materials for public and private payers.
Align clinical trial endpoints to address payer evidence requirements, including cost effectiveness modeling and clinical utility studies.
Work with CDx Billing to analyze market and payor trends, broad policy changes, and other reimbursement dynamics.
Build relationships with medical directors at regional and national commercial health plans, as well as at Medicare Administrative Contractors (MACs).
Present clinical and economic data to secure positive coverage policies.
Partner with health economics firms to build cost-effectiveness models.
Work with CDx Marketing to mobilize patient advocacy groups and clinicians to support coverage.
Advise CDx R&D and Clinical teams on clinical utility study design.
Monitor changes among healthcare compliance standards and train internal sales teams on billing and prior authorization processes.
Coordinate with CDx Sales leadership to inform the team about new coverage policies and contracting developments.

Requirements

What you’ll need

10+ years healthcare industry experience
7+ years in reimbursement and market access, with a strong preference for diagnostics experience in the oncology field
Bachelor’s degree or advanced degree in related field
Prior success in market access across both LDT or IVD products
Deep understanding of HEOR, managed care, and health policies
Proven ability to thrive in ambiguous environments
Strong communication skills, demonstrated ability to work cross-functionally, and internal relationship-building.

Benefits

Comp & perks

100% Employer-paid medical for single coverage effective on your date of hire and 50% employer-paid medical for spouse/dependent coverage
100% Employer-paid Dental & Vision for entire family
No cost for employee coverage for Group Term Life, Short & Long Term Disability
4% retirement contribution Employer match
Incentive Performance Plan & Stock Option Program & Commission (Sales Account Execs)
Paid Family Leave Program
Generous PTO plan & holiday program
Flexible work schedule & lucrative employee referral program
Easy to get to office location with newly built-out office space
Free coffee, snacks and other goodies all day long