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Director, Payer Policy

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NeoGenomics Laboratories

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Location:
United States

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Category:
Finance

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Contract Type:
Not provided

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Salary:

164900.00 - 247000.00 USD / Year
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Job Description:

The Director, Payer Policy is responsible for shaping, influencing, and executing NeoGenomics’ enterprise payer strategy to drive favorable coverage, positive payer policies, and improved reimbursement across commercial, Medicare, Medicaid, and Lab Benefit Management (LBM) organizations. This leader cultivates strategic relationships with national and regional health plans, advocates for patient access to precision oncology diagnostics, and ensures NeoGenomics’ portfolio is positioned for long-term reimbursement success. The Director works cross-functionally with Medical Affairs, Clinical, R&D, Managed Care, Legal, Compliance, Revenue Cycle, and Commercial teams to ensure evidence development and operational processes align to payer expectations and maximize financial performance. This role is central to shaping the company’s payer value story, informing evidence strategy, and serving as NeoGenomics’ external face to the payer community.

Job Responsibility:

  • Develop and execute a multi-year payer strategy to secure broad, durable coverage for NeoGenomics’ oncology diagnostic portfolio
  • Lead payer policy engagement, including proactive outreach, policy reviews, coverage advocacy, and targeted education on new and emerging technologies
  • Define and communicate NeoGenomics’ payer value proposition, leveraging clinical evidence, HEOR, real-world data, and patient outcomes
  • Partner with Medical Affairs, Clinical, and R&D to influence evidence plans needed to support positive coverage decisions
  • Oversee payer policy monitoring and regulatory surveillance
  • communicate changes and recommended actions to internal stakeholders
  • Ensure payer contracts, policies, and billing operations are fully aligned to maximize reimbursement yield and reduce leakage
  • Advocate directly with payer Medical Directors, policy teams, and LBMs to support positive coverage and overturn restrictive decisions
  • Develop and present scientifically grounded, evidence-based dossiers and materials tailored to payer needs
  • Support preparation of clinical, economic, and outcomes evidence that strengthens the payer value story
  • Build and maintain strategic, trust-based relationships with payer medical directors, policy leads, contracting leaders, and reimbursement teams
  • Represent NeoGenomics at payer forums, trade associations, policy roundtables, and national reimbursement conferences
  • Align payer policy strategies with commercial go-to-market planning and product launch readiness

Requirements:

  • Bachelor’s degree in Business, Health Policy, Science, or related field required
  • Advanced degree (MBA, MPH, MHA, MS, PharmD, PhD) preferred
  • 10 years’ experience required in of payer relations, market access, reimbursement, or managed care leadership, preferably within diagnostics, laboratory services, or biotech
  • Deep expertise in payer policy, coding, coverage frameworks, and reimbursement economics
  • Demonstrated experience influencing coverage decisions and navigating LBM organizations
  • Strong understanding of oncology testing, precision medicine, and relevant regulatory pathways
  • Proven track record of leading cross-functional teams in complex, matrixed environments
  • Experience shaping evidence strategy and collaborating with Medical Affairs/HEOR teams preferred
  • Experience in laboratory or diagnostic reimbursement environments preferred

Nice to have:

  • Advanced degree (MBA, MPH, MHA, MS, PharmD, PhD)
  • Experience shaping evidence strategy and collaborating with Medical Affairs/HEOR teams
  • Experience in laboratory or diagnostic reimbursement environments
What we offer:
  • Career coaches
  • Many training opportunities
  • Highly competitive benefits with a variety of HMO and PPO options
  • Company 401k match
  • Employee Stock Purchase Program
  • Tuition reimbursement
  • Leadership development
  • 16 days of paid time off plus holidays
  • Wellness courses
  • Highly engaged employee resource groups

Additional Information:

Job Posted:
January 18, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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