Description
At Veracyte, we offer exciting career opportunities for those interested in joining a pioneering team that is committed to transforming cancer care for patients across the globe.
The Market Access Operations Manager is responsible for the operational infrastructure that enables successful Market Access execution across Veracyte’s diagnostic testing portfolio, including payer credentialing and enrollment, state Medicaid participation, contract implementation, and the system of record for all Market Access agreements and documentation.
Reporting to the Director, Market Access & Payer Relations, this individual will partner closely with Market Access, Reimbursement Operations (RCM), external consultants, Client Services, Finance, Legal, Compliance, Regulatory, and Commercial Operations teams to ensure payer contracting and coverage strategies are translated into accurate operational execution.
Key responsibilities:
- Lead all payer credentialing, re-credentialing, enrollment, and network participation activities across commercial payers, Medicare contractors, all state Medicaid programs and their associated managed care plans, laboratory benefit managers, and other reimbursement stakeholders.
- Manage state-specific Medicaid enrollment requirements, including out-of-state laboratory enrollment where permitted, documentation and attestations, application fees, risk-level screening obligations such as fingerprinting and site visits, and subsequent contracting with Medicaid managed care plans once state enrollment is active.
- Manage federal government documentation, including SAM ID and associated opportunities, Federal Supply Schedule changes, FSS applications, and documents related to SBA plans, within required federal timelines.
- Coordinate ownership, control, and managing employee disclosures required by payer and government enrollment applications, working with Legal, Human Resources, Compliance, and executive leadership to gather and safeguard sensitive information.