Policy and Reimbursement Senior Director #4459

Our mission is to detect cancer early, when it can be cured. We are working to change the trajectory of cancer mortality and bring stakeholders together to adopt innovative, safe, and effective technologies that can transform cancer care. We are a healthcare company, pioneering new technologies to advance early cancer detection. We have built a multi-disciplinary organization of scientists, engineers, and physicians and we are using the power of next-generation sequencing (NGS), population-scale clinical studies, and state-of-the-art computer science and data science to overcome one of medicine’s greatest challenges. GRAIL is headquartered in the bay area of California, with locations in Washington, D.C., North Carolina, and the United Kingdom. It is supported by leading global investors and pharmaceutical, technology, and healthcare companies. For more information, please visit grail.com As the Policy and Reimbursement Lead reporting to the Vice President of Government Affairs, Policy & Alliance Development and working closely with highly collaborative teammates, you will be instrumental in shaping both internal and external strategies related to broad access policy and specific public payer engagements / policy initiatives.  Your role will directly contribute to the timely accessibility of our innovative multi-cancer early detection test and pipeline products through effective coverage and reimbursement frameworks.  You will work on-site full-time at our office located in Washington DC. Responsibilities

Coverage and Reimbursement Leadership:

Navigate diverse coverage frameworks and leverage government processes (across CMS and other public payers) to advocate for policies that facilitate inclusion and support of our products in public insurance programs.

Collaborate closely with the VP, SVP, cross functional colleagues, and company leadership to execute engagement strategies that promote comprehensive coverage and meaningful reimbursement.

Manage/direct external consultants on GRAIL public payer reimbursement activities.

In partnership with VP, collaborate with commercial business units as appropriate to ensure cross-pollination of public and private payer strategies, including identifying opportunities for coverage.

Coordinate with internal stakeholders across Commercial, HEOR, Medical Affairs, Regulatory Affairs, and Marketing to enhance support for product coverage and reimbursement strategies.

Collaborate with HEOR colleagues on analytics development to demonstrate the value of early cancer detection for Medicare and other public payers.

Work cross-functionally to support evidence-generation planning for coverage

Acts as a resource on reimbursement and related health policy issues to internal business areas, industry partners, and regulatory agencies.

Public Policy Strategy:

Monitor external policy developments and industry trends to identify opportunities and mitigate risks.

Lead the development and execution of policy strategies on federal and state legislative and regulatory issues.

Produce and spearhead comment letters on behalf of GRAIL and actively participate in policy discussions to align on company policy positions.

Support government affairs and strategic alliances through coordinated engagement, policy research projects, material development, and other contributions.

Engage with industry trade associations to promote and align on company policy priorities.

Develop and maintain processes to ensure organizational awareness of government policies affecting GRAIL and respond to such policies in collaboration with internal government affairs and business partners.

These responsibilities summarize the role’s primary responsibilities and are not an exhaustive list. They may change at the company’s discretion.

These responsibilities summarize the role’s primary responsibilities and are not an exhaustive list. They may change at the company’s discretion.

Required Qualifications

Minimum of 15 years of experience in public policy at the national or state level, with a focus on healthcare product coverage and payment.

Proven leadership in navigating complex policy issues and implementing strategic reimbursement plans.

Extensive knowledge of public program coverage, including Medicare and Medicaid.

Bachelor’s degree required; advanced degree preferred.

Preferred Qualifications

Understanding of the molecular diagnostics and screening market is preferred.

Strong capability to develop and maintain robust internal and external relationships, enhancing the company’s policy positions.

Exceptional interpersonal, communication, and organizational skills.

Innovative, energetic, and resourceful with a diplomatic and intuitive approach.  Commitment to communal success and the idea that we succeed only by helping teammates succeed.

Physical Demands of the Working Environment

The role is a combination of time spent in our Washington DC office, the Hill and your home office. You must be flexible to work where needed.