Director, Market Access – Commercial Coverage & Reimbursement

Illumina • Washington DC, WA

11d

About The Position

The Director, Market Access – Commercial Coverage & Reimbursement leads Illumina’s U.S. commercial payer strategy to expand patient access to genomic sequencing and genetic testing. The role develops and executes strategies to achieve favorable coverage, reimbursement, and utilization policies across national and regional commercial health plans. It requires expertise in commercial payer decision-making, evidence generation, reimbursement policy, and provider adoption.

Working cross-functionally with Medical Affairs, Health Economics & Outcomes Research (HEOR), Clinical Affairs, Government Affairs, Commercial, and Legal, this leader translates clinical and economic evidence into market access strategies that improve patient access while supporting business growth. The position involves approximately 30–40% travel and is not eligible for visa sponsorship.

Requirements

• Bachelor's degree required.
• Typically requires 18+ years of healthcare market access experience.
• Demonstrated experience leading commercial payer market access strategies for genomic sequencing, genetic testing, molecular diagnostics, precision medicine, or other advanced diagnostic technologies.
• Direct experience working with national and regional commercial health plans, including medical directors, reimbursement leaders, laboratory benefit managers (LBMs), and payer policy teams.
• Demonstrated success securing or influencing commercial payer coverage, reimbursement, and utilization policies.
• Strong understanding of commercial payer medical policy development, evidence requirements, prior authorization, coding, and reimbursement.
• Excellent strategic planning, executive communication, and cross-functional leadership skills.
• Approximately 30–40% travel.

Nice To Haves

• Advanced degree preferred (MBA, MPH, MHA, PharmD, PhD, or equivalent).

Responsibilities

• Develop and execute commercial payer strategies for new and existing genomic sequencing and genetic testing products.
• Lead engagement with national and regional commercial insurers to secure favorable coverage policies.
• Build relationships with medical directors, laboratory benefit managers (LBMs), reimbursement leaders, and payer policy teams.
• Partner with HEOR and Medical Affairs to develop clinical and economic evidence supporting payer adoption.
• Monitor commercial payer policies, reimbursement trends, and utilization management practices.
• Support product launches by developing payer value propositions and access strategies.
• Collaborate with Government Affairs to align commercial and public payer strategies.
• Serve as the company's commercial payer subject matter expert.

Benefits

• Variable cash program (bonus or commission) eligibility for all employees.
• Equity may be included for eligible roles.
• Access to genomics sequencing.
• Family planning benefits.
• Health, dental, and vision benefits.
• Retirement benefits.
• Paid time off.
• Employee Resource Groups offering career development experiences, cultural awareness, and opportunities to engage in social responsibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Director