Director Senior Director of Market Access Policy Development

BillionToOne, is a next-generation molecular diagnostics company dedicated to developing powerful and accurate diagnostic tests that are accessible to all. The company's innovative QCT molecular counting technology significantly enhances the resolution of disease detection using cell-free DNA by over 1,000-fold. This groundbreaking technology is integral to BillionToOne's product offerings. One of BillionToOne’s flagship products, Unity Complete™, is the only non-invasive prenatal screen capable of assessing fetal risk for both common recessive conditions and aneuploidies from a single maternal blood sample. Leveraging the same molecular counting technology, BillionToOne is expanding its reach into oncology with a pioneering liquid biopsy test, Northstar, that combines treatment selection with monitoring. Over 500K patients have received BillionToOne tests to date, and BillionToOne has grown from $0M to $125M ARR in the last ~4 years.

Ranked at the top 5% of Y Combinator companies, BillionToOne has successfully raised close to $400 million in funding to date, with a notable $130 million Series D round completed in June 2024, resulting in an company evaluation of over $1 billion. This funding has come from prestigious global institutional investors, including Adams Street Partners, Neuberger Berman, Baillie Gifford, and Premji Invest. BillionToOne has recently been recognized by Forbes as one of America's Best Startup Employers for 2024, highlighting the company's exceptional work environment and commitment to innovation.

BillionToOne’s team has grown significantly and now proudly employs over 400 highly skilled individuals. Despite substantial growth, BillionToOne has successfully maintained the unique culture that defined us from inception, continuing to cultivate a team that is not only diverse and passionate but also innovative. Headquartered in Menlo Park, California, with an additional facility in Union City, California, BillionToOne remains at the forefront of significant advances in molecular diagnostics, evidenced by the recent announcement of clinical outcomes data for its Northstar product and new advancements in cancer diagnostics. For more detailed information about BillionToOne and its groundbreaking work, please visit the company’s website at www.billiontoone.com.

BillionToOne is looking for a Director/Senior Director of Market Access, Policy Development serving as a Medical Liaison to develop and implement policy development and coverage strategies to gain access and acceptable reimbursement with all payors (State Medicaid, Medicare, Tricare, and commercial payors) for our Oncology product, Northstar. Reporting to the Vice President of Market Access, the Director of Market Access works with medical affairs, sales, marketing, laboratory operations, and other applicable company personnel to secure coverage and reimbursement for BillionToOne tests to maximize company sales. This position is remote and requires 40% travel.

Key Responsibilities:

• Possess a strong understanding of reimbursement and health care policy, CMS, and MolDX process.
• Support developing medical policy for Northstar Select™, Northstar Response™, and other oncology offerings as developed.
• Lead and execute initiatives to develop medical policy coverage and payment for new technologies.
• Support a proactive, comprehensive CMS/MolDX strategy.
• Coordinate with RCM to ensure BillionToOne recognizes revenue consistent with reimbursement and coverage policies, identifies opportunities, and develops strategies to improve reimbursement experience.
• Monitor CMS and HHS agency activities of interest to BillionToOne that shape the formulation of relevant public policy issues.
• Interpret existing and emerging payer policies, competitive landscape, trends, pricing, contracting strategies, and potential provider and patient access barriers.
• Work across a matrix with colleagues in commercial, medical affairs, communications, patient advocacy, and other parts of Corporate Affairs to achieve business goals.
• Gather and synthesize feedback for developing programs with health technology assessment agencies, NCCN, Payors, and relevant patient associations. 
• Maintain an active awareness of the translational medicine, oncology, companion diagnostic, and pharmaceutical services markets, competitors, customers, and payer challenges.

 Requirements:

• Advanced degree in a related science or health discipline.
• 3 to 5 year's experience as a Medical Science Liaison or similar position in oncology.
• 3-5 years of experience developing local coverage determinations and medical policy for new technology.
• Expertise in discussing scientific content and context with health insurance companies, Laboratory Benefit Managers, and other technical assessment audiences.
• 3-5 years of Payor Access experience within the oncology diagnostics sector.
• Demonstrated ability to Identify and cultivate relationships with key contacts within health plans, including Medical Directors and medical policy teams.
• Relationships and experience working with NCCN on guidelines and MolDX on coverage.

Knowledge, Skills & Abilities:

• Experience creating and presenting technical presentations to senior-level managers and medical directors at health insurance companies.
• Self-driven, passionate, innovative, and able to manage multiple projects that are highly complex in nature and broad in scope in a fast-paced environment.
• Ability to build cross-functional teams that share information and achieve positive results.
• Competent in computer skills. Familiar with Microsoft Office programs such as Access, Word, Excel, and PowerPoint.
• High level of intensity, enthusiasm, and professionalism.

Benefits And Perks:

• Working with a team of ‘rockstars’ who bring out the best in everyone
• Open, transparent culture that includes weekly Town Hall meetings
• The ability to indirectly or directly change the lives of hundreds of thousands patients
• Multiple medical benefit options; employee premiums paid 100% of select plans, dependents covered at 80%
• Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%)
• Retirement savings program including a 4% Company match
• Free daily on-site lunches provided from top eateries
• Latest and greatest hardware (laptop, lab equipment, facilities)
• A variety of perks on campus (state of the art gym, restaurant)
• Free on-site EV charging (compatible with all EVs, including Tesla)

At BillionToOne, we are proud to offer a combination of a (1) base pay range (actual amount offered is based experience and salary/equity options split that the candidate chooses) (2) generous equity options offering, on top of (3) industry leading company benefits (free healthcare options, 401k match, very generous fully paid parental leave etc.).

For this position, we offer a total compensation package of up to $350,000 per year, including a base pay range of $200,000 to $250,000 per year.

BillionToOne is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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