Director - Market Access West

Overview

At Caris, we understand that cancer is an ugly word—a word no one wants to hear, but one that connects us all. That’s why we’re not just transforming cancer care—we’re changing lives.

We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: "What would I do if this patient were my mom?" That question drives everything we do.

But our mission doesn’t stop with cancer. We are pushing the frontiers of medicine and leading a revolution in healthcare—driven by innovation, compassion, and purpose.

Join us in our mission to improve the human condition across multiple diseases. If you’re passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins.

Position Summary

The Director of Market Access drives medical policy coverage initiatives and contracting strategies within assigned regional managed care organization(s) and employer groups (employee benefit plans). Responsible for obtaining positive payer coverage policies, securing in-network contracting and maximizing reimbursement while minimizing access barriers for patients and providers. Travel is required at least within region and at requested times, outside of incumbent's region to provide national support.

Ability to manage complex contracting documents ensuring business needs are met within the agreements and make recommendations on legal review and pull-through initiatives coordinated with marketing and sales teams.

• Contract and be an in-network provider for insurance companies and group payer organizations within region
• Manage complex contract negotiation and work with cross functional departments to bring the contracting process to closure
• Manage existing relationships with existing contracted insurance companies
• Initiate and develop new relationships to sign contracts with targeted payers, track meetings and progress
• Develop and implement strategies that lead to successful acceptance of Caris Life Sciences testing into payer medical policy guidelines
• Maximize reimbursement by negotiating the highest possible reimbursement rates and holding payers to contract terms
• Stay up to date on trends in the managed care market and develop strategy with senior management to address the changes and maintain acceptable reimbursement rates
• Prepare, coordinate, and manage contract negotiation process
• Identify and evaluate opportunities and financial terms for MCOs, GPOs, IPAs, and other healthcare systems
• Assess potential legal risk in the context of contract provisions. Prepare letters of agreement and key contract provisions
• Identify and target specific market segments for development, including key payers, employers, or other managed care organizations
• Serve as the principal contact with assigned payers, employers and providers and review proposed agreements within assigned territory
• Prepare responses to Request for Proposals (RFP)
• This role manages multiple project deadlines while working collaboratively with a team
• Directly interact with clients and other stakeholders, either in person, via teleconference or email
• Develop advocacy from clinicians, society, and patient sources, and ensure effective communication to key stakeholders, including medical and trade associations
• Ensure compliance with relevant regulations and standards for product access and market entry
• Assist field representatives with reimbursement challenges
• Attend conferences and physician meetings
• Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork

• Bachelor's Degree in Business, Marketing, Science, or related field
• 5+ years of experience in contracting and coverage with large national payers, medical group contracting, sales, sales leadership in biotech, device or diagnostic laboratory companies, or extensive experience working in health plan contracting, coverage or case management
• 5+ years of reimbursement programs in pharma, lab, biotech, and/or devices
• Possession of a valid driver's…