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.

We are looking for a Director or Sr. Director of Market Access, Policy Development Oncology serving as a Medical Liasion to develop and implement policy and coverage strategies to gain access and acceptable reimbursement with all payors (State Medicaid, Medicare, Tricare, and commercial payors). 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.

BillinToOne is seeking a dynamic and highly knowledgeable Director of Market Access for Oncology Policy Development to join our team. This pivotal role will empower an individual with a GC, PhD or MD to leverage their expertise in reimbursement and healthcare policy to shape and enhance our oncology offerings, including Northstar Select™ and Northstar Response™. You will lead initiatives that drive coverage and payment strategies for new technologies, ensuring that our innovations are accessible to patients who need them. This position not only involves developing comprehensive CMS and MolDX strategies but also requires close collaboration across multiple departments to align our goals with regulatory frameworks and market demands. Through your insights and strategic thinking, you will monitor and interpret emerging payer policies and public policy issues, giving our organization a competitive edge.

This position is remote and requires up to 40% travel.

Key Responsibilities:

• Demonstrate a deep understanding of reimbursement, healthcare policy, CMS, and MolDX processes to inform policy development.
• Spearhead the creation of medical policies for Northstar Select™, Northstar Response™, and forthcoming oncology products.
• Collaborate with Directors of Market Access to design and execute strategies that secure coverage and payment for innovative technologies.
• Implement proactive and comprehensive strategies focused on CMS and MolDX to optimize reimbursement.
• Partner with the Revenue Cycle Management (RCM) team to ensure that BillionToOne capitalizes on revenue opportunities while maintaining alignment with reimbursement guidelines.
• Continuously monitor CMS and HHS agency activities that may impact BillionToOne’s public policy landscape.
• Analyze existing and emerging payer policies, market trends, pricing strategies, and barriers to provider and patient access.
• Engage cross-functionally with commercial, medical affairs, communications, patient advocacy, and other Corporate Affairs teams to drive business objectives.
• Collect and synthesize stakeholder feedback for interaction with health technology assessment agencies, NCCN, payers, and patient associations.
• Maintain an informed perspective on the translational medicine, oncology, companion diagnostics, and pharmaceutical services markets, including competitive dynamics and payer challenges.

 Requirements:

• An advanced degree (GC along with PhD or MD) in a relevant scientific or health discipline.
• Proven experience in the full lifecycle development of MolDX Local Coverage Determinations (LCDs).
• 3 to 5 years of experience as a Medical Science Liaison or in a similar role within oncology.
• 3 to 5 years of experience in developing local coverage determinations and medical policies for emerging technologies.
• Expertise in articulating scientific insights in discussions with health insurance companies, Laboratory Benefit Managers, and other technical assessment bodies.
• A track record of establishing and nurturing relationships with key stakeholders within health plans, including Medical Directors and policy teams.
• Documented relationships and collaboration with NCCN on clinical guidelines.

Knowledge, Skills & Abilities:

• Knowledge and experience in receiving coverage through MolDX.
• 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.