Senior Director, National Payer Accounts at Adaptive Biotechnologies

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Full Time

Start Date

Immediate

Expiry Date

05 Feb, 26

Salary

344300.0

Posted On

07 Nov, 25

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Payer Strategy, Contract Negotiation, Market Access, Oncology, Personalized Medicine, Analytical Skills, Critical Thinking, Project Management, Financial Analysis, Consultative Selling, Team Leadership, Relationship Building, Healthcare Industry Knowledge, Data Analysis, Communication Skills, Mentorship

Industry

Biotechnology

Description

At Adaptive, we’re Powering the Age of Immune Medicine. Our goal is to harness the power of the adaptive immune system to transform the way diseases are diagnosed and treated. As an Adapter, you’ll have the opportunity to make a difference in people’s lives. With Adaptive, you’ll create a career highlight through collaboration with bright, curious colleagues working at the apex of innovation and application. It’s time for your next chapter. Discover your story with Adaptive. Position Overview The Senior Director, National Payer Accounts plays a pivotal role in positioning Adaptive as a trusted partner to payers advancing precision and value-based care. This leader will develop and execute coverage and contracting strategies with national and regional payers—including regional Blues, regional Independents, HTAs, and Laboratory Benefits Managers—to expand patient access to clonoSEQ and future diagnostic tests across the United States. The role also drives initiatives to embed Adaptive’s technologies within payer value-based care pathways nationwide. This is a highly visible position within Adaptive, responsible for identifying, developing and managing strategic relationships with payers and organizations that influence payer decision-making. The ideal candidate brings a proven record of securing favorable medical policy and driving adoption with U.S. commercial payers for innovative diagnostics, medical devices, or therapies. Success in this role requires a balanced blend of business acumen, payer negotiation expertise, and clinical aptitude—including understanding oncology diseases and treatment pathways and the role of personalized medicine in patient care. We’re seeking a leader with strong analytical and quantitative skills, exceptional critical thinking, and the ability to translate complex data into clear, compelling narratives for both technical and non-technical audiences. As a leader, you’ll model Adaptive’s Core Values and Leadership Principles—setting and aligning goals, providing thoughtful mentorship and consistent feedback, fostering accountability, and creating an environment of belonging, respect, and open communication that enables the Market Access team to thrive and deliver results. Leaders at Adaptive demonstrate behaviors consistent with Adaptive’s Core Values and Leadership Principles. Critical functions of your role include helping establish individual team member goals, aligning those individual goals with broader team objectives, and ensuring those objectives drive the achievement of company goals. Providing thoughtful coaching and consistent feedback to your team members will drive performance excellence and accountability, as well as support your team members’ growth and development. Leaders at Adaptive create an environment of belonging, respect, and open and honest communication every day. Key Responsibilities and Essential Functions Set the payer strategy and vision for identified national and regional payer accounts; lead medical policy, coverage, and contracting approaches to expand access to clonoSEQ and future diagnostic tests developed by Adaptive. Own the contract lifecycle with identified national and regional payers: negotiate, close, implement, and drive pull through-with clear operational handoffs and KPIs. Integrate Adaptive solutions into payer value based care programs and clinical pathways; design pilots with payers and scale proven models across geographies and lines of business. Build and deepen multilevel payer relationships (medical policy, contracting, clinical programs, HTAs/LBMs) and with organizations that influence payer decisions. Develop account strategies for assigned payer targets; coach and direct the team to maximize coverage, pricing, and utilization outcomes. Create contracting plans and forecasts; perform rate/volume/ROI modeling that reflects regulatory requirements and reimbursement risk scenarios. Lead cross functional initiatives with Medical Affairs, Value & Access, Reimbursement Operations, Legal & Compliance, Sales and Strategic Accounts, Marketing, Regulatory/Quality, Data Analytics, and Account Operations. Serve as executive point of contact for complex negotiations, aligning multiple decision makers and senior leadership to accelerate time to close. Provide voice of payer insights to internal teams on policy trends, contract performance, denials drivers, and service levels; initiate corrective actions and content updates. Partner with Field Sales/Strategic Accounts to align regional plans, deliver reimbursement training, identify KoL advocates for payer policy support, and enable adoption within assigned integrated healthcare systems. Plan and host payer engagements (executive briefings, lab/site visits, advisory sessions); represent Adaptive at industry meetings, trade shows, and scientific forums. Monitor industry, regulatory, scientific, and competitive developments and incorporate learnings into strategy, pricing, and external positioning. Resolve payer account issues, mobilizing internal experts to remove barriers to coverage, pricing, and adjudication; escalate systemic issues with action plans. Cultivate strategic external relationships (payer trade associations, professional societies, disease management organizations, employer/broker channels) to shape policy and pathway adoption. Track and report performance (policy wins, contracts executed, covered lives, ASP/denial trends, cycle times) and adjust tactics based on results. All other duties as assigned. Position Requirements (Education, Experience, Other) Required Bachelors in a scientific or business discipline + 17 years of related experience, or Masters + 14 years of related experience, or PhD + 10 years of related experience 15+ years in the healthcare or laboratory industry, with deep expertise in market access, payer strategy, or managed care. 5+ years of people management experience, including leading teams and developing talent. Proven record of securing coverage policies and executing contracts with national and regional payers, including successful pull‑through. Demonstrated experience with innovative molecular diagnostics, specialty oncology therapeutics (medical benefit), and/or medical device markets. Established, influential relationships with key payer decision‑makers and industry stakeholders. Consistent achievement of or exceeding defined goals; success in complex payer negotiations (e.g., disruptive innovation adoption, reversing contract terminations, improving rates, contracting for previously excluded services). Ability to lead and work effectively across Medical Affairs, HEOR, Legal, Reimbursement, and Commercial teams in a fast‑paced, matrixed environment. Strong project management, financial analysis, and communication skills; consultative selling expertise and relevant technical training. Preferred Relevant advanced degrees and/or healthcare certifications Experience and a proven track record with personalized medicine products or services Experience with government payers, ACO contracting, coverage policy, oncology specialty pharmacy, employer group contracting, health system contracting, health economics. #LI-Remote Compensation Salary Range: $229,500 - $344,300 Other compensation elements include: equity grant bonus eligible Travel Requirement (25%) ALERT: Malicious groups posing as Adaptive employees have recently used fraudulent email aliases to extend employment offers, provide fake documents, and request sensitive personal and financial information. Legitimate Adaptive employment opportunities are initiated through our careers page and extended after multiple interviews with verified employees. Adaptive does not ask new hires to purchase anything out-of-pocket, including home office supplies and equipment. Interested in this position, but don’t meet all the requirements? Adaptive is committed to building diverse, equitable, and inclusive teams across our organization. Please consider applying even if your experience doesn’t match all the qualifications; you may be the exact candidate we’re searching for! Adaptive is not currently sponsoring candidates requiring work authorization support for this position. Adaptive’s posted compensation information includes a base salary (or hourly rate) range and summary of other available total compensation. The base salary range represents a minimum-to-maximum salary (or hourly rate) available to candidates upon extension of offer. Base salary is thoughtfully considered upon offer and is determined through multiple evaluation checks throughout the interview process, including: a candidate’s ability to meet minimum qualifications (skills/experience/education), a candidate’s ability to thoughtfully address preferred qualifications, current market conditions, and internal pay equity. Listed base salary is exclusive of bonus, commission, equity, differential pay, benefits, and other incentives. Adaptive's benefits at-a-glance. Adaptive Biotechnologies is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability. Please refer the “Know Your Rights: Workplace Discrimination is Illegal” Poster for more information. If you’d like to view a copy of the company’s affirmative action plan or policy statement, please email hr@adaptivebiotech.com. If you have a disability and you believe you need a reasonable accommodation to search for a job opening or to submit an online application, please e-mail accommodations@adaptivebiotech.com. This email is created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response. NOTE TO EMPLOYMENT AGENCIES: Adaptive Biotechnologies values our relationships with our Recruitment Partners and will only accept resumes from those partners who have active agreements with Adaptive. Adaptive Biotechnologies is not responsible for any fees related to resumes that are unsolicited or are received by any employee of Adaptive Biotechnologies who is not a member of the Human Resources team.

Responsibilities

The Senior Director, National Payer Accounts will develop and execute coverage and contracting strategies with national and regional payers to expand patient access to clonoSEQ and future diagnostic tests. This role involves building strategic relationships with payers and organizations that influence payer decision-making.