The Senior Manager, Copay and Affordability programs is the organisational copay and ePA subject matter expert (SME), managing vendor relationships and contracts, overseeing program performance and audits, and partnering across cross-functional teams to ensure patients can access therapy efficiently and compliantly.

Key responsibilities include:

• Leading day-to-day operations of the copay assistance program, ensuring seamless patient and HCP experience, operational reliability, and adherence to all applicable laws, regulations, and internal policies.

• Managing copay and ePA vendors, including contract lifecycle, SOWs, KPIs/SLAs, QBR cadences, and performance remediation plans; driving continuous improvement and innovation.

• Maintaining compliant program design and execution, partnering with Legal, Compliance, Privacy, and Audit; developing and enforcing SOPs, monitoring plans, and issue management with timely CAPAs as needed.

• Analysing utilisation, affordability, and access trends; proposing and implementing strategies to improve patient activation, persistence, and cost-effectiveness while mitigating risk.

• Planning and executing internal/external audits of copay and ePA programs; overseeing sampling, documentation, findings, corrective actions, and sustainability checks.

• Owning budget planning and management for copay and ePA, including forecasting, accruals, invoice review/approval, reconciliation, and vendor billing accuracy; tracking ROI and unit economics.

• Defining and monitoring dashboards and reports for KPIs (e.g., enrollment, claims, activation rates, time-to-therapy, approval rates, patient discontinuations due to affordability, fraud indicators); translating insights into actions.

• Acting as the copay and ePA SME; responding to inquiries from internal partners (Market Access, Commercial, Patient Services, Compliance, Finance, IT) and escalating/resolve as needed.

• Overseeing ePA vendor operations, payer connectivity, coverage rules, and performance; ensuring alignment with hub workflow, field teams, and patient journey.

• Providing backup support to the broader access team, including reimbursement hub operations, case management processes, and issue triage for patient support services.

• Identifying operational, financial, and compliance risks; leading mitigation strategies, contingency planning, and incident response for program interruptions or data issues.

• Maintaining program documentation, business rules, and change logs; delivering training and communications for field teams, hubs, and internal stakeholders.

The ideal candidate will have a Bachelor’s degree in Life Sciences or relevant field and 7+ years in pharmaceutical patient support programs, market access, or specialty pharmacy/hub operations, including directly managing copay/ePA programs and vendors.

Key technical skills include:

• Deep knowledge of copay program design, claims processing, accumulator/maximizer dynamics, OIG guidance, and industry compliance expectations.

• Working knowledge of ePA workflows, payer connectivity, NCPDP standards, and integration with hubs/EMR/eRx platforms.

• Proficiency with program analytics (Excel/BI tools), KPI dashboards, and financial management (budgeting, forecasting, invoicing).

• Experience drafting and managing contracts, SOWs, SLAs, and governance structures.

Key competencies include:

• Compliance mindset with strong judgment and attention to detail.

• Vendor leadership and negotiation skills; ability to hold partners accountable.

• Problem solving and optimisation using data-driven insights.

• Stakeholder management and clear communication across cross-functional teams.

• Project management with the ability to manage multiple priorities and deadlines.

The annual base salary for this position ranges from $114,000 to $171,000, however base pay offered may vary depending on multiple individualised factors, including market location, job-related knowledge, skills, and experience.

In addition, our positions offer a short-term incentive bonus opportunity; eligibility to participate in our equity-based long-term incentive programme (salaried roles) or to receive a retirement contribution (hourly roles).

Benefits offered include a qualified retirement programme [401(k) plan]; paid vacation and holidays; paid leaves; and, health benefits including medical, prescription drug, dental, and vision coverage in accordance with the terms and conditions of the applicable plans.

Additional details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an ‘at-will position’ and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation programme) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

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Main duties and responsibilities include: Demonstrating strong knowledge of the clinical disease state and treatment guidelines and effectively engaging with stakeholders in clinical discussions to inform access strategy for the CVRM pipeline. Partnering with Brand teams to shape customer communication strategies for the CVRM pipeline and develop promotional assets that reflect access priorities and value messaging including pull-through materials and negotiation frameworks. Contributing to the development and implementation of a cohesive communication strategy for the CVRM pipeline across payer, provider, and patient audiences to drive clarity on product value. Developing compelling product value propositions and value strategies for the CVRM pipeline across market access channels, including payers, IDNs, pharmacies, distributors, and policy stakeholders. Partnering to recommend pricing and compliant payer contracting approaches aligned with brand P&L, including innovative approaches to evolving market challenges and contributing to the continuous improvement of market access strategies and execution. Leading in the design and implementation of affordability programming that ensures patient access while carefully stewarding brand budget and gross-to-net impact. Applying advanced understanding of the US market access landscape and the legal/regulatory environment to ensure compliant, effective messaging and tactics. Leading research and generating insights to inform market access messaging, evidence needs, and customer engagement plans. Leading payer research and landscape assessments to inform scenario planning, launch readiness, and risk mitigation for the CVRM pipeline across all segments.

The ideal candidate will have a Bachelor's degree and 3+ years of experience in one or a combination of pharmaceutical, healthcare, scientific, clinical, institutional or related industry or commercial experience. An advanced degree in Business, Marketing, or Science is desirable. The candidate should demonstrate learning agility, experience developing and executing strategy, managed care/payer experience, and teamwork and leadership skills.

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The Director, US Forecasting & Analytics – Vaccines & Immune Therapies is a senior commercial insights leader responsible for US demand forecasting and analytics across the V&I portfolio. The role is predominantly forecast-focused, serving as the US forecasting lead and strategic thought partner to Marketing, Finance, Market Access, and US teams.

Responsibilities:

US Forecasting Leadership (Core Accountability)

• Lead US short-term and long-term demand forecasts (TRx, NBRx, volume, patients, revenue) for V&I assets using robust, patient-based and market-based models
• Own forecast methodology, assumptions, and governance, ensuring objectivity, transparency, and consistency with enterprise standards
• Integrate primary market research, epidemiology, competitive intelligence, access dynamics, and real-world data into forecast models
• Proactively identify and quantify key risks and opportunities through scenario and sensitivity analyses
• Partner closely with Finance, Market Access & Pricing, Marketing, Sales, Medical, and Global Forecasting to ensure alignment on assumptions and implications
• Support business planning, governance reviews, and opportunity assessments with clear, executive-ready narratives
• Serve as a trusted advisor to senior marketing and finance leadership, clearly articulating forecast drivers and changes

Analytics & Resource Leadership (Enablement)

• Provide leadership over forecasting-adjacent analytics, ensuring advanced analytics and insights are embedded into forecasting and business planning
• Manage and prioritize internal analysts, contractors, and external vendors supporting forecasting and analytics deliverables
• Partner with data analytics resources, Global IA&F, and GIBEX capability teams to deploy new tools, data sources, and modeling approaches
• Champion and identify new ways to embed AI and advanced automation into the practice of data analytics and forecasting to drive efficiency, scalability, and decision quality
• Champion continuous improvement in forecasting processes, AI-enabled modeling, and automation
• Contribute to the development and sharing of best practices across the V&I forecasting community

Essential for the role

• Bachelor’s degree in a quantitative, scientific, or business-related field required (e.g., Statistics, Economics, Mathematics, Engineering, Computer/Data Science).
• 8+ years’ experience in US pharmaceutical commercial forecasting, including in-market and late-stage pipeline assets
• Hands-on model ownership experience (build, refresh, and performance tracking) across short- and long-term horizons
• Expertise in scenario-based forecasting, sensitivity analysis, and driver-based narratives to support senior decision-making
• Strong capability integrating multiple data types (e.g., IQVIA, claims, epidemiology, RWD/RWE, primary research) into coherent, decision-grade forecasts
• Working knowledge of advanced analytics/ML approaches (e.g., time series, causal inference, ensembles) and where they add value vs. traditional methods
• Fluency in modern analytics tooling and automation (e.g., Python/R/SQL, BI/visualization), with ability to partner effectively with data engineering and analytics teams
• Demonstrated forecast governance and model risk discipline (traceable assumptions, documentation, and clear explanations)
• Strong understanding of US market access and payer dynamics and how they impact demand (coverage, contracting, channel, policy)
• Exceptional communication: translates complex analysis into clear, executive-ready insights, options, and recommendations
• Strong commercial competence across key demand levers (positioning, adoption, competitive dynamics, lifecycle events)

Desirable for the role

• Advanced degree preferred (e.g., MBA, MS, PhD in Statistics, Economics, Decision Sciences, Data Science, or related discipline).
• Vaccines and/or Rare Disease experience, including familiarity with immunization dynamics, patient-based forecasting, and lifecycle management in preventive or immune-mediated therapies
• Change leadership: builds adoption for new tools, processes, and ways of working across cross-functional stakeholders
• Product mindset for forecasting: defines user needs, success metrics, and a roadmap for portfolio forecasting capabilities
• Model lifecycle practices (e.g., reproducibility, versioning, monitoring/drift awareness); familiarity with MLOps concepts

Office Working Requirements

When we put unexpected teams in the same room, we unleash bold thinking with the power to inspire life-changing medicines. In-person working gives us the platform we need to connect, work at pace and challenge perceptions. That’s why we work, on average, a minimum of three days per week from the office. But that doesn’t mean we’re not flexible. We balance the expectation of being in the office while respecting individual flexibility. Join us in our unique and ambitious world.

#LI-Hybrid

Date Posted 10-Apr-2026 Closing Date 23-Apr-2026 Our mission is to build an inclusive environment where equal employment opportunities are available to all applicants and employees. In furtherance of that mission, we welcome and consider applications from all qualified candidates, regardless of their protected characteristics. If you have a disability or special need that requires accommodation, please complete the corresponding section in the application form.

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The successful candidate will thrive in a rapidly changing market access environment, create clear goals and inspiring plans, develop strong partnerships, and make difficult decisions. You will manage all marketing activities for the CVRM pipeline to support company objectives. You will conduct analyses of the market segment, including identification of key growth drivers, opportunities, and risks. You will incorporate results of analysis into product strategy.

Key responsibilities include:

• Demonstrating expert knowledge and understanding of the clinical disease state to inform value strategy and access planning.
• Leading the development of customer education materials and tactics to effectively execute the market access strategy for the CVRM pipeline across stakeholders.
• Translating scientific and clinical evidence into clear market value propositions that resonate with payers, providers, and policy stakeholders.
• Creating an integrated payer insight, evidence generation, and customer engagement plan to support access, reimbursement, and pull-through for the CVRM pipeline.
• Aligning closely with brand teams to develop product value propositions and comprehensive value strategies across market access channels.
• Partnering to recommend pricing and compliant payer contracting approaches aligned with brand P&L, including innovative approaches to evolving market challenges and contributing to the continuous improvement of market access strategies and execution.
• Leading in the design and implementation of affordability programming that ensures patient access while carefully stewarding brand budget and gross to net impact.
• Maintaining expert understanding of the US market access landscape, including legal, regulatory, and compliance requirements affecting coverage and reimbursement.
• Applying strong financial acumen to understand US payer deal/no-deal analysis, informing contracting strategies and sustainable access decisions.
• Developing robust measurement, analytics, and reporting plans to track performance, optimize tactics, and inform strategy evolution.
• Leading and contributing to innovative approaches to meet evolving market access requirements, leveraging insights, data, and external trends.
• Communicating brand aspiration and market access strategy to key field-based Market Access teams, enabling flawless execution and alignment.

Essential requirements include:

• Bachelor's degree
• 5+ years of experience in one or a combination of pharmaceutical, healthcare, scientific, clinical, institutional, or related industry experience
• 3 years of commercial experience
• Understanding of the US market access landscape and the legal/regulatory environment for pharmaceuticals/healthcare industry required

Desirable requirements, skills, and capabilities include:

• Advanced degree in business, marketing, or science
• Experience in customer-facing roles
• Financial and forecasting experience
• Proven track record of consistent achievement or overachievement in developing and delivering strategic and operational plans within a therapeutic or business area
• Demonstrated experience in working within cross-functional business units essential
• Strong financial acumen with the ability to assess and drive results
• Strong communication, presentation, collaboration, and negotiation skills
• Ability to successfully lead through change, complexity, and ambiguity in a highly matrixed environment
• Demonstrated learning agility

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Key responsibilities include:

• Driving clinical demand, education, and sales by developing, coordinating, and executing a strategic business plan for key customers in both the contracted account and community settings.
• Building deep understanding of disease state, unmet needs, and treatment options to effectively educate healthcare professionals and business stakeholders on the unique benefits of assigned Women's Health products.
• Demonstrating expertise and knowledge of disease state, the marketplace, competitors, industry, and cross-functional activities/plans as well as possessing analytical rigor to anticipate and identify business opportunities and challenges.
• Prioritizing sales and educational activities in accounts that produce highest ROI in both unit and revenue growth.
• Partnering with the Area Business Development Lead and monitoring contract performance and ensuring completion of quarterly customer business review meetings on top priority accounts.
• Supporting implementation of pull-through initiatives that accelerate demand and contract performance on contracted accounts and also priority accounts such as IDNs, Academic Medical Centers, etc.
• Penetrating established accounts to gain additional market share for product portfolio.
• Effectively discovering and addressing account needs with compelling messages and solutions.
• Executing at a high level of communication and teamwork within your area squad.
• Taking ownership and demonstrating being fiscally responsible of your territory budget including Professional Education Budget, Displays/Conference, and all resources.
• Developing and executing a comprehensive strategic and tactical territory sales business plan utilizing data reporting platforms including quarterly plan to achieve overall sales and revenue goals for all promoted products.
• Delivering results by collaborating and partnering within your Squad; with Squad leader, peers, Medical Team, and all applicable internal stakeholders to execute/develop/improve and implement sales strategies.
• Documenting all field activities in Veeva Irep.
• Demonstrating procedural proficiency and knowledge of clinical data for all products.
• Demonstrating procedural proficiency of all pricing and customer access channels that support portfolio.
• Partnering with targeted physicians/centers to develop referral networks for portfolio.
• Ensuring that all assigned employee training is completed and up-to-date.
• Operating strictly within the corporate code of conduct and compliance guidelines.

To be successful in this role, you will need to have:

• A Bachelor's degree or 10 years of relevant sales experience in competitive landscapes in lieu of a Bachelor's degree.
• Strong negotiation skills with in-depth knowledge and experience in contract negotiations, strategy, understanding of contract terms and conditions, and relationship management skills.
• Excellent verbal and written communication, problem-solving, and interpersonal skills.
• Demonstrates solutions-oriented approach and ability to influence without authority.
• Valid Driver's license with clean driving record.
• Up to 50% travel.

Preferred qualifications include:

• Minimum of two years of sales experience; Medical device & Pharmaceutical;
• Bilingual is strongly preferred;
• Ob/gyn specialty experience;
• Strong knowledge of healthcare management, compliance, payer landscape, market, and competitive landscape, commercial, and government channels;
• Strong analytical skills with the ability to create and interpret financial models.

Employees can expect to be paid a salary of between $112,000 - $168,000. Additional compensation may include a bonus or commission (if relevant). Additional benefits include health care, vision, dental, retirement, PTO, sick leave, etc. This salary range is merely an estimate and may vary based on an applicant's location, market data/ranges, an applicant's skills and prior relevant experience, certain degrees and certifications, and other relevant factors.

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Key responsibilities include driving demand, providing clinical education/training, and achieving territory sales objectives by developing, coordinating, and executing a strategic business plan for key customers in both the contracted account and community settings.

The successful candidate will have a strong background in sales, with experience in contract negotiations, strategy, and relationship management. They will also have excellent verbal and written communication, problem-solving, and interpersonal skills.

This is a full-time position that requires up to 50% travel. The salary range for this role is $112,000 - $168,000, with additional compensation including a bonus or commission (if relevant).

Additional benefits include health care, vision, dental, retirement, PTO, sick leave, etc.

If you meet the requirements of this unique opportunity, and want to impact our mission Health for all, Hunger for none, we encourage you to apply now.

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As a Senior Vice President, Sales (Partnerships), you will be responsible for defining area vice president (AVP)-level account assignment and quota assignments to operationalize strategy and plan. You will also define strategy for the short term (quota attainment) and long term (e.g., orienting the AVPs and customers towards multi-year deals and enterprise relationships). Additionally, you will revise strategy and plans, as needed, as new priority opportunities are identified or as plans change.

You will play the role of the closer when needed to move an opportunity past the finish line if stalled. You will provide coaching and mentorship for AVPs and engage in all first-line manager duties for AVPs. You will ensure that all AVP commitments are completed (e.g., certifications, duties while ramping, etc.).

To be successful in this role, you will need to have 5+ years of recent management experience leading a team of hunters. You will also need to have a proven track record of delivering revenue at or above target for team's quota. You will need to have experience in client-facing roles of increasing responsibility delivering innovative SaaS recurring revenue software products, analytics, or consulting services to Life Sciences, Risk Based Entities, Payers, Intermediaries, Consulting, partners/customers.

You will also need to have experience managing five or more direct reports and managing other people managers. You will need to have hands-on experience working with sales, marketing, market access, and other HCP, provider, payer, and patient-level data. You will need to have advanced storytelling, communication, and interpersonal skills, and experience owning high-profile customer relationships.

You will need to be able to successfully manage multiple customer relationships and projects with high quality and grace under pressure. You will need to be agile to work across internal teams to deliver to customer contractual requirements and business needs. You will need to have demonstrated track record of growing and retaining high-performing teams and culture in a fast-paced, dynamic, and rapidly changing startup environment.

You will also need to be able to leverage AI tools (Gemini, ChatGPT, Cursor, etc.) to enhance personal productivity, streamline workflows, or improve decision-making.

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Key Responsibilities:

• Serve as a technical lead on 8-10 multiple strategic opportunities, directly influencing the deal cycles and accelerating revenue growth.
• Become the definitive subject matter expert on Komodo's comprehensive suite of healthcare data assets and platform capabilities.
• Garner subject matter expertise and ownership of a segment within the Partnerships / Channel Partnerships organization.
• Develop scalable technical frameworks, demo environments, and reusable assets that have set new organizational standards with a heavy emphasis on agentic AI workflows.
• Drive cross-functional initiatives by partnering with Product, Data Science, and Engineering to deliver customized, innovative solutions.

Requirements:

• 7+ years of experience in Sales Engineering or Solutions Engineering with a focus on healthcare data and healthcare technology.
• Proven track record of understanding and leveraging AI tools to enhance SaaS products or improve operational workflows.
• Expertise in healthcare data (e.g., 837/835 transactions, NDC codes) and its practical applications in analytics, reporting, and decision-making.
• Strong technical skills, including experience with APIs, data integration, cloud-based architectures (e.g., AWS, Azure), and analyzing large datasets.
• An understanding and proficiency of data science techniques, specifically SQL, Python, and/or R.
• Excellent communication and presentation skills, with the ability to train partners and translate complex technical concepts for diverse stakeholders.

Preferred Skills:

• Experience working within the provider, payer, or financial service segments.
• Technical certifications in AWS, Azure, or data platforms.
• Experience with CRM platforms like Salesforce for managing partner and client interactions.
• Familiarity with data visualization tools (e.g., Tableau, Looker) to create impactful partner training materials.
• Knowledge of identity resolution and privacy-preserving linking technologies.
• Prior experience developing joint business plans and co-sell strategies with channel partners.

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As healthcare organisations accelerate their adoption of AI and data-driven approaches to care, the way they evaluate and adopt platforms like Zus is changing. This role sits at the intersection of technical strategy, customer partnership, and market shaping.

You will define how prospects experience Zus - from first technical conversation through product deployment - and ensure every engagement demonstrates clear, measurable value.

Responsibilities

Team Leadership

• Lead, mentor, and grow a team of Sales Engineers, setting clear expectations, coaching on technical depth and customer engagement
• Establish team operating playbooks and a culture of continuous learning across AI, interoperability, and solution design
• Recruit and onboard top-tier technical and commercial talent as the team scales with Zus’s growth

Solution Design & Technical Architecture

• Personally drive solution design and technical architecture for complex, high-impact prospects in a healthcare setting
• Create detailed architectural diagrams (data flow, integration topology, system context) that clearly communicate how Zus fits within a prospect’s technical ecosystem
• Design and validate customer integrations with Zus APIs, healthcare data models, and interoperability standards
• Act as the senior technical escalation point for complex integrations, edge cases, and customer challenges
• Develop and maintain a library of reference architectures, reusable solution patterns, and integration blueprints that accelerate customer delivery
• Design solutions that incorporate AI and machine learning capabilities - including clinical data enrichment, intelligent matching, predictive insights, and workflow automation

Pre-Sales Execution & Technical Storytelling

• Own and execute the technical pre-sales motion, from discovery through proof-of-concept and handoff to post-sale teams
• Deliver and oversee technical demos and executive-level presentations to audiences ranging from engineers to C-suite stakeholders
• Translate sometimes ambiguous customer requirements into crisp, feasible technical proposals with clear success criteria

Cross-Functional Collaboration

• Partner with Product and Engineering to translate customer feedback into product improvements and roadmap input
• Ensure a smooth, well-documented handoff from pre-sales to Customer Success and Implementation
• Collaborate cross-functionally to improve go-to-market strategy, technical enablement, and sales effectiveness
• Balance leadership with execution,jumping in wherever needed to help the team and the company move fast

Requirements

• 6+ years of experience in Sales Engineering, Solutions Architecture, or Technical Implementation, including experience in healthtech or healthcare data platforms
• Prior experience managing or mentoring a small technical team, with a hands-on leadership style
• Strong hands-on experience designing and implementing solutions using RESTful APIs, healthcare interoperability standards (FHIR, C-CDA, HL7), and EMR data
• Proficiency in SQL and comfort working directly with complex healthcare data models
• Demonstrated ability to design end-to-end solutions that balance technical feasibility, customer needs, and business outcomes
• Excellent communication skills and the ability to clearly explain complex concepts to technical and non-technical stakeholders
• A customer-first mindset and a passion for building trusted technical partnerships
• Comfort operating in ambiguity and building structure in an early-stage environment
• Calm, adaptable, and effective when navigating complex or high-pressure situations

Preferred & Differentiating Experience

• Familiarity with AI/ML applications in healthcare including: NLP for clinical data, predictive analytics, intelligent document processing, or LLM-powered workflows
• Experience building or presenting AI-augmented product demos and proof-of-concepts
• Background with cloud-native architectures (AWS, GCP, or Azure), containerization, and modern CI/CD pipelines
• Exposure to value-based care models, population health platforms, or payer-provider data exchange

Benefits

• Competitive compensation that reflects the value you bring to the team a combination of cash and equity
• Robust benefits that include health insurance, wellness benefits, 401k with a match, unlimited PTO
• Opportunity to work alongside a passionate team that is determined to help change the world (and have fun doing it)

How to Apply

• Please note that research shows that candidates from underrepresented backgrounds often don’t apply unless they meet 100% of the job criteria.
• While we have worked to consolidate the minimum qualifications for each role, we aren’t looking for someone who checks each box on a page; we’re looking for active learners and people who care about disrupting the current healthcare system with their unique experiences.
• We do not conduct interviews by text nor will we send you a job offer unless you’ve interviewed with multiple people, including the Director of People & Talent, over video interviews.
• Job scams do exist so please be careful with your personal information.

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You will operate across various departments, including Member Services, Care Teams, Clinical, Product, Engineering, Compliance, Legal, InfoSec, and Commercial, as well as with external vendors, to design and execute end-to-end sourcing and supplier strategies for GLP-1 and other critical categories.

This role requires strong executive-ready communication, the ability to influence director/VP stakeholders without formal authority, and ownership for setting clear success measures, tracking performance, and adjusting plans to achieve multi-year outcomes.

Key responsibilities include:

• Owning and continuously refining program governance for both operational and strategic initiatives
• Establishing and sequencing business priorities across categories and programs
• Driving programs end to end and independently recommending and implementing changes to policies and procedures that affect multiple departments or disciplines
• Proactively exercising advanced judgment in evaluating, selecting, and adapting methods to achieve results that support company-wide strategic initiatives
• Deeply understanding the interrelationships between supply chain, clinical, product, operations, and commercial priorities

Additionally, you will be responsible for communicating clear, concise expectations and requirements in both verbal and written form, presenting well-reasoned, data-driven proposals and recommendations, and influencing others to drive ongoing program improvements.

Requirements include:

• Bachelor's degree in a related field
• 10+ years of experience in a strategic procurement role for production goods and services
• 3+ years of experience in pharmacy or medical device procurement or related experience
• Strong executive-ready communication and influencing skills
• Ability to think strategically and drive business outcomes

Preferred qualifications include:

• MBA or Master's degree in a related field
• Certified Professional in Supply Management (CPSM)
• Certified Supply Chain Professional (CSCP)
• Lean/Six Sigma certified or an equivalent certification

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This executive will design and implement scalable, AI-enabled automated revenue cycle infrastructure in partnership with Sales, Market Access, and Commercial Operations to maximize revenue capture, minimize denials, and enhance patient financial experience.

This is a remote role with up to 25% travel.

The successful candidate will develop and implement Freenome's enterprise-wide revenue cycle strategy, build and coach a high-performing team, establish and oversee all processes related to coding, claims submission, reimbursement, and accounts receivable management, and partner with Market Access to maintain strong payer relationships.

Key responsibilities include:

• Strategic Leadership: Develop and implement Freenome's enterprise-wide revenue cycle strategy.
• People Leadership: Build, coach, and develop a high-performing team, fostering a culture of accountability, continuous improvement, and deep customer focus.
• Billing & Collections: Establish and oversee all processes related to coding, claims submission, reimbursement, and accounts receivable management.
• Patient Intake Services: Oversee the efficiency and effectiveness of intake services including benefit verification, financial counseling, prior authorization, and customer call center operations.
• Payer & Contracting Relations: Partner with Market Access to maintain strong payer relationships, ensuring optimal reimbursement rates and contract compliance.
• Compliance & Risk Management: Ensure adherence to federal, state, and payer-specific regulations, including CMS and value-based care initiatives.
• AI, Technology & Process Optimization: Leverage AI, ML, automation, and analytics to improve revenue cycle performance, reduce denials, intake time and overall cost to collect.
• Cross-Functional Collaboration: Partner with Sales, Market Access and Commercial Operations leadership to ensure smooth revenue cycle integration with patient care workflows.
• Financial Performance Monitoring: Define, track, and analyze revenue cycle KPIs, drive continuous improvement, and present strategic insights and actionable recommendations to executive leadership.
• Budget Oversight: Oversee annual budget, ensuring effective allocation of resources to meet organization objectives.
• Customer Engagement: Build strong relationships with customers by proactively addressing financial challenges and aligning solutions with their operational and clinical needs.
• Organization Leadership: Serve as a trusted and key contributor to the Finance organization and Senior Leadership Team, actively participating in Quarterly Business Reviews (QBRs) and providing strategic insights on revenue cycle performance, reimbursement optimization, and payer trends.

Requirements include:

• Bachelor's degree in finance, healthcare administration, or a related field (MBA or MHA preferred).
• 12+ years of progressive experience in revenue cycle management, preferably in molecular diagnostics or precision diagnostics industry.
• 6+ years leadership experience in revenue cycle management building and leading high-performance teams.
• 4+ years of P&L responsibility.
• Extensive expertise in payer contracting, reimbursement methodologies, and healthcare finance.
• Proven success in scaling revenue cycle operations for a growing healthcare organization.
• Passion for utilizing AI and automation to optimize systems and processes.
• Strong planning and cross-functional partnership skills with demonstrated ability to drive continuous improvement.
• Deep understanding of compliance (CMS, HIPAA, Stark Law, etc.) and regulatory considerations in infusion services.

The US target range of our base salary for new hires is $261,725 - $337,838. You will also be eligible to receive equity, cash bonuses, and a full range of medical, financial, and other benefits depending on the position offered.

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