Market Access Operations Manager

At Veracyte, we offer exciting career opportunities for those interested in joining a pioneering team that is committed to transforming cancer care for patients across the globe. Working at Veracyte enables our employees to not only make a meaningful impact on the lives of patients, but to also learn and grow within a purpose driven environment. This is what we call the Veracyte way – it’s about how we work together, guided by our values, to give clinicians the insights they need to help patients make life-changing decisions.

Our Values:

• We Seek A Better Way: We pursue bold ideas, embrace complexity, and keep pushing forward.
• We Make It Happen: We act with urgency, deliver with excellence, and always find a way.
• We Are Stronger Together: We engage with empathy, align around what's best for Veracyte, and celebrate as one team.
• We Care Deeply: We show up with integrity, kindness, and respect for one another.

The Position:

The Market Access Operations Manager is responsible for the operational infrastructure that enables successful Market Access execution across Veracyte’s diagnostic testing portfolio, including payer credentialing and enrollment, state Medicaid participation, contract implementation, and the system of record for all Market Access agreements and documentation.

Reporting to the Director, Market Access & Payer Relations, this individual will partner closely with Market Access, Reimbursement Operations (RCM), external consultants, Client Services, Finance, Legal, Compliance, Regulatory, and Commercial Operations teams to ensure payer contracting and coverage strategies are translated into accurate operational execution. The ideal candidate combines deep knowledge of healthcare reimbursement operations with a proactive, solutions-oriented mindset and a passion for improving patient access to innovative diagnostic testing.

Key responsibilities:

• Lead all payer credentialing, re-credentialing, enrollment, and network participation activities across commercial payers, Medicare contractors, all state Medicaid programs and their associated managed care plans, laboratory benefit managers, and other reimbursement stakeholders. Own the end-to-end lifecycle, including initial applications, revalidation, roster and demographic updates, and ongoing maintenance requirements.
• Manage state-specific Medicaid enrollment requirements, including out-of-state laboratory enrollment where permitted, documentation and attestations, application fees, risk-level screening obligations such as fingerprinting and site visits, and subsequent contracting with Medicaid managed care plans once state enrollment is active.
• Manage federal government documentation, including SAM ID and associated opportunities, Federal Supply Schedule changes, FSS applications, and documents related to SBA plans, within required federal timelines.
• Coordinate ownership, control, and managing employee disclosures required by payer and government enrollment applications, working with Legal, Human Resources, Compliance, and executive leadership to gather and safeguard sensitive information.
• Maintain accurate laboratory, facility, and organizational records across payer systems and enrollment platforms, including NPPES and PECOS demographic data, NPI and taxonomy assignments, PTAN alignment, W-9 and remittance addresses, and payer directory listings.
• Partner with Regulatory and Quality to ensure CLIA certification and state clinical laboratory licenses and permits remain current, and align enrollment activities with state licensure prerequisites.
• Own the contract lifecycle after execution, including effective and termination dates, renewal and notice windows, amendments, and escalation of approaching deadlines to the contracting leads.
• Establish and maintain the system of record for market access documentation, including executed agreements and amendments, payer medical policies and coverage determinations, payer correspondence, and supporting evidence and dossier materials. Maintain version control, access permissions, and retention standards across document management, Customer Relationship Management (CRM), and Contract Lifecycle Management (CLM) platforms.
• Collaborate with Reimbursement Operations (RCM) teams to identify and resolve enrollment-related claim issues, reimbursement delays, and payer operational challenges, including those involving payer portals such as Availity.
• Develop and maintain standard operating procedures, process documentation, and operational controls related to enrollment, payer setup, contract administration, and reimbursement operations. Support related payer audits, credentialing reviews, and compliance requests.
• Select, implement, and administer enrollment tracking and contract repository systems, and manage credentialing vendors, external consultants, and third-party partners.

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