Sr VP Payer Strategy and Reimbursement

Senior Vice President, Payer Strategy and Reimbursement

Location: Remote - U.S.
Reports to: Chief Financial Officer

Role Overview

The Senior Vice President, Payer Strategy and Reimbursement will lead Myriad Genetics' enterprise strategy for payer engagement, reimbursement, and revenue realization. This executive will serve as the chief architect of Myriad's payer value proposition, developing strategies and partnerships that expand patient access, enhance reimbursement consistency, and optimize end-to-end revenue performance across Myriad's precision medicine portfolio in oncology, women's health, and mental health.

As a key member of the Chief Financial Officer Leadership Team, the Senior Vice President will unify payer relations, contract and coding strategy, reimbursement policy, and revenue cycle operations into a cohesive enterprise framework. This leader will collaborate closely with the Chief Financial Officer, Chief Commercial Officer, Chief Operating Officer, Chief Legal Officer, Senior Vice President of Product Development, Vice President of Strategy, and other enterprise leaders to drive sustainable growth, operational excellence, and value creation through payer partnerships and reimbursement outcomes.

The ideal candidate is a strategic and execution-oriented executive who brings deep expertise in payer strategy, revenue cycle leadership, and healthcare economics, with a passion for expanding patient access to precision medicine.

Key Responsibilities

Payer Strategy and Market Access

• Develop and execute an enterprise-wide payer strategy to secure broad, sustainable coverage across commercial and government markets.
• Lead payer contracting, negotiations, and relationship management with national and regional payers, and Lab Benefit Management organizations (LBM's).
• Define and communicate Myriad's payer value story, leveraging clinical evidence, health economics, and patient outcomes data.
• Partner with Clinical, Medical Affairs, and Government Affairs to inform medical policy development and health technology assessments.
• Oversee payer analytics, market insights, and economic modeling to guide pricing, coverage, and contract decisions.
• Drive Myriad's transition toward value-based payer relationships and reimbursement models.
• Lead enterprise coding strategy including development of new code applications, ensuring value-based pricing, and driving coding policies that foster access and reimbursement.

Reimbursement and Revenue Integrity

• Oversee enterprise reimbursement operations, including policy interpretation, appeals, and payer compliance.
• Partner with Revenue Cycle leadership to optimize prior authorization, billing, collections, denials management, and yield improvement.
• Ensure alignment between payer contracts, billing practices, and revenue realization processes.
• Implement technology-driven process improvements and automation to improve speed, accuracy, and scalability.
• Establish KPIs, dashboards, and performance metrics to monitor revenue cycle and reimbursement health.

Leadership and Influence

• Build and develop a high-performing team spanning payer relations, reimbursement policy, contract operations, and analytics.
• Foster a culture of collaboration, accountability, and continuous improvement.
• Serve as a strategic thought partner to the Executive Leadership Team (ELT) and commercial organization, influencing long-term payer strategy, product development, and financial planning.
• Represent Myriad externally with payers, trade associations, and at national conferences as a thought leader in diagnostic reimbursement and access innovation.
• Partner with the Chief Financial Officer and Chief Commercial Officer to ensure payer and reimbursement strategy is aligned to enterprise growth goals and profitability targets.

Key Deliverables

• Expanded payer coverage for Myriad's oncology, women's health, and mental health portfolios within 12-18 months.
• Improved net reimbursement yield and reduction in DSO through optimized contracting and operational discipline.
• Strategic payer partnerships supporting the launch and adoption of new diagnostic offerings, including emerging MRD and digital health solutions.
• Standardized payer contract governance model ensuring pricing consistency, compliance, and audit readiness.
• Comprehensive annual reimbursement performance report for the ELT and Board detailing coverage trends, risk, and opportunity areas.
• Enhanced payer analytics and dashboards integrating financial, clinical, and operational metrics.
• Cultural and leadership development across payer and reimbursement teams reflecting Myriad's values and high-performance expectations.
• Short, medium, and long-term product and payor strategy reports for executive stakeholders to guide resource allocation decisions for commercial channels and product portfolio decisions

What Success Looks Like

• Myriad achieves comprehensive payer coverage parity with leading precision diagnostics competitors.
• The enterprise operates with seamless alignment between payer contracting, reimbursement policy, and revenue cycle execution.
• Payer relationships evolve into strategic, value-based partnerships focused on improved outcomes and affordability.
• Revenue performance metrics improve, with measurable increases in yield, cash predictability, and payer satisfaction.
• The SVP is recognized internally as a key commercial and financial strategist, balancing access, compliance, and profitability.
• Myriad is viewed externally as a leader in payer partnership and reimbursement innovation within precision medicine.
• Teams within the function report strong engagement, clarity of purpose, and measurable career growth.

Qualifications

• 15+ years of experience in payer relations, reimbursement, or market access leadership within diagnostics, laboratory services, or health technology.
• Proven success leading enterprise payer negotiations and reimbursement operations at scale.
• Deep knowledge of payer economics, coding, coverage policy, and healthcare reimbursement frameworks.
• Experience integrating strategy with execution across complex commercial and operational environments.
• Demonstrated success leading high-performing teams and transforming functions for growth and efficiency.
• Exceptional executive communication, stakeholder influence, and relationship management skills.
• Bachelor's degree required; MBA, MPH, or MHA strongly preferred.

Leadership Competencies

• Strategic Agility: Anticipates payer and reimbursement trends and positions Myriad ahead of the market.
• Operational Excellence: Drives measurable improvements in revenue outcomes and process performance.
• Influence and Collaboration: Builds cross-functional alignment with commercial, clinical, and finance partners.
• Financial Acumen: Links payer strategy directly to enterprise financial performance and forecasting.
• Innovation and Change Leadership: Leads transformation initiatives that modernize contracting, automation, and analytics.
• People Leadership: Inspires, develops, and retains high-performing, mission-driven teams.