Veracyte

Healthcare Market Access Counsel

Remote . Posted 10 days ago

The role

The Healthcare & Market Access Counsel serves as a senior legal advisor to the Market Access, Reimbursement, and Commercial organizations. This person will lead legal strategy for payer contracting and market access initiatives while providing counsel on complex healthcare and reimbursement matters.

What you will do

  • Lead legal strategy and provide senior-level counsel on payer contracting, reimbursement, coverage, and market access.
  • Review, draft, and negotiate complex agreements with private payors, commercial insurers, and managed care organizations.
  • Advise senior business leaders on payer strategy, reimbursement frameworks, and coverage initiatives.
  • Shape the company's legal approach to reimbursement and payer strategy.
  • Lead legal support for reimbursement and appeals strategies.
  • Advise on compliance with federal and state healthcare laws affecting billing, coding, and reimbursement.
  • Evaluate complex payer policies, coverage determinations, and contractual provisions.
  • Influence cross-functional decision-making with pragmatic legal guidance.
  • Develop and implement legal frameworks, playbooks, and templates for payer contracting.
  • Deliver guidance and training to business leaders on healthcare regulatory developments.

Required qualifications

  • Juris Doctor (JD) from an accredited law school
  • Active bar membership in good standing
  • 5+ years of relevant legal experience, including healthcare law, market access, or payer contracting
  • Experience reviewing and negotiating contracts with private payors, health plans, or managed care organizations
  • Strong understanding of U.S. healthcare reimbursement and coding systems, including commercial insurance, managed care structures, MolDx program, AMA CPT codes, and the CLFS
  • Demonstrated experience supporting or advising on appeals strategies, coverage disputes, or reimbursement challenges
  • Ability to translate complex legal and regulatory issues into clear, actionable guidance
  • Strong collaboration and communication skills
  • High level of integrity, sound judgment, and attention to detail

Nice to have

  • Experience in diagnostics, life sciences, or laboratory services environments
  • Familiarity with payer policy development, utilization management, or claims adjudication processes
  • Experience working closely with market access, billing, revenue cycle, or reimbursement teams
  • Knowledge of federal and state healthcare regulations impacting diagnostics and coverage
  • Prior in-house experience in a growth-oriented healthcare or biotech organization or a commercial insurance company
  • Comfort navigating ambiguity and contributing to evolving processes in a dynamic, mission-driven environment

Benefits

  • Competitive compensation and benefits

About the company

Veracyte (Nasdaq: VCYT) is a global diagnostics company whose vision is to transform cancer care for patients all over the world. The company provides clinicians with insights to guide and assure patients in diagnosing and treating cancer.

Healthcare Market Access Counsel at Veracyte | JobZoey