Director of Market Access

BillionToOne is a next-generation molecular diagnostics company dedicated to developing powerful and accurate diagnostic tests that are accessible to all. Our innovative QCT molecular counting technology significantly enhances the resolution of disease detection using cell-free DNA by over a thousandfold. This groundbreaking technology is integral to our product offerings, including one of our flagship products, Unity Complete™, the only non-invasive prenatal screen capable of assessing fetal risk for both common recessive conditions and aneuploidies from a single maternal blood sample. Leveraging the same molecular counting technology, we've expanded our impact into oncology in 2023 with a pioneering liquid biopsy test, Northstar, that combines treatment selection with monitoring. To date, over 500,000 patients have benefited from our innovative and precise diagnostic tests, and our Annual Recurring Revenue (ARR) has grown from $0 to $125 million in the last ~4 years.

BillionToOne has successfully raised close to $400 million in funding, with a notable $130 million Series D round completed in June 2024, resulting in a company valuation of over $1 billion. This funding has come from prestigious global institutional investors, including Hummingbird, Adams Street Partners, Neuberger Berman, Baillie Gifford, and Premji Invest. BillionToOne has recently been recognized by Forbes as one of America's Best Startup Employers for 2024, highlighting the company's exceptional work environment and commitment to innovation.

Our team has grown significantly and we now proudly employ over 400 highly skilled individuals. Despite substantial growth, we have successfully maintained the unique culture that has defined BillionToOne from inception, continuing to cultivate a team that is not only diverse and passionate but also innovative. Headquartered in Menlo Park, California, with an additional facility in Union City, California, BillionToOne remains at the forefront of significant advances in molecular diagnostics, evidenced by the recent announcement of clinical outcomes data for its Unity Fetal Risk Screen and new advancements in cancer diagnostics. For more detailed information about BillionToOne and its groundbreaking work, please visit our website at www.billiontoone.com.

BillionToOne is looking for a Director of Market Access to provide leadership, strategic direction, and overall management of payer relations to meet the Company's reimbursement objectives. Reporting to the VP of Market Access, the  Director of Market Access will be responsible for leading and implementing both strategic and tactical reimbursement activities within the areas of coverage, contracting, and payment. The role involves interaction with payers, physicians, sales, marketing, regulatory, product, medical affairs, and other applicable company personnel to secure contracts for BillionToOne tests. In addition, the person will serve as a liaison between customer and company personnel on administrative matters, including but not limited to the resolution of contracted payer issues. Typically involved with senior management and/or multiple decision-makers with payers, arranging interactions with appropriate medical affairs, technical, financial, and management personnel at the Company as necessary.

Demonstrates thorough knowledge of the contracting process, established guidelines, contract management, policy development, and fee schedules.  Works directly with private and government payers, lab benefits managers, and medical technology groups. Provides ongoing feedback and support to the VP of Market Access on process improvements and necessary updates to overall policy development and contracting.  

Assists and supports the VP of Market Access in all activities related to developing Market Access targets, strategy, tactics, annual business goals, tools, and presentations. Provides support for the marketing team with developing sales collateral and other payer-related marketing activities. Collaborates with product and clinical teams to help design and execute clinical programs to support the development of strong economic value propositions. Works with reimbursement and appeals teams to facilitate policy development and contracts.

Candidates must currently reside in or be willing to relocate to one of the following region: Northeast (New York, Connecticut, Rhode Island, Massachusetts, New Hampshire, Vermont, or Maine)

Key Responsibilities:

• Facilitates the management of key business relationships with assigned national and regional payors.
• Responsible for developing strong payer relationships at an executive level and negotiating potential business opportunities for the Company consistent with its long-term strategy.
• Responsible for gaining new contracts, including negotiating pricing and contract terms, and then driving all associated activity to implement the strategy related to those contracts.
• Develop business plans for each account assigned; monitor and report progress monthly and develop and implement tactics to exceed sales and company goals.

 Requirements:

• A bachelor’s degree in science, business, or healthcare-related field is required.
• 3-5 years experience in Market Access with a proven track record of success with special projects and complex selling scenarios, including adoption and reimbursement of disruptive innovation or transformative products or services, reversals of threatened contract terminations, consistent increase in negotiated rates, and contracting for previously excluded services.

Knowledge, Skills & Abilities:

• Experience developing and executing strategic plans to obtain optimal payer coverage/policies and reimbursement for prenatal/oncology tests.
• Self-driven, passionate, innovative, and able to manage multiple tasks in a fast-paced environment.
• Ability to build cross-functional teams that share information and achieve positive results.
• Ability to manage multiple projects that are highly complex in nature and broad in scope.
• Competent in computer skills. Familiar with Microsoft Office programs such as Access, Word, Excel, and PowerPoint
• High level of intensity, enthusiasm, and professionalism

Benefits And Perks:

• Working with a team of ‘rockstars’ who bring out the best in everyone
• An open, transparent culture that includes weekly Town Hall meetings
• The ability to indirectly or directly change the lives of hundreds of thousands of patients
• Multiple medical benefit options; employee premiums paid 100% of select plans, dependents covered at 80%
• Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%)
• Retirement savings program including a 4% Company match
• Latest and greatest hardware (laptop, lab equipment, facilities)

At BillionToOne, we are proud to offer a combination of a (1) base pay (2) generous equity options offering, on top of (3) industry leading company benefits (free healthcare options, 401k match, very generous fully paid parental leave etc.).

For this position, we offer a total compensation package of up to $300,000 per year, including a base pay range of $204,000-$229,500 per year.

BillionToOne is an equal-opportunity employer. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.