Senior Director, National Payer Accounts

Senior Director, National Payer Accounts

At Adaptive, we're Powering the Age of Immune Medicine. Our goal is to harness the power of the adaptive immune system to transform the way diseases are diagnosed and treated.

As an Adapter, you'll have the opportunity to make a difference in people's lives. With Adaptive, you'll create a career highlight through collaboration with bright, curious colleagues working at the apex of innovation and application.

It's time for your next chapter. Discover your story with Adaptive.

Position Overview

The Senior Director, National Payer Accounts plays a pivotal role in positioning Adaptive as a trusted partner to payers advancing precision and value-based care. This leader will develop and execute coverage and contracting strategies with national and regional payersincluding regional Blues, regional Independents, HTAs, and Laboratory Benefits Managersto expand patient access to clonoSEQ and future diagnostic tests across the United States. The role also drives initiatives to embed Adaptive's technologies within payer value-based care pathways nationwide. This is a highly visible position within Adaptive, responsible for identifying, developing and managing strategic relationships with payers and organizations that influence payer decision-making.

The ideal candidate brings a proven record of securing favorable medical policy and driving adoption with U.S. commercial payers for innovative diagnostics, medical devices, or therapies. Success in this role requires a balanced blend of business acumen, payer negotiation expertise, and clinical aptitudeincluding understanding oncology diseases and treatment pathways and the role of personalized medicine in patient care.

We're seeking a leader with strong analytical and quantitative skills, exceptional critical thinking, and the ability to translate complex data into clear, compelling narratives for both technical and non-technical audiences. As a leader, you'll model Adaptive's Core Values and Leadership Principlessetting and aligning goals, providing thoughtful mentorship and consistent feedback, fostering accountability, and creating an environment of belonging, respect, and open communication that enables the Market Access team to thrive and deliver results.

Leaders at Adaptive demonstrate behaviors consistent with Adaptive's Core Values and Leadership Principles. Critical functions of your role include helping establish individual team member goals, aligning those individual goals with broader team objectives, and ensuring those objectives drive the achievement of company goals. Providing thoughtful coaching and consistent feedback to your team members will drive performance excellence and accountability, as well as support your team members' growth and development. Leaders at Adaptive create an environment of belonging, respect, and open and honest communication every day.

Key Responsibilities and Essential Functions

• Set the payer strategy and vision for identified national and regional payer accounts; lead medical policy, coverage, and contracting approaches to expand access to clonoSEQ and future diagnostic tests developed by Adaptive.
• Own the contract lifecycle with identified national and regional payers : negotiate, close, implement, and drive pull through-with clear operational handoffs and KPIs.
• Integrate Adaptive solutions into payer value based care programs and clinical pathways; design pilots with payers and scale proven models across geographies and lines of business.
• Build and deepen multilevel payer relationships (medical policy, contracting, clinical programs, HTAs / LBMs) and with organizations that influence payer decisions.
• Develop account strategies for assigned payer targets; coach and direct the team to maximize coverage, pricing, and utilization outcomes.
• Create contracting plans and forecasts; perform rate / volume / ROI modeling that reflects regulatory requirements and reimbursement risk scenarios.
• Lead cross functional initiatives with Medical Affairs, Value & Access, Reimbursement Operations, Legal & Compliance, Sales and Strategic Accounts, Marketing, Regulatory / Quality, Data Analytics, and Account Operations.
• Serve as executive point of contact for complex negotiations, aligning multiple decision makers and senior leadership to accelerate time to close.
• Provide voice of payer insights to internal teams on policy trends, contract performance, denials drivers, and service levels; initiate corrective actions and content updates.
• Partner with Field Sales / Strategic Accounts to align regional plans, deliver reimbursement training, identify KoL advocates for payer policy support, and enable adoption within assigned integrated healthcare systems.
• Plan and host payer engagements (executive briefings, lab / site visits, advisory sessions); represent Adaptive at industry meetings, trade shows, and scientific forums.
• Monitor industry, regulatory, scientific, and competitive developments and incorporate learnings into strategy, pricing, and external positioning.
• Resolve payer account issues, mobilizing internal experts to remove barriers to coverage, pricing, and adjudication; escalate systemic issues with action plans.
• Cultivate strategic external relationships (payer trade associations, professional societies, disease management organizations, employer / broker channels) to shape policy and pathway adoption.
• Track and report performance (policy wins, contracts executed, covered lives, ASP / denial trends, cycle times) and adjust tactics based on results.
• All other duties as assigned.

Position Requirements (Education, Experience, Other)

Required

Preferred

Compensation

Salary Range : $229,500 - $344,300

Other compensation elements include :