The Senior Director, Market Access will lead strategies to ensure payer coverage, engage with stakeholders, and manage a market access team to expand product access and adoption.
Our mission is to detect cancer early, when it can be cured. We are working to change the trajectory of cancer mortality and bring stakeholders together to adopt innovative, safe, and effective technologies that can transform cancer care.
We are a healthcare company, pioneering new technologies to advance early cancer detection. We have built a multi-disciplinary organization of scientists, engineers, and physicians and we are using the power of next-generation sequencing (NGS), population-scale clinical studies, and state-of-the-art computer science and data science to overcome one of medicine’s greatest challenges.
GRAIL is headquartered in Menlo Park, California, with locations in Washington, D.C., North Carolina, and the United Kingdom. It is supported by leading global investors and pharmaceutical, technology, and healthcare companies.
For more information, please visit grail.com.
GRAIL is seeking a Senior Director, Market Access to build and lead a team responsible for engagement, implementation, and access strategies for payer coverage.
In this role, you will lead key initiatives by developing and executing strategies to ensure patient access, analyzing healthcare policies and landscapes, and engaging with external stakeholders to expand Galleri access and adoption. You will establish and cultivate strong partnerships across payer organizations—including commercial payers, state and federal entities, and other ecosystem partners—while representing GRAIL’s overall product portfolio. This role requires frequent C-suite engagement, managing complex, high-value programs, and identifying opportunities to broaden access across diverse patient populations and multiple healthcare channels. You will also foster strong, productive relationships that mobilize internal teams, such as sales and marketing, to achieve goals.
Successful candidates will consistently meet or exceed key objectives, demonstrate cross-functional leadership, approach strategic decision-making with a balance of long-term vision and short-term execution, and have deep expertise in navigating and delivering value to senior executives across the healthcare ecosystem.
This is a hybrid role with a blend of onsite presence in Menlo Park, CA and work from home.
Responsibilities:
- Lead strategy, goal setting, forecasting, and execution of payer coverage programs to expand opportunities, positioning GRAIL as a high-value partner in early cancer detection.
- Develop market- and partner-specific value propositions by deeply understanding business objectives and strategic priorities, influencing the design of both short- and long-term goals for high-functioning partnerships.
- Lead and manage a cross-functional team of market access professionals, providing strategic direction, performance management, and professional development.
- Oversee day-to-day operations and ensure alignment with corporate goals across pricing, reimbursement, payer strategy, and patient access functions.
- Serve as the subject matter expert in coverage, coding, and reimbursement strategies for GRAIL products.
- Own gap analysis and cross-functional readiness planning for coverage milestones. Mobilize teams across the organization to maximize access at those milestones.
- Develop and execute pricing strategies for GRAIL product lines that align with short- and long-term objectives.
- Mobilize cross-functional teams across GRAIL to drive key initiatives in policy, evidence development, and payer engagement.
- Negotiate complex contracts, establish and lead quarterly senior executive meetings, and develop partnership opportunities, collaborating with medical and clinical development teams when evidence generation is required.
- Anticipate and address partner needs across the system of care.
- Ensure compliant access to GRAIL products.
Required Qualifications:
- BS/BA degree, preferably in science, healthcare, or a related field; advanced degree in science, public health, or allied healthcare strongly preferred.
- 20+ years of partnership development and account management experience leading substantive, revenue-generating accounts.
- 15+ years of experience working with payer and policy executives, with deep knowledge of reimbursement pathways, system channel strategies (employer benefits, health plans, community engagement), care delivery at the provider level, and patient engagement strategies.
- Proven ability to develop executive-level presentations requiring cross-functional input, with strong analytical expertise to represent business opportunities and challenges, and polished presentation skills to influence large groups of decision-makers.
- Demonstrated success leading and influencing cross-functional teams in a matrixed environment, with strong strategic thinking and execution skills.
- Proven track record of mentoring senior-level staff and cultivating high-performing teams in a fast-paced, evolving healthcare landscape.
- Deep understanding of the healthcare ecosystem and stakeholder priorities, including payers, employers, and IDNs, informed by prior engagement and partnership development.
- Demonstrated success implementing product and service solutions with health systems and health plans.
- Innovative mindset with exceptional business acumen, analytical ability, and problem-solving skills.
- Strong understanding of compliance-related concepts, including the laws, regulations, and policies governing marketing and sales activities, and the importance of compliance in all job functions.
- Proven ability to work toward objective-based goals and a track record of achieving them.
- Ability to travel a minimum of 30% of the time to cover markets and institutions across the U.S.
Expected full time annual base pay scale for this position is $211K-$281K. Actual base pay will consider skills, experience and location.
Based on the role, colleagues may be eligible to participate in an annual bonus plan tied to company and individual performance, or an incentive plan. We also offer a long-term incentive plan to align company and colleague success over time.
In addition, GRAIL offers a competitive benefit package, including flexible time-off, a 401(k) with a company % match, medical, dental, and vision insurance plans, and carefully selected mindfulness offerings, in accordance with our applicable plans and policies. Learn more about our benefits here: px.sequoia.com/grail
GRAIL is an equal employment opportunity employer, and we are committed to building a workplace where every individual can thrive, contribute, and grow. It is GRAIL policy to provide equal employment opportunities without regard to race, color, religion, national origin, sex, gender, gender identity, sexual orientation, age, marital status, protected veteran status, disability status, medical condition, or any other class or characteristic protected by applicable federal, state, and local laws.
This policy applies to all phases of employment, including, but not limited to: recruiting, hiring, training, promotion, and termination at all levels of employment. GRAIL maintains a drug-free workplace.
Additionally, GRAIL will consider all qualified job-seekers with criminal histories in a manner consistent with applicable law and provide reasonable accommodations to qualified individuals with disabilities so that they can participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us at [email protected] if you require an accommodation to apply for an open position.
For more information about equal employment opportunity protections, please view the 'Know Your Rights' poster.
We welcome job-seekers from all backgrounds to join us!
GRAIL Menlo Park, California, USA Office

GRAIL is headquartered in Menlo Park, California, with locations in Washington, D.C., North Carolina, and the United Kingdom. We also have a number of employees who are working remotely. Our bay area office has a employees working in our labs, software engineering, clinical development and more.
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