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Policy and Reimbursement Senior Director #4459
Grail
Sales & Business Development
Washington, DC, USA
USD 223k-319k / year + Equity
Posted on Dec 17, 2025
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.
As the Policy and Reimbursement Lead reporting to the Vice President of Government Affairs, Policy & Alliance Development and working closely with highly collaborative teammates, you will be instrumental in shaping both internal and external strategies related to broad access policy and specific public payer engagements / policy initiatives. Your role will directly contribute to the timely accessibility of our innovative multi-cancer early detection test and pipeline products through effective coverage and reimbursement frameworks.
You will work on-site full-time at our office located in Washington DC.
Responsibilities
- Coverage and Reimbursement Leadership:
- Navigate diverse coverage frameworks and leverage government processes (across CMS and other public payers) to advocate for policies that facilitate inclusion and support of our products in public insurance programs.
- Collaborate closely with the VP, SVP, cross functional colleagues, and company leadership to execute engagement strategies that promote comprehensive coverage and meaningful reimbursement.
- Manage/direct external consultants on GRAIL public payer reimbursement activities.
- In partnership with VP, collaborate with commercial business units as appropriate to ensure cross-pollination of public and private payer strategies, including identifying opportunities for coverage.
- Coordinate with internal stakeholders across Commercial, HEOR, Medical Affairs, Regulatory Affairs, and Marketing to enhance support for product coverage and reimbursement strategies.
- Collaborate with HEOR colleagues on analytics development to demonstrate the value of early cancer detection for Medicare and other public payers.
- Work cross-functionally to support evidence-generation planning for coverage
- Acts as a resource on reimbursement and related health policy issues to internal business areas, industry partners, and regulatory agencies.
- Public Policy Strategy:
- Monitor external policy developments and industry trends to identify opportunities and mitigate risks.
- Lead the development and execution of policy strategies on federal and state legislative and regulatory issues.
- Produce and spearhead comment letters on behalf of GRAIL and actively participate in policy discussions to align on company policy positions.
- Support government affairs and strategic alliances through coordinated engagement, policy research projects, material development, and other contributions.
- Engage with industry trade associations to promote and align on company policy priorities.
- Develop and maintain processes to ensure organizational awareness of government policies affecting GRAIL and respond to such policies in collaboration with internal government affairs and business partners.
- These responsibilities summarize the role’s primary responsibilities and are not an exhaustive list. They may change at the company’s discretion.
Required Qualifications
- Minimum of 15 years of experience in public policy at the national or state level, with a focus on healthcare product coverage and payment.
- Proven leadership in navigating complex policy issues and implementing strategic reimbursement plans.
- Extensive knowledge of public program coverage, including Medicare and Medicaid.
- Bachelor’s degree required; advanced degree preferred.
Preferred Qualifications
- Understanding of the molecular diagnostics and screening market is preferred.
- Strong capability to develop and maintain robust internal and external relationships, enhancing the company’s policy positions.
- Exceptional interpersonal, communication, and organizational skills.
- Innovative, energetic, and resourceful with a diplomatic and intuitive approach. Commitment to communal success and the idea that we succeed only by helping teammates succeed.
Physical Demands of the Working Environment
- The role is a combination of time spent in our Washington DC office, the Hill and your home office. You must be flexible to work where needed.
The expected, full-time, annual base pay scale for this position is $223K-$319K. Actual base pay will be determined by factors such as: job level, job-related knowledge, 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.
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 rc@grailbio.com 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!