Manager, Medicaid Policy & Operations

Company Overview

GeneDx (Nasdaq: WGS) delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug discovery. The company is uniquely positioned to accelerate the use of genomic and large-scale clinical information to enable precision medicine as the standard of care. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world’s largest, rare disease data sets.

Summary

The Manager, Medicaid Policy & Operations is part of the Market Access team and serves as the internal subject matter expert on Medicaid reimbursement requirements across the United States. This role monitors state Medicaid administrative policies, fee schedules, and program requirements and translates them into actionable insights that support market access strategy and reimbursement readiness for medically necessary testing.

The Manager works closely with Medicaid Policy Directors in Market Access, who own GeneDx’s relationships with Medicaid agency leadership, and partners with the Revenue Cycle Team to help ensure state-specific reimbursement requirements are clearly understood and reflected in internal guidance and processes. Medicaid is a critical coverage pathway for children with rare diseases and complex medical needs, and this role supports GeneDx’s mission to ensure they have access to a diagnosis by helping operationalize Medicaid reimbursement requirements across state programs.

Ideal Candidate

The ideal candidate brings hands-on Medicaid experience, including exposure to state agency operations and Medicaid EPSDT or Special Needs programs. They are comfortable working with claims data, Excel, and other data tools to identify patterns, surface reimbursement insights, and translate findings into actionable recommendations. They are resourceful in uncovering state-specific reimbursement requirements and denial issues and can use claims data, research, and external outreach to identify root causes of payment issues.