Director of Payer Relations and National Accounts

About the role

We're Cyted - a pioneering gastrointestinal health diagnostics company enabling more patients early access and detection for esophageal cancer and Barrett's esophagus. Our technology brings a minimally invasive diagnostic approach to market - our EndoSign test combines a swallowable pill-like device with advanced biomarkers and analytics to help detect disease earlier and faster. What started as an idea between a health-tech entrepreneur and leading clinical scientists at Cambridge University has quickly grown into an international company operating across the UK and US, backed by investors such as EQT Life Sciences and a $44M Series B investment. But we still work like a startup - because we are one. Things move quickly here and we build as we go. Some days you'll be solving problems first of their kind with innovative approaches. Other days you'll just need to roll your sleeves up and get things done. That's the reality of building a company that's growing fast and trying to genuinely change patient outcomes. We're a small, highly collaborative team, which means your work matters. We have the trust and belief from our investors so you won't disappear into layers of hierarchy or spend months waiting for decisions. If you have a good idea, we want to hear it, regardless of your role or title. We like people who are curious, adaptable, thoughtful, and always willing to learn and improve. This isn't a polished corporate environment where everything already exists. We're building processes, teams, products and ways of working in real time. Every day is different. If the idea of helping build something ambitious from the ground up excites you - and you want your work to have a real-world impact on people's lives - we'd love to hear from you. Our recruitment process runs through four stages and we interview on a rolling basis. Each stage has its own purpose. As we have grown, we have made each contact point based on candidate feedback, making sure you actually get a helpful insight into Cyted. We want to give you the most open & true snapshot of us no matter the role. Initial conversation - Run by Maddie from our People team, this is a relaxed online chat so we can learn more about you and your background, and so you can learn more about us too. Line manager interview - This online chat explores the role in more detail through scenario-based and role-specific questions to see how you would bring your skills and knowledge into Cyted. Team interview & assessment - To meet the wider team and see how we work in-person, we like to involve a panel of team members to listen to your ideas in either a presentation or assessment format. Final Interview - Marcel, our CEO, still speaks to every new potential employee. In this online meeting, you will get to discuss your goals and explore how they align with the company's history and future vision. As the Director of Payer Relations and National Accounts you will lead Cyted's US payer strategy to secure optimal reimbursement, coverage, and patient access for the company's molecular diagnostic portfolio. Reporting into the VP Market Access & Reimbursement and working closely with the Billing Director, you will develop and execute national account strategies, establish coding and payment pathways, and drive favorable coverage policies with commercial and government payers. You will define and track key access KPIs, proactively identify reimbursement risks and opportunities, and align access strategy to Cyted's broader business objectives. It will be essential to build and maintain strong relationships with commercial payers, laboratory benefit managers (LBMs), IDNs, Medicare, Medicaid, VA, DoD, and other key stakeholders across the US market. You will represent Cyted in payer meetings, contract negotiations, and industry forums, leading engagement plans across national and regional accounts. The role will also partner closely with health systems and finance stakeholders to remove reimbursement barriers, support contract implementation, and ensure operational alignment to accelerate revenue pull-through. In addition, you will shape and communicate compelling payer value propositions supported by clinical and health economic evidence. Overseeing the development of reimbursement dossiers, economic models, and payer-facing materials, you will be partnering cross-functionally with Sales, Marketing, Medical Affairs, Regulatory, Finance, and Billing to ensure cohesive execution. By integrating payer insights into evidence generation, product positioning, and launch planning, this role will be instrumental in advancing Cyted's US market access and growth strategy. The role is a full-time and remote position with a standard 40 hour working week. The role holder may be required to work flexibly and may need to visit other company sites when and if required. US Payer Strategy and Reimbursement Leadership Develop and execute US payer relations and national account strategies to achieve re

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