[Hiring] Senior Director/Director, Health Economics and Market Access @Cytovale

Role Description

Cytovale is hiring a Sr/Director of Healthcare Economics and Market Access to own the IntelliSep ROI narrative and turn it into a repeatable, defensible tool that drives adoption and expansion across health systems. This role goes beyond a traditional health economics and market access (HEMA) function.

• Work directly with hospital finance, coding, and revenue cycle teams to communicate, find, and help capture value that IntelliSep enables.
• Build a rigorous financial model, grounded in clinical outcomes, and defend it in front of a C-suite audience.
• Collaborate with hospital's coding and billing team to chase down specific dollars related to sepsis coding.

Key Responsibilities

• Own and Evolve the ROI Story:
  • Build, maintain, and continuously refine the core IntelliSep economic model and value narrative.
  • Translate clinical outcomes data into financial terms that resonate with health system CFOs, CMOs, and CQOs.
  • Maintain a set of modular ROI tools that can flex to a given system's payer mix, cost structure, and sepsis program KPIs.
• Engage with Hospital System Executive Leadership:
  • Serve as Cytovale's primary voice on economic value in front of hospital system C-suite and finance leadership.
  • Partner with sales and marketing to prepare and deliver executive-level business reviews and value-realization presentations.
  • Represent Cytovale's economic point of view at conferences, KOL events, and payer or health system forums.
• Identify and Pursue Revenue Cycle Opportunities with Customers:
  • Work directly with hospital coding, billing, and revenue cycle teams to identify sepsis-related coding and documentation gaps.
  • Help customers understand and contest inappropriate DRG downgrades and payer denials.
  • Build repeatable playbooks and audit approaches for hospital partners to systematically find opportunities.
  • Identify other value capture opportunities tied to IntelliSep adoption and quantify them for customers.
  • Coordinate with legal/compliance to ensure all revenue cycle guidance stays within appropriate bounds.
• Payer Strategy and Market Access:
  • Own coding strategy for IntelliSep, including CPT/HCPCS and PLA code positioning.
  • Develop and execute payer engagement strategy to secure and expand coverage.
  • Support publication and evidence strategy with health economics input.
  • Track the reimbursement and policy landscape relevant to sepsis diagnostics.
• Cross-Functional Leadership:
  • Partner closely with sales, marketing, sales enablement, medical affairs, and clinical evidence teams.
  • Train and enable the field sales organization to identify revenue cycle opportunities.
  • Build and manage a small team over time as the function scales.

Qualifications

• 8+ years of experience in healthcare economics, market access, revenue cycle, hospital finance, or a closely related field.
• Demonstrated ability to build and defend financial/economic models and present them credibly to senior hospital executives.
• Strong understanding of hospital reimbursement mechanics: DRGs, CC/MCC logic, denials and appeals processes.
• Excellent executive presence and communication skills.
• Ability to work hands-on with hospital coding/billing teams as well as at the strategic level.

Additional Qualifications

• Background in hospital revenue cycle management, health system finance, or HEMA/market access.
• Experience with diagnostics or medical device reimbursement.
• Familiarity with sepsis care, emergency medicine economics, or acute care quality measures is a plus.
• Prior experience building tools or playbooks for customer-facing teams.

Success In This Role Looks Like

• A standard of care changed, lives saved, hospital system operations improved.
• A credible, continuously refreshed ROI model used consistently across accounts.
• A track record of hospital partners successfully identifying and capturing incremental revenue cycle value.
• Senior hospital leadership engagement at target accounts, with this role as a trusted advisor.
• Expanded and defended payer coverage, with clear visibility into coding and pricing risk.

Cytovale Culture

• Comfortable with ambiguity and able to adjust quickly as new data emerges.
• High ownership, low ego; accountable for outcomes and focused on impact.
• Execution-focused; delivers results, iterates fast, and follows through.
• Intellectually curious; enjoys digging into data and asking hard questions.
• Resilient and adaptable; effective in a fast-paced, evolving environment.
• Mission-driven; motivated by Cytovale’s goal to improve outcomes for patients.