Remote - New York && Remote - NJ && Remote - Connecticut && Remote - NC
Full-Time
Senior (7+ yrs)
Sales & Business Development
Leadership
Posted on February 3, 2026
GRAIL is seeking a highly driven Payer Engagement Account Director to own and advance a pipeline of payer opportunities. This role is for a builder—someone who is motivated by creating momentum, opening doors, and converting payer interest into tangible coverage- and access-enabling outcomes.
The Account Director will be accountable for actively driving payer engagements forward, not simply maintaining relationships. Success in this role requires intellectual curiosity, persistence, and a strong bias toward execution, as well as the ability to navigate complex payer organizations and move opportunities from early conversations to concrete results. This individual will work closely with, and report to, the Senior Director, Payer Engagement, and will play a frontline role in shaping payer perception and adoption of the company’s products.
You are approved to work remotely from your City and State. While your primary workplace is your home, you may be required to travel occasionally to a GRAIL office or other locations to perform your work or attend team-related events.
The ideal location of the candidate could be in Connecticut, New York and/or surrounding east cost states.
Responsibilities:
Own and actively drive a defined pipeline of payer opportunities, with clear accountability for progress, outcomes, and timelines
Initiate, build, and expand relationships with assigned payer accounts, proactively identifying opportunities to advance discussions toward pilots, data evaluations, and access-enabling activities
Lead payer meetings from initial outreach through follow-up execution, ensuring momentum is maintained and next steps are clearly defined
Translate payer interest into concrete deliverables, including pilots, collaborations, or agreements, in close partnership with the Senior Director, Payer Engagement
Navigate complex payer organizations to identify and engage key clinical, economic, and decision-making stakeholders
Surface payer needs, objections, and decision criteria early, and work cross-functionally to address them efficiently
Partner with Market Access, HEOR, Medical Affairs, Commercial, Government Affairs, and clinical development teams to support payer-driven evidence and access requirements
Prepare and deliver compelling, compliant payer-facing materials that clearly articulate clinical and economic value
Maintain disciplined pipeline management, including documentation of payer interactions, progress, risks, and next steps
Represent the company with credibility, urgency, and professionalism in all payer interactions
Required Qualifications:
Bachelor’s degree required
10+ years of experience in payer engagement, market access, managed care, or healthcare account leadership
Demonstrated track record of successfully closing payer negotiations that resulted in meaningful, expanded insurance coverage
This position will cover markets and institutions across the U.S., and candidates must be able to travel a minimum of 40% of the time
