Payor Strategy Director, National Accounts

Bausch + Lomb; San Juan (PR); On-site; USD 220,000 - 255,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Disability insurance

Life insurance

401(k) plan

Tuition reimbursement

Paid holidays

Well-being benefits

Sick time

Floating holidays

Paid vacation

Job summary

Bausch + Lomb is seeking a National Accounts Director to lead payor coverage and reimbursement strategies for the Elios System in the U.S. You will manage a team of Regional Account Executives and partner with sales, marketing, and medical affairs to optimize patient access and organizational revenue.

You will engage with payors and HTAs, develop evidence-based payor materials, and monitor policies to inform strategic decisions.

Qualifications

• Bachelor's degree in public health, life sciences, or related field; ophthalmology preferred.
• 5-7 years of payor relations experience at Medicare and private insurance with CPT coding knowledge.
• Proven success securing payor coverage for medical devices.
• Strong ability to communicate clinical and economic data, coding, coverage, and payment issues.
• Understanding of payor ophthalmology management landscape (MIGS, cataract).
• Excellent leadership, collaboration, and presentation skills to executives.

Responsibilities

• Lead national and regional payor coverage and reimbursement strategies to enable patient access and revenue.
• Engage with HTAs for reviews of ELT and Elios System clinical data and provide supporting materials.
• Develop and maintain relationships with payors; understand medical policy, utilization review, PMPM thresholds, and claims processing.
• Build relationships with State Ophthalmology Advisory Committee members and payor Medical Directors.
• Present published literature and BIM to influence coverage and policy development.
• Monitor Medicare/Commercial policies and analyze data to inform strategy and priorities.
• Collaborate with Field Sales Managers to ensure coverage, coding and payment requirements.
• Work with Medical Affairs to support Clinical Education with local KOLs.
• Leverage industry alliances to support Medicare and payor policies.
• Provide VOC feedback to guide strategy development.
• Assist in MAC coverage and payment for ELIOS (MPFS, ASC, HOPD).
• Develop market access programs to train sales reps.

Skills

Payor relations

Leadership

Strategic planning

HEOR

Stakeholder engagement

Education

Bachelor's degree in public health

Life sciences degree

Graduate degree preferred

Tools

PowerPoint

Excel

Word

Job description

Bausch + Lomb is seeking a National Accounts Director to lead payor coverage and reimbursement strategies for the Elios System in the U.S. You will manage a team of Regional Account Executives and partner with sales, marketing, and medical affairs to optimize patient access and organizational revenue.

You will engage with payors and HTAs, develop evidence-based payor materials, and monitor policies to inform strategic decisions.