Payor Strategy Director, National Accounts

Bausch + Lomb; Santa Fe (NM); On-site; USD 220,000 - 255,000; Full time

Benefits offered by this job

Health insurance

401(k) plan with company match

Tuition reimbursement (select degrees)

Paid time off / vacation schedule

Sick time and floating holidays

Well-being programs

Job summary

Bausch + Lomb, a leading eye health company, seeks a Director of Payor Account Management to lead national and regional payor strategies for the Elios System. You will manage a team of Regional Account Executives, align with sales, marketing and medical affairs to maximize patient access and revenue.

You will collaborate with HTAs, payors and KOLs to shape coverage, reimbursement, and policy through HEOR data, BIM, and clinical literature, with an emphasis on Medicare, private payors, and

Qualifications

• Bachelor’s degree in public health, life science or related field; ophthalmology experience preferred.
• 5–7 years of payor relations experience at Medicare and Private Insurance with strong CPT coding knowledge.
• Proven track record securing payor coverage for medical devices and emerging technologies.
• Strong ability to communicate clinical and economic data, coding and payment issues.

Responsibilities

• Lead national and regional payor coverage and reimbursement strategies to secure coverage and appropriate reimbursement.
• Engage with HTAs to review ELT and Elios System data and support literature.
• Build relationships with payors, understand medical policy, utilization review, PMPM thresholds, and claims processing.
• Collaborate with State Ophthalmology Advisory Committee members and payor Medical Directors to reflect local practices.
• Communicate value propositions using literature and BIM to influence coverage policy.
• Monitor Medicare and Commercial policies; analyze medical review and payment trends to guide strategy.
• Support Field Sales with key accounts on coverage, coding and payment requirements.
• Coordinate with Medical Affairs for clinical education with local KOLs to influence payor coverage.

Skills

Payor relations

Medicare knowledge

CPT coding

Medical device reimbursement

Leadership

Communication

Presentation skills

Education

Bachelor’s degree in public health or life sciences

Ophthalmology experience preferred

Tools

PowerPoint

Excel

Word

Job description

Bausch + Lomb, a leading eye health company, seeks a Director of Payor Account Management to lead national and regional payor strategies for the Elios System. You will manage a team of Regional Account Executives, align with sales, marketing and medical affairs to maximize patient access and revenue.

You will collaborate with HTAs, payors and KOLs to shape coverage, reimbursement, and policy through HEOR data, BIM, and clinical literature, with an emphasis on Medicare, private payors, and