Regional Accounts Manager - Southwest Heartland

Bausch + Lomb; Denver (CO); Presencial; USD 120 000 - 160 000; Tempo integral

Resumo da oferta

Bausch + Lomb is seeking a Regional Account Manager – Market Access to drive payor strategies and secure coverage for MIGS devices across commercial plans, Medicare Advantage and Medicaid. You will build essential payer relationships and educate teams to overcome reimbursement barriers.

The role requires 5+ years in payor/reimbursement within medical devices, a bachelor's degree (advanced life science or business preferred), and 30–50% travel.

Qualificações

• Bachelor's degree required; advanced degree in life science, business and ophthalmology experience preferred.
• 5+ years of industry experience in payor/reimbursement roles within medical devices and Part B coverage.
• Minimum 2 years experience in ophthalmic practice management, practice billing, and revenue cycle reimbursement.
• Ability to interpret MAC LCDs and Articles related to MIGS and enforcement of CMS regulations for Medicare Advantage.
• Proven experience with payor strategy, reimbursement, and account management; direct product launch experience desirable.

Responsabilidades

• Develop and execute regional payor strategies to secure and maintain coverage, coding, and reimbursement across Commercial, Medicare Advantage and Medicaid.
• Partner with Sales teams to educate and support customers by removing access barriers and resolving reimbursement challenges.
• Conduct reimbursement seminars on local payor coverage criteria and requirements for MIGS products.
• Build and sustain relationships with payor medical directors, state agencies, and advocacy organizations to influence policy and coverage decisions.
• Serve as the regional payor and reimbursement expert guiding internal teams on medical device reimbursement, coding, billing, and appeals processes.
• Engage with key health care stakeholders including Commercial Managed Care, Medicare Advantage, Medicaid, state ophthalmic groups and patient/provider communities.

Conhecimentos

Payor strategy

Reimbursement

Account management

CMS regulations

Travel readiness

Stakeholder engagement

Formação académica

Bachelor's degree

Advanced degree in life science or business

Ferramentas

CMS/CPT coding familiarity

Major medical payer systems

Descrição da oferta de emprego

Bausch + Lomb (NYSE/TSX: BLCO) is a leading global eye health company dedicated to protecting and enhancing the gift of sight for millions of people around the worldfrom the moment of birth through every phase of life. Our mission is simple, yet powerful: helping you see better, to live better.

Our comprehensive portfolio of over 400 products is fully integrated and built to serve our customers across the full spectrum of their eye health needs throughout their lives. Our iconic brand is built on the deep trust and loyalty of our customers established over our 170-year history. We have a significant global research, development, manufacturing and commercial footprint of approximately 13,000 employees and a presence in approximately 100 countries, extending our reach to billions of potential customers across the globe. We have long been associated with many of the most significant advances in eye health, and we believe we are well positioned to continue leading the advancement of eye health in the future.

The Regional Account Manage-Market Access (RAM) will execute the payor strategy within an assigned region to secure and maintain favorable coverage, coding, and reimbursement across commercial plans, Medicare Advantage (MedAdv), and Medicaid in assigned states. This role reports to the National Payor Account Director (East / West) and will drive access for Surgical Glaucoma products, influence payer policy, and enable provider adoption and patient access. This role will establish and maintain payor relationships, i.e., Medical Director and medical policy staff, resolving reimbursement barriers, and ensuring appropriate and consistent payment.

The RAM will also serve as a reimbursement liaison as needed and collaborate with cross-functional colleagues in Sales, Medical Affairs, and the HUB provider to educate physicians and institutional customers in local payor policy requirements. RAM-Glaucoma will serve as a subject-matter expert in regional payor policy for MIGS devices for medical benefit. The RAM will proactively engage with medical directors, state agencies, and advocacy groups in the assigned region to build sustainable coverage pathways and support future technologies B+L brings to the market. Extensive field engagement and travel required.

Responsibilities:

• Develop and execute regional payor strategies to secure and maintain coverage, coding, and reimbursement across Commercial, Medicare Advantage and Medicaid as required.

• Partner with Sales teams to educate and support customers by removing access barriers and resolve complex reimbursement challenges.

• Conduct reimbursement seminars via videoconference or in person on local payor coverage criteria and requirements for appropriate reimbursement of B+L Surgical Glaucoma products.

• Build and sustain relationships with payor medical directors, state agencies, and advocacy organizations to influence policy and coverage decisions.

• Serve as the regional payor and reimbursement subject-matter expert for assigned payors - guiding internal teams and customers on medical device reimbursement, coding, billing, and appeals processes.

• Understand and work with key health care stakeholders within the following customers: Commercial Managed Care (Regional Plans), Medicare Advantage (MedAdv), Medicaid (Fee for Service) as needed, State Ophthalmic Medical Groups, State Advocacy, patient, provider, and other key healthcare stakeholder groups.

Qualifications:

• Bachelor's degree required, advanced degree in life science, business and ophthalmology experience preferred.

• 5 plus years of industry experience in payor/reimbursement roles within medical devices and Part B coverage

• Minimum 2 years experience in ophthalmic practice management, practice billing, and revenue cycle, public or private third-party reimbursement related to MIGS and their impact on providers, ASCs, and hospitals.

• Ability to interpret MAC LCDs and Articles related to MIGS and seek enforcement of CMS regulations as they pertain to Medicare Advantage plans.

• Proven experience with payor strategy, reimbursement, and account management; direct product launch experience highly desirable

• Deep knowledge of Commercial, Medicare, and Medicaid reimbursement structures, coding (i.e., CPT, ICD-10 codes), billing, and appeals processes.

• Strong executive presence and stakeholder engagement skills with payors, KOLs, hospital systems

• Highly organized, self-directed, ability to work with ambiguity and effective in cross-functional environments.

• Able to travel extensively (30% - 50% / ~ 3 nights/week)

This position may be available in the following location(s): [[location_obj]]

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

[IF APPLICABLE] For U.S. locations that require disclosure of compensation, the starting pay for this role is between [$000,000.00 and $000,000.00] [or $00.00 - $00.00 per hour]. The estimated salary range reflects an anticipated range for this position. The actual base salary offered may depend on a variety of factors.

[SHOULD BE INCLUDED WITH PAY TRANSPARENCY LANGUAGE IN THE PARAGRAPH ABOVE IF APPLICABLE] U.S. based employees may be eligible for short-term and/or long-term incentives. They may also be eligible to participate in medical, dental, vision insurance, disability and life insurance, a 401(k) plan and company match, a tuition reimbursement program (select degrees), company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive sick time, floating holidays and paid vacation.

Our US Benefit Programs Employee Benefits: Bausch + Lomb (https://www.bausch.com/careers/benefits/)

Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.