Regional Payor Access Manager - Glaucoma Devices

Bausch + Lomb; Nashville (TN); On-site; USD 90,000 - 140,000; Full time

Job summary

Bausch + Lomb is seeking a Regional Account Manager - Market Access to drive payor strategy and reimbursement across commercial plans, MedAdv, and Medicaid in assigned states. The role focuses on MIGS devices, policy influence, and provider adoption, requiring extensive travel and cross-functional collaboration.

The RAM will educate physicians and healthcare providers, consolidate payor relations, and navigate CMS and LCD requirements to secure coverage.

Qualifications

• Bachelor's degree required; advanced degree in life science or business 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, 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).

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.

Skills

Payor strategy

Reimbursement expertise

Account management

Stakeholder engagement

Travel readiness

Education

Bachelor's degree

Advanced degree in life science or business

Job description

Bausch + Lomb is seeking a Regional Account Manager - Market Access to drive payor strategy and reimbursement across commercial plans, MedAdv, and Medicaid in assigned states. The role focuses on MIGS devices, policy influence, and provider adoption, requiring extensive travel and cross-functional collaboration.

The RAM will educate physicians and healthcare providers, consolidate payor relations, and navigate CMS and LCD requirements to secure coverage.