Regional Payor Access Strategy Lead - Glaucoma

Bausch & Lomb GmbH; Central (LA); Hybrid; USD 140,000 - 185,000; Full time

Benefits offered by this job

Incentives (ST/LT)

Medical, dental, vision insurance

401(k) with company match

Tuition reimbursement (select degrees)

Company holidays

Well-being benefits

Paid time off

Job summary

Regional Manager Payor Accounts - Midwest at Bausch + Lomb seeks a senior professional to drive payor strategy, secure coverage and manage reimbursement for MIGS products. Extensive field engagement and travel are required to build payer relationships and influence policy.

Responsibilities include collaborating with Sales, educating providers, and serving as the reimbursement SME across Medicare Advantage and Medicaid in the Midwest region. Travel is 30%-50%, 3 nights/week on average.

Qualifications

• Bachelor's degree required; advanced life science, business or ophthalmology experience preferred.
• 5+ years in payor/reimbursement roles within medical devices and Part B coverage.
• 2+ years in ophthalmic practice management, practice billing, and revenue cycle.
• Ability to interpret MAC LCDs and CMS articles related to MIGS for Medicare Advantage.
• Proven payor strategy, reimbursement and account management experience; product launch experience a plus.
• Deep knowledge of Commercial, Medicare and Medicaid reimbursement structures, coding, billing and appeals.

Responsibilities

• Develop and execute regional payor strategies to secure and maintain coverage, coding and reimbursement.
• Partner with Sales to educate and support customers by removing access barriers and resolving reimbursement challenges.
• Conduct reimbursement seminars on local payor coverage criteria and requirements.
• Build relationships with payor medical directors, state agencies and advocacy organizations to influence policy.
• Serve as the regional payor expert for MIGS reimbursement, guiding internal teams and customers on processes.
• Engage with key healthcare stakeholders across Commercial, MedAdv and Medicaid as needed.

Skills

Payor strategy

Reimbursement

Account management

Stakeholder engagement

Medicare/Medicaid knowledge

CMS regulations interpretation

Education

Bachelor's degree

Job description

Regional Manager Payor Accounts - Midwest at Bausch + Lomb seeks a senior professional to drive payor strategy, secure coverage and manage reimbursement for MIGS products. Extensive field engagement and travel are required to build payer relationships and influence policy.

Responsibilities include collaborating with Sales, educating providers, and serving as the reimbursement SME across Medicare Advantage and Medicaid in the Midwest region. Travel is 30%-50%, 3 nights/week on average.