Regional Payor & Reimbursement Lead, MIGS

Bausch + Lomb; Palm Coast (FL); Presencial; USD 140.000 - 185.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, Dental, Vision Insurance

401(k) with company match

Tuition reimbursement program

Paid time off & holidays

Descripción de la vacante

Bausch + Lomb seeks a Regional Account Manager-Market Access (RAM) to drive payor coverage, coding, and reimbursement for Surgical Glaucoma products across the region. You will collaborate with Sales, Medical Affairs, and HUB to educate physicians and institutional customers on payor policy requirements.

The role requires building relationships with medical directors and state agencies, influencing policy, and ensuring access pathways.

Formación

• Bachelor's degree required; advanced degree in life science, business or ophthalmology preferred.
• 5+ years in payor/reimbursement in medical devices and Part B coverage.
• Minimum 2 years’ experience in ophthalmic practice management, practice billing, and revenue cycle.
• Ability to interpret MAC LCDs and CMS regulations as they pertain to Medicare Advantage plans.
• Proven experience with payor strategy, reimbursement, and account management; direct product launch experience desirable.
• Deep knowledge of Commercial, Medicare, and Medicaid reimbursement structures, coding (CPT, ICD-10), billing, and appeals processes.
• Strong executive presence and stakeholder engagement with payors, KOLs, hospital systems.
• Willingness to travel extensively (30% - 50% / ~3 nights/week).

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 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 Commercial Managed Care, Medicare Advantage, Medicaid, State Ophthalmic Medical Groups, State Advocacy, patient, provider, and other key healthcare stakeholder groups.

Conocimientos

Payor strategy

Reimbursement knowledge

Account management

CPT/ICD-10 coding

Stakeholder engagement

Travel readiness

Educación

Bachelor's degree

Advanced degree preferred

Descripción del empleo

Bausch + Lomb seeks a Regional Account Manager-Market Access (RAM) to drive payor coverage, coding, and reimbursement for Surgical Glaucoma products across the region. You will collaborate with Sales, Medical Affairs, and HUB to educate physicians and institutional customers on payor policy requirements.

The role requires building relationships with medical directors and state agencies, influencing policy, and ensuring access pathways.