Regional Payor & Reimbursement Lead – Ophthalmic Devices

Bausch + Lomb; Santa Fe (NM); On-site; USD 120,000 - 180,000; Full time

Job summary

Bausch + Lomb is seeking a Regional Account Manager-Market Access to lead payor strategy and reimbursement efforts for MIGS and related glaucoma products across assigned states in the U.S. You will build payer partnerships, inform policy, and enable provider access to our surgical solutions.

The role requires deep knowledge of CMS regulations, CPT/ICD-10 coding, and extensive field engagement (30–50% travel).

Qualifications

• Bachelor's degree required; advanced degree in life science, business and ophthalmology experience preferred.
• 5+ years of payor/reimbursement experience in medical devices (Part B) is required.
• Minimum 2 years in ophthalmic practice management, practice billing and revenue cycle reimbursement.
• Ability to interpret MAC LCDs and CMS regulations as they pertain to Medicare Advantage plans.
• Proven payor strategy, reimbursement and account management experience; direct product launch experience is highly 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.
• Highly organized, self-directed, able to work with ambiguity in cross-functional settings.
• Ability 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, Medicare Advantage, Medicaid, State Ophthalmic Medical Groups, State Advocacy, patient, provider, and other key healthcare stakeholder groups.

Skills

Payor strategy

Account management

Stakeholder engagement

Travel readiness

Ophthalmology experience

Education

Bachelor's degree; advanced degree in life science or business preferred

Job description

Bausch + Lomb is seeking a Regional Account Manager-Market Access to lead payor strategy and reimbursement efforts for MIGS and related glaucoma products across assigned states in the U.S. You will build payer partnerships, inform policy, and enable provider access to our surgical solutions.

The role requires deep knowledge of CMS regulations, CPT/ICD-10 coding, and extensive field engagement (30–50% travel).