Regional Payor Strategy Lead – Glaucoma

Bausch+Lomb Companies Inc.; Salem (OR); On-site; USD 140,000 - 185,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401(k) with company match

Tuition reimbursement program

Well-being benefits

Job summary

Bausch + Lomb seeks a RAM to execute payor strategies and secure coverage for Surgical Glaucoma products across commercial plans, Medicare Advantage, and Medicaid. You will build payor relationships, educate providers, and navigate coding, billing, and appeals to improve patient access.

The role reports to the National Payor Account Director, involves extensive field engagement (30–50%), and requires travel across states to collaborate with Sales, Medical Affairs, and HUB teams.

Qualifications

• Bachelor's degree required; advanced degree preferred in life sciences, business, or ophthalmology-related field.
• 5+ years in payor/reimbursement roles within medical devices or similar.
• 2+ years in ophthalmic practice management or related reimbursement work.
• Experience interpreting MAC LCDs/Articles and CMS regulations for Medicare Advantage.
• Proven payor strategy, reimbursement, and account management experience; product launches a plus.
• Deep knowledge of CPT/ICD-10 coding, billing, and appeals processes.

Responsibilities

• Develop regional payor strategies to secure coverage and reimbursement.
• Collaborate with Sales to remove access barriers and resolve reimbursement challenges.
• Conduct payor seminars on local coverage criteria and reimbursement processes.
• Build relationships with medical directors, state agencies, and advocacy groups.
• Serve as regional payor expert guiding internal teams and customers on reimbursement workflows.
• Engage with Commercial, Medicare Advantage, Medicaid, and hospital/ASC stakeholders.

Skills

Payor strategy

Reimbursement

Account management

Stakeholder engagement

Travel readiness

Education

Bachelor's degree

Advanced degree in life sciences or business

Job description

Bausch + Lomb seeks a RAM to execute payor strategies and secure coverage for Surgical Glaucoma products across commercial plans, Medicare Advantage, and Medicaid. You will build payor relationships, educate providers, and navigate coding, billing, and appeals to improve patient access.

The role reports to the National Payor Account Director, involves extensive field engagement (30–50%), and requires travel across states to collaborate with Sales, Medical Affairs, and HUB teams.