Regional Payor Strategy Lead — Ophthalmic MIGS

Bausch + Lomb; Augusta (ME); On-site; USD 120,000 - 170,000; Full time

Job summary

Bausch + Lomb is seeking a Regional Account Manager-Market Access (RAM) to execute payor strategy within an assigned region, securing coverage, coding, and reimbursement for Surgical Glaucoma products. This role reports to the National Payor Account Director and collaborates with Sales, Medical Affairs, and HUB to educate physicians and institutional customers on local payor policy requirements.

RAM-Glaucoma serves as the subject-matter expert for MIGS reimbursement, builds sustainable coverage

Qualifications

• Develop and execute regional payor strategies to secure coverage and reimbursement.
• Collaborate with Sales to remove access barriers and resolve reimbursement challenges.
• Present reimbursement seminars and educate on payor criteria and CMS/regulations.

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

Stakeholder engagement

Travel readiness

Education

Bachelor's degree

Advanced degree in life science / business / ophthalmology

Job description

Bausch + Lomb is seeking a Regional Account Manager-Market Access (RAM) to execute payor strategy within an assigned region, securing coverage, coding, and reimbursement for Surgical Glaucoma products. This role reports to the National Payor Account Director and collaborates with Sales, Medical Affairs, and HUB to educate physicians and institutional customers on local payor policy requirements.

RAM-Glaucoma serves as the subject-matter expert for MIGS reimbursement, builds sustainable coverage