Regional Payor Strategy Lead - Surgical Glaucoma

Bausch + Lomb

United States

On-site

USD 140,000 - 185,000

Full time

8 days ago

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Benefits offered by this job

Health insurance
401(k) plan with company match
Tuition reimbursement

Job summary

Bausch + Lomb is seeking a Regional Account Manager – Market Access to execute payor strategies across commercial plans, Medicare Advantage and Medicaid in assigned states. You will secure coverage, coding, and reimbursement for Surgical Glaucoma products while coordinating with Sales, Medical Affairs, and HUB teams.

The RAM-Glaucoma will build payor relationships, educate providers, and serve as a subject‑matter expert on MIGS reimbursement.

Qualifications

  • Bachelor's degree required; advanced degree preferred.
  • 5+ years in payor/reimbursement roles within medical devices.
  • Minimum 2 years in ophthalmic practice management or related reimbursement experience.
  • Ability to interpret MAC LCDs and CMS regulations for 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.

Responsibilities

  • Develop and execute regional payor strategies to secure and maintain coverage, coding, and reimbursement.
  • 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 for MIGS 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 guiding internal teams on reimbursement processes.
  • Understand and work with key healthcare stakeholder groups including Commercial Managed Care, Medicare Advantage, Medicaid, and state ophthalmic groups.

Skills

Payor strategy
Reimbursement
Account management
Stakeholder engagement
Cross-functional collaboration
Travel readiness

Education

Bachelor's degree
Advanced degree in life science or business

Job description

Bausch + Lomb is seeking a Regional Account Manager – Market Access to execute payor strategies across commercial plans, Medicare Advantage and Medicaid in assigned states. You will secure coverage, coding, and reimbursement for Surgical Glaucoma products while coordinating with Sales, Medical Affairs, and HUB teams.

The RAM-Glaucoma will build payor relationships, educate providers, and serve as a subject‑matter expert on MIGS reimbursement.

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