Remote Regional Payor Strategy Manager - Glaucoma

Bausch+Lomb; United States; À distance; USD 140 000 - 185 000; Plein temps

Avantages offerts par ce poste

Medical, dental, vision insurance

401(k) with company match

Tuition reimbursement

Paid time off

Résumé du poste

Bausch + Lomb, a leading eye health company, seeks a RAM to drive regional payor strategy, secure coverage, and manage reimbursement for MIGS devices. The role reports to the National Payor Account Director and requires extensive field engagement across commercial plans, MedAdv, and Medicaid in assigned states.

The RAM will build relationships with medical directors, policy staff, and stakeholders, guiding teams on coding, billing, and appeals, while traveling 30-50% as needed.

Qualifications

• Bachelor's degree required; advanced degree in life science, business or ophthalmology experience preferred.
• 5+ years of industry experience in payor/reimbursement roles within medical devices and Part B coverage.
• Minimum 2 years’ experience in ophthalmic practice management, practice billing, and revenue cycle in MIGS-related reimbursement.
• Ability to interpret MAC LCDs and articles related to MIGS and CMS regulations for Medicare Advantage plans.
• Proven experience with payor strategy, reimbursement, and account management; direct product launch experience 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 in ambiguity and across cross-functional teams.
• Willingness to travel extensively (30% - 50% / ~3 nights/week).

Responsabilités

• 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 resolve complex reimbursement challenges.
• Conduct reimbursement seminars via videoconference or in person on local payor coverage criteria and requirements for 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 and provider groups.

Connaissances

Payor strategy

Reimbursement

Account management

Ophthalmic industry

CMS regulations

Stakeholder engagement

Travel

Formation

Bachelor's degree

Advanced degree in life science or business

Description du poste

Bausch + Lomb, a leading eye health company, seeks a RAM to drive regional payor strategy, secure coverage, and manage reimbursement for MIGS devices. The role reports to the National Payor Account Director and requires extensive field engagement across commercial plans, MedAdv, and Medicaid in assigned states.

The RAM will build relationships with medical directors, policy staff, and stakeholders, guiding teams on coding, billing, and appeals, while traveling 30-50% as needed.