Remote Position
[Remote] Regional Manager Payor Accounts - Midwest Job Details | Bausch+Lomb Companies Inc.
🌍 Remote · United States
💼 Full-time
Note: The job is a remote job and is open to candidates in USA. Bausch + Lomb is hiring a Regional Manager Payor Accounts - Midwest to execute regional payer strategy for Surgical Glaucoma products and secure favorable coverage, coding, and reimbursement. The role builds payer relationships, resolves reimbursement barriers, and collaborates with Sales, Medical Affairs, and providers to support provider adoption and patient access.
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
- Bachelor's degree required
- 5 plus 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, public or private third-party reimbursement related to MIGS and their impact on providers, ASCs, and hospitals
- Ability to interpret MAC LCDs and Articles related to MIGS and seek enforcement of CMS regulations as they pertain to Medicare Advantage plans
- Proven experience with payor strategy, reimbursement, and account management
- Deep knowledge of Commercial, Medicare, and Medicaid reimbursement structures, coding (i.e., CPT, ICD-10 codes), billing, and appeals processes
- Strong executive presence and stakeholder engagement skills with payors, KOLs, hospital systems
- Highly organized, self-directed, ability to work with ambiguity and effective in cross-functional environments
- Applicants must be authorized to work for ANY employer in the U.S
- We are unable to sponsor or take over sponsorship of an employment Visa at this time
- Advanced degree in life science, business and ophthalmology experience
- Direct product launch experience highly desirable
Benefits
- U.S. based employees may be eligible for short-term and/or long-term incentives.
- U.S. based employees may be eligible to participate in medical, dental, vision insurance, disability and life insurance.
- U.S. based employees may be eligible to participate in a 401(k) plan and company match.
- U.S. based employees may be eligible to participate in a tuition reimbursement program (select degrees).
- U.S. based employees may be eligible for company holidays and well-being benefits, among others.
- U.S. based employees are also eligible to receive sick time, floating holidays and paid vacation.
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