Director Market Access (Reimbursement Development, Coverage Expansion)
Director Market Access (Reimbursement Development, Coverage Expansion)
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$ 200000 - 275000
1 Vacancy
Job Description
This is where you save and sustain lives
At Baxter we are deeply connected by our mission. No matter your role at Baxter your work makes a positive impact on people around the world. Youll feel a sense of purpose throughout the organization as we know our work improves outcomes for millions of patients.
Baxters products and therapies are found in almost every hospital worldwide in clinics and in the home. For over 85 years we have pioneered significant medical innovations that transform healthcare.
Together we create a place where we are happy successful and inspire each other. This is where you can do your best work.
Join us at the intersection of saving and sustaining lives where your purpose accelerates our mission.
Your Role at Baxter:
Baxters Front Line Care (FLC) business unit products enable earlier diagnosis and treatment. The sooner the diagnosis the more options for effective treatments. Our smart screening devices and diagnostic tools empower clinicians and health systems to identify and treat every patient with confidence shortening the path to assessment and then to care. The large and eclectic portfolio includes products for patient monitoring (patient vitals blood pressure devices etc.) as well as vision screening & diagnostics which focus on preventing blindness by facilitating early detection and treatment; physical exam & diagnostic tools; diagnostic cardiology connected electrocardiograph products; and respiratory care portfolio.
As the Director of Market Access you will be responsible for working with Payers (Government and Commercial) to expand patient access to Front Line Care (FLC) devices. Additionally you will focus on coverage policy development and expansion establishing payment rates with payers and other reimbursement policies that restrict patient access. Near Term goals include reimbursement development for new technology and AI enabled products as well as Medicaid coverage expansion.
What Youll Be Doing:
Develop and execute Market Access strategy for Front Line Care products including reimbursement development and payer policy development / revisions with collaboration from Marketing Sales Research and Development Medical and Government Affairs.
Assess and communicate the coding coverage and payment landscape for current and new devices. Develop and execute specific strategies to enable optimal reimbursement and coverage for patients.
Collaborates with Medical Affairs and HEOR to close evidence gaps and design trials and analyses that will drive positive coverage decisions.
Develops and effectively communicates clinical and economic value propositions to payer decision makers.
Negotiates coverage pricing and policy language with government and commercial payers for cardiac monitoring services.
Monitors and participates in public comment process for proposed policies.
Strategic thought leader regarding US and OUS Market Access landscape as it relates to changes in payer coverage and payment policies strategy and reimbursement development for new products coverage expansion opportunities for existing products.
Effectively manage key Payer relationships at the customer C-suite level as well as the operational level.
Establish efficient process and a measurement tracking system to ensure progress towards business growth goals.
Serve as a member of the FLC Reimbursement Leadership Team.
Actively collaborate with other FLC business units and functional teams pursuing reimbursement of Baxter technologies and services.
Your Team:
As the Director Market Access you will report directly to the VP Reimbursement Patient Services. Furthermore you will lead a team of 3 as well as collaborate across the Commercial organization.
Your Location:
The role is located at our Respiratory Health facility in St. Paul MN. Relocation assistance will be considered. Additionally candidates residing in Houston TX Bellevue WA Skaneateles Falls NY or Deerfield IL will also be considered. Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a required minimum number of days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission. The flexible workplace policy is subject to local laws and legal requirements. At its discretion Baxter may decide to adjust suspend or discontinue as business needs change.
What Youll Bring:
Bachelors degree required with focus on Healthcare Health Economics Public Health or Business
10 years required Healthcare Reimbursement / Medical Device related experience with demonstrable evidence of successfully partnering with customers and achieving shared goals and outcomes; Pharmaceutical industry reimbursement will also be considered
Experience in developing reimbursement (coding coverage and payment) for new technologies.
Prior experience evaluating and presenting Clinical Outcomes and Health Economics data
Direct experience working with Government or Commercial payers & their decision makers / Medical Directors
Possess extensive knowledge of Medicare & Medicaid reimbursement and programs Federal Marketplace (VA/DoD) National Health Plans and Regional Health Plans
Proven track record in reimbursement development for new technologies and coverage expansion of clinical indications for existing technologies
Expertise in government and commercial plans payer systems and knowledge of industry trends in pricing and reimbursement
Proven experience building maintaining and leveraging strategic relationships including government officials
Proven success in ability to negotiate and influence cross-functionality and across customer stakeholders
Proven track record of success in managing multiple payer accounts across all payer segments
Understanding of Healthcare Regulatory requirements payment methodologies CPT and HCPCS coding Compliance Third Party billing appeals and external payer audits
Proven track record of analytical ability operational excellence and detail orientation
Strong collaboration stakeholder management and communication skills-including verbal written negotiation and overcoming objections
Ability to read complex payer / government regulations and policies
Verbal written and presentation skills for various audiences including regulatory and clinical content
Strong commitment to work collaboratively across functional teams
Strong Project Management skills
#LI-JR1
We understand compensation is an important factor as you consider the next step in your career. At Baxter we are committed to equitable pay for all our employees and we strive to be more transparent with our pay practices. The estimated base salary for this position is $200000 - $275000 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than the anticipated range based upon market data and other factors all of which are subject to change. Individual pay is based upon location skills and expertise experience and other relevant factors. This position may also be eligible for discretionary bonuses and/or long-term incentive. For questions about this our pay philosophy and available benefits please speak to the recruiter if you decide to apply and are selected for an interview.
US Benefits at Baxter (except for Puerto Rico)
This is where your well-being matters. Baxter offers comprehensive compensation and benefits packages for eligible roles. Our health and well-being benefits include medical and dental coverage that start on day one as well as insurance coverage for basic life accident short-term and long-term disability and business travel accident insurance. Financial and retirement benefits include the Employee Stock Purchase Plan (ESPP) with the ability to purchase company stock at a discount and the 401(k) Retirement Savings Plan (RSP) with options for employee contributions and company matching. We also offer Flexible Spending Accounts educational assistance programs and time-off benefits such as paid holidays paid time off ranging from 20 to 35 days based on length of service family and medical leaves of absence and paid parental leave. Additional benefits include commuting benefits the Employee Discount Program the Employee Assistance Program (EAP) and childcare benefits. Join us and enjoy the competitive compensation and benefits we offer to our additional information regarding Baxter US Benefits please speak with your recruiter or visit our Benefits site: Benefits Baxter
Equal Employment Opportunity
Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race color religion gender national origin age sexual orientation gender identity or expression protected veteran status disability/handicap status or any other legally protected characteristic.
Know Your Rights: Workplace Discrimination is Illegal
Reasonable Accommodations
Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If because of a medical condition or disability you need a reasonable accommodation for any part of the application or interview process please click on the link here and let us know the nature of your request along with your contact information.
Recruitment Fraud Notice
Baxter has discovered incidents of employment scams where fraudulent parties pose as Baxter employees recruiters or other agents and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself review our Recruitment Fraud Notice.
Required Experience:
Director
Employment Type
Full-Time
