Senior Director Reimbursement

This is whereyour work makes a difference.

At Baxter we believe every personregardless of who they are or where they are fromdeserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today tomorrow and beyond.

Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together our community is driven by a culture of courage trust and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations and we hold each other accountable for delivering exceptional results.

Here you will find more than just a jobyou will find purpose and pride.

At Baxter we believe every personregardless of who they are or where they are fromdeserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today tomorrow and beyond.

Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together our community is driven by a culture of courage trust and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations and we hold each other accountable for delivering exceptional results.

Here you will find more than just a jobyou will find purpose and pride.

The Senior Director Reimbursement Front Line Care (FLC) leads multiple teams to define and execute the reimbursement market access and health policy strategy across Baxters Front Line Care portfolio. This leader oversees four core functionsMarket Access Payer Enrollment & Contracting Federal Government Programs and State Government Programs.

This role drives reimbursement strategy across commercial and government payers ensuring optimized coding coverage and payment for current and pipeline products while shaping policy and advocacy efforts to remove barriers to patient access.

Define and lead the enterprise reimbursement and market access strategy for the FLC portfolio ensuring alignment with business growth objectives.

Serve as a key member of the leadership team advising on pricing access reimbursement and policy implications across the product lifecycle.

Translate evolving payer regulatory and policy landscapes into actionable strategic direction for current and pipeline products.

Oversee development and execution of US and OUS market access strategies including coding coverage and payment initiatives.

Guide payer-facing value proposition development using clinical economic and outcomes data.

Lead strategic engagement with national regional and local payers to expand coverage and reduce patient access barriers.

Ensure cross-functional alignment with Commercial Medical Affairs HEOR Government Affairs R&D Legal and Compliance.

Direct payer contracting strategy across commercial and government channels including negotiation of rates terms and network participation.

Oversee enrollment and credentialing strategy to ensure compliance and speed-to-access with commercial payers and government programs.

Establish operational excellence in contracting lifecycle management payer onboarding governance and issue resolution.

Responsible for final review and signature of Payer contracts as an authorized signer of the company.

Lead reimbursement strategy and compliance for federal programs including Medicare (CMS) TRICARE and federal marketplace programs as applicable.

Serve as an enrolled authorized representative of the company and signer of enrollment agreements with CMS accrediting bodies and licensing agencies.

Monitor CMS rulemaking federal policy changes and payment methodology updates; lead organizational response and advocacy.

Oversee development of coding coverage pathways reimbursement positioning and evidence requirements for new technologies.

Direct Medicaid strategy across states including coverage expansion enrollment requirements and participation requirements.

Serve as an enrolled authorized representative of the company and signer of enrollment agreements with Medicaid programs.

Lead engagement with state agencies Medicaid decision makers and policy stakeholders to shape reimbursement frameworks.

Ensure compliance with state-specific regulatory and payment requirements and proactively remediate access risks.

Lead coach and develop a team of Directors and their organizations across all reimbursement functions.

Build organizational capabilities in payer engagement contracting strategy government policy navigation analytics and compliant execution.

Foster a high-performance inclusive compliant and collaborative culture aligned to Baxters values and business priorities.

Build and maintain executive-level relationships with payers government policy makers advocacy groups industry associations and key opinion leaders.

Lead industry engagement to influence reimbursement policy and remove barriers to patient access.

Represent Baxter externally in reimbursement payer and policy forums as appropriate.

To perform this job successfully an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Bachelors degree required in healthcare business economics public health health policy finance or related field; advanced degree preferred.

1215 years of progressive experience in healthcare reimbursement market access health policy payer strategy government programs or related commercial / access leadership roles.

10 years of leadership experience managing multi-functional teams Director-level leaders or complex matrix organizations.

Demonstrated success in reimbursement development including coding coverage and payment strategies across commercial and government payers.

Experience in medical device digital health diagnostics respiratory health cardiology or adjacent healthcare technology markets preferred.

Deep expertise in Medicare Medicaid commercial and regional payer systems federal and state government programs payer contracting and healthcare policy.

Prior experience establishing reimbursement in International markets.

Strong knowledge of CPT/HCPCS coding payment systems coverage policy regulatory requirements third-party billing appeals and payer audits.

Proven experience negotiating payer contracts influencing coverage decisions and building payer / policy maker relationships.

Ability to interpret complex federal and state payer regulations and convert policy implications into business strategy and execution plans.

Exceptional executive communication presentation negotiation stakeholder management and team leadership skills.

Strong analytical orientation; ability to use clinical economic payer and operational data to shape reimbursement strategy and measure business impact.

Reports to: Kari Roehrich (General Manager Respiratory Health & VP Reimbursement)

Direct reports:

Director Market Access

Director Payer Enrollment & Contracting

Director Federal Government Programs

Senior Manager State Government Programs

Additional roles as assigned.

Scope includes reimbursement development market access payer enrollment payer contracting and federal / state government program strategy & policy for the FLC portfolio.

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 employees and we strive to be more transparent with our pay practices. The estimated base salary for this position is $200000 - $300000annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than of the anticipated range based upon market data and other factors all of which are subject to change. Individual pay is based on upon location skills and expertise experience and other relevant factors. This position may also be eligible for discretionary bonuses commission 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.

Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes arequired minimum number of daysa 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 its discretion Baxter may decide to adjust suspend or discontinue as business needs change.

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.

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