Director Payor Contracting, Durable Medical Equipment and Diagnostic Testing (Federal, State and Commercial)

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. You’ll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients. 

Baxter’s 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:

Baxter’s Front Line Care (FLC) business unit, part of the Health Systems & Technologies segment, is a leading provider in Intelligent Diagnostic, Cardiac Monitoring, Connected Monitoring & Respiratory Care solutions. Our mission is to save and sustain patient lives in all care environments.  From the ICU to med-surge to primary care and to the home you will find our solutions being used to diagnose and treat patients across the globe. 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.

As the Director of Payor Contracting you will be responsible for the strategic direction and contract negotiation process between Baxter’s Front Line Care division and US based Payors (Federal, State and Commercial) to ensure patient access and sustainable pricing for Baxter’s provider entities. 

Your primary responsibilities include, but are not limited to, evaluation of contract network and gaps, developing contract and pricing strategies including product positioning against alternatives in the market, direct Payor negotiations on terms and rates, addition of new products and services to existing contracts, ensuring contracts are maintained & contract terms are met, Payor account management as well as overseeing a team of Contract professionals.  Your strategic leadership and negotiation skills will be crucial in establishing and maintaining favorable contractual agreements that align with our company's objectives and regulatory requirements.

The scope of your role includes Payor contracting for a Durable Medical Equipment (DME) provider entity in the Respiratory product categories and an Independent Diagnostic Testing Facility (IDTF) provider entity in the Ambulatory Cardiac Monitoring product category, as well as any future provider entities in the Front Line Care division.

What You’ll Be Doing:

• Develop and execute contracting strategy for Front Line Care products, including market opportunities and trends, Payor engagement strategies, product positioning, pricing and contract terms.

• Lead the end-to-end Payor contracting process for existing and future product portfolio, from negotiation to execution, ensuring that all contracts meet legal, regulatory, and company standards.

• Represent Baxter in Payor meeting and negotiations, with ability to negotiate terms and rates, within established company guidelines.

• Develop and execute Payor Account Management process to maintain positive relationships with Payors throughout the contract lifecycle.

• Resolve issues with Payors related to claims payments not matching contract terms, resulting in accurate payment of provider services.

• Evaluate and advise on Payor Contract performance and profitability through regular executive Business Reviews.

• Strategic thought leader regarding the Payor Contract landscape and impact on patient access, as it relates to changes in Payor networks, regulatory requirements for government contracts and contracting for new products.

• Collaborate with internal cross-functional teams, including legal, compliance, sales, marketing and revenue cycle management, to align and manage contract terms, scopes, and deliverables.

• Oversee team of Contract professionals working to secure and negotiate Payor contracts.

• Travel 25%, depending on demands of current initiatives and key meetings with both internal and external customers/stakeholders. Overnight travel may be required.

• Other duties, as assigned.

Your Team:

As the Director Payor Contracting you will report directly to the VP, Reimbursement Patient Services.  You will lead a team of 4.

Your Location:

Ideal locations for this role would include St. Paul, MN, Houston, TX, Bellevue, WA, Washington DC, Deerfield, IL or Skaneateles Falls, NY.  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 You’ll Bring:

• Bachelor’s degree is required with focus on healthcare, public health, business; Masters degree preferred.

• At least 5 - 7 years of Payor Contracting experience, required, as either a Provider or Payor Contracting leader, including contract negotiation and contract management.

• Prior experience in the Respiratory medical device or Ambulatory Cardiac Monitoring space is ideal, including coding, coverage and Payment, DME or IDTF Provider entity types, new product launches and contracting processes, required.

• Possess extensive knowledge of Medicaid, Medicare, reimbursements and programs, Federal Marketplace (VA/DoD), Regional Health Plans and National Health Plans; experience working with government or commercial Payors & their decision makers.

• Strong written and verbal communication skills, including formal presentations, to varying levels within the organization and executive leadership.

• Ability to read and understand complex contract language, Payor / government regulations and policies.

• Excellent negotiation and relationship building skills.

• Problem-solving mindset with the ability to navigate complex situations and find innovative solutions.

• Demonstrated ability to be a collaborative and positive team member.

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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 $192,000 - $264,000 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 employees. For 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.

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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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