Director Market Access (Reimbursement Development, Coverage Expansion)

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 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 You’ll 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 You’ll Bring:

• Bachelor’s 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 $200,000 - $275,000 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.

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.