Senior Director Reimbursement

Baxter•Saint Paul, MN

18h•Hybrid

About The Position

The Senior Director, Reimbursement – Front Line Care (FLC) leads multiple teams to define and execute the reimbursement, market access, and health policy strategy across Baxter’s Front Line Care portfolio. This leader oversees four core functions—Market 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. Strategic Leadership & Governance · 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. Market Access Leadership · 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. Payer Enrollment & Contracting · 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. Federal Government Programs · 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. State Government Programs · 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. People Leadership & Organization Development · 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 Baxter’s values and business priorities. External Engagement & Advocacy · 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.

Requirements

Bachelor’s degree required in healthcare, business, economics, public health, health policy, finance, or related field
12–15+ 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.
Deep expertise in Medicare, Medicaid, commercial and regional payer systems, federal and state government programs, payer contracting, and healthcare policy.
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.

Nice To Haves

Advanced degree preferred.
Experience in medical device, digital health, diagnostics, respiratory health, cardiology, or adjacent healthcare technology markets preferred.
Prior experience establishing reimbursement in International markets.

Responsibilities

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 Baxter’s 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.

Benefits

medical and dental coverage that start on day one
insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount
401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
Flexible Spending Accounts
educational assistance programs
paid holidays
paid time off ranging from 20 to 35 days based on length of service
family and medical leaves of absence
paid parental leave
commuting benefits
Employee Discount Program
Employee Assistance Program (EAP)
childcare benefits