Director, Payer Relations

The Director, Payer Relations is responsible for leading the US Payer Relations team to achieve favorable coverage, coding, and reimbursement for Glaukos's innovative technologies for chronic eye diseases. This role oversees reimbursement strategy and execution across commercial payers, Medicare Administrative Contractors (MACs), and Medicaid within an assigned region, with a focus on ensuring appropriate payment, minimizing access barriers, and supporting utilization.

The Director leads and develops the Payer Relations Directors (PRDs), ensuring effective coordination of reimbursement support for key opinion leader (KOL) healthcare providers and institutional customers. The role partners closely with Patient Services to deliver consultative support addressing reimbursement challenges and collaborates crossfunctionally with Sales, Market Access, Medical Affairs, Marketing, and Customer Relations to advance payer and provider strategies.

This position serves as a subject matter expert in payer policy and reimbursement, engaging regularly with commercial and government payer stakeholders, including medical directors, policy and provider relations teams, CMS MAC leadership, Medicaid agencies, and state and federal health organizations. The Director also builds relationships with advocacy groups, professional societies, and healthcare systems to establish sustainable access pathways for current and future technologies.

What Will You Do

• Lead and manage the PRD team to develop and execute coverage and reimbursement strategies for national and regional commercial plans, Medicare, and Medicaid.
• Drive payer engagement to secure coverage for newly marketed products, resolve reimbursement challenges, and reduce barriers to patient access.
• Support KOL healthcare providers by addressing reimbursement needs in partnership with Sales and Market Access leadership.
• Establish and maintain strategic payer and stakeholder relationships to support longterm growth.
• Provide regular payer and reimbursement updates to senior leadership.
• Execute outreach with state and local provider, patient, and healthcare advocacy organizations.
• Travel approximately 50%.

How Will You Get Here

• Bachelor's degree required.
• 12+ years of industry experience, including at least 10 years in medical device, biotechnology, or pharmaceutical sectors.
• Minimum of 4 years of people management experience.
• At least 2 years of demonstrated payer leadership experience.
• Strong communication skills with the ability to articulate clinical value and reimbursement strategy.
• Proven leadership, relationship management, and crossfunctional collaboration skills.
• Strong organizational, operational, and budget management capabilities.

Preferred Qualifications

• Experience with patient management programs.
• Familiarity with patient CRM systems.
• Prior call center experience.

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