Glaukos Corporation
Reimbursement Liaison Director - Glaucoma (West)
Glaukos Corporation, San Clemente, California, us, 92674
REIMBURSEMENT LIAISON DIRECTOR - GLAUCOMA (West)
How will you make an impact?
The Reimbursement Liaison Director's primary role is to facilitate the growth of Glaukos products by leading and coaching field-based reimbursement team members. Work cross-functionally with the internal Director of Sales, Director of Corporate Accounts, Private Equity, Payer Relations team, and Payer Strategy team to ensure a unified platform.
What will you do?
The Reimbursement Liaison Director provides strategic leadership and expert guidance to a team of field-based Reimbursement Liaisons. This role's focus is on facilitating patient access to Glaukos' sight-saving technologies through comprehensive coding, coverage, and payment education and support for healthcare providers (HCPs). The Reimbursement Liaison Director collaborates cross-functionally with numerous departments including Sales, Corporate Accounts, Practice Integration, Patient Services/HUB, Payer Relations, and Payer Strategy to ensure a unified and effective approach to patient access.
Responsibilities include:
Leads and mentors by establishing clear objectives and performance metrics, providing tactical guidance on complex reimbursement issues, and ensuring the team has the necessary resources to meet customer needs.Establish team SOPs, KPIs, development opportunities, and oversee a structured performance management framework, including regular evaluations and feedback sessions.Identify training needs and coordinate development opportunities to enhance team performance and expertise in reimbursement practices while fostering a culture of continuous improvement and accountability.Ensure all reimbursement activities comply with legal, regulatory, and corporate guidelines, mitigating risks associated with non-compliance.Establish, monitor, and report customer engagement, outcomes, and RL SOPs metrics.Lead Performance Reviews, including ride-alongs/co-travel to provide expertise and coaching in account management, specialty pharmacy, patient assistance programs, buy & bill acquisition, policy reviews, claim reviews, and processing.Proactively scan/monitor, identify, and report reimbursement trends with strong personal ownership for identifying and communicating solutions via cross-functional collaboration (e.g., HCPs receiving notification of policy changes, claim denials, underpayments, etc.) and engage the payer team appropriately when patient access may be jeopardized.Maintain expertise in regional and national payer landscapes, specifically in proper clinical requirements, reimbursement policy, utilization management criteria, prior authorization processes, and appeal requirements.Ability to travel adequately to cover territory, including overnight travel (~50%) and attendance at scheduled training and meetings.
How will you get here?
REQUIRED
Bachelor's Degree in Science, Business, or Marketing required. Advanced Degree (MPH, MBA, MHA) preferred.Minimum of 10 years of direct reimbursement/healthcare policy experience.Minimum of 3-5+ years of previous field-based reimbursement team management experience, preferably with products within prelaunch or early launch phases.Experience with launching and supporting drug/device combination products.Demonstrated subject matter expertise in US payer/insurance coverage and marketplace, including Medicare, Medicare Advantage, VA/Tri-Care, Commercial, and Medicaid.Cross-functional experience and strong interpersonal skills within a team environment, with experience leading by influence towards business results.Demonstrated excellent written and verbal communication skills with the ability to speak to all levels of the organization as well as understand and use data in communications.
PREFERRED
Previous ophthalmology product/services in ASC/MD office experience.Cross-functional team experience in multiple drug/device combination departments, such as business development, strategy, marketing, sales, and/or corporate development roles within a medical device or pharmaceutical company.Experience working in a highly matrixed environment that incorporates compliance with all corporate, regulatory, and legal guidelines.
DESIRED QUALITIES
Ability to innovate and adapt with persistence and resilience.Strong ability to execute through ambiguity in a fast-paced environment.Demonstrates positive leadership to peers, upper management, and other stakeholders by leveraging skills and expertise in people management.Ability to navigate highly matrixed accounts to identify emerging trends and share those insights with internal stakeholders.Demonstrates initiative, sound judgment, flexibility, and a positive attitude.
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How will you make an impact?
The Reimbursement Liaison Director's primary role is to facilitate the growth of Glaukos products by leading and coaching field-based reimbursement team members. Work cross-functionally with the internal Director of Sales, Director of Corporate Accounts, Private Equity, Payer Relations team, and Payer Strategy team to ensure a unified platform.
What will you do?
The Reimbursement Liaison Director provides strategic leadership and expert guidance to a team of field-based Reimbursement Liaisons. This role's focus is on facilitating patient access to Glaukos' sight-saving technologies through comprehensive coding, coverage, and payment education and support for healthcare providers (HCPs). The Reimbursement Liaison Director collaborates cross-functionally with numerous departments including Sales, Corporate Accounts, Practice Integration, Patient Services/HUB, Payer Relations, and Payer Strategy to ensure a unified and effective approach to patient access.
Responsibilities include:
Leads and mentors by establishing clear objectives and performance metrics, providing tactical guidance on complex reimbursement issues, and ensuring the team has the necessary resources to meet customer needs.Establish team SOPs, KPIs, development opportunities, and oversee a structured performance management framework, including regular evaluations and feedback sessions.Identify training needs and coordinate development opportunities to enhance team performance and expertise in reimbursement practices while fostering a culture of continuous improvement and accountability.Ensure all reimbursement activities comply with legal, regulatory, and corporate guidelines, mitigating risks associated with non-compliance.Establish, monitor, and report customer engagement, outcomes, and RL SOPs metrics.Lead Performance Reviews, including ride-alongs/co-travel to provide expertise and coaching in account management, specialty pharmacy, patient assistance programs, buy & bill acquisition, policy reviews, claim reviews, and processing.Proactively scan/monitor, identify, and report reimbursement trends with strong personal ownership for identifying and communicating solutions via cross-functional collaboration (e.g., HCPs receiving notification of policy changes, claim denials, underpayments, etc.) and engage the payer team appropriately when patient access may be jeopardized.Maintain expertise in regional and national payer landscapes, specifically in proper clinical requirements, reimbursement policy, utilization management criteria, prior authorization processes, and appeal requirements.Ability to travel adequately to cover territory, including overnight travel (~50%) and attendance at scheduled training and meetings.
How will you get here?
REQUIRED
Bachelor's Degree in Science, Business, or Marketing required. Advanced Degree (MPH, MBA, MHA) preferred.Minimum of 10 years of direct reimbursement/healthcare policy experience.Minimum of 3-5+ years of previous field-based reimbursement team management experience, preferably with products within prelaunch or early launch phases.Experience with launching and supporting drug/device combination products.Demonstrated subject matter expertise in US payer/insurance coverage and marketplace, including Medicare, Medicare Advantage, VA/Tri-Care, Commercial, and Medicaid.Cross-functional experience and strong interpersonal skills within a team environment, with experience leading by influence towards business results.Demonstrated excellent written and verbal communication skills with the ability to speak to all levels of the organization as well as understand and use data in communications.
PREFERRED
Previous ophthalmology product/services in ASC/MD office experience.Cross-functional team experience in multiple drug/device combination departments, such as business development, strategy, marketing, sales, and/or corporate development roles within a medical device or pharmaceutical company.Experience working in a highly matrixed environment that incorporates compliance with all corporate, regulatory, and legal guidelines.
DESIRED QUALITIES
Ability to innovate and adapt with persistence and resilience.Strong ability to execute through ambiguity in a fast-paced environment.Demonstrates positive leadership to peers, upper management, and other stakeholders by leveraging skills and expertise in people management.Ability to navigate highly matrixed accounts to identify emerging trends and share those insights with internal stakeholders.Demonstrates initiative, sound judgment, flexibility, and a positive attitude.
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