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Reimbursement Policy Jobs (NOW HIRING)

Summary The Senior Director, Reimbursement - Front Line Care (FLC) leads multiple teams to define ... Monitor CMS rulemaking, federal policy changes, and payment methodology updates; lead ...

New

Minimum of 10 years "direct" reimbursement/healthcare policy experience. * Minimum of 3-5+ years previous field-based reimbursement team management experience, preferably with products within ...

Minimum of 10 years "direct" reimbursement/healthcare policy experience. * Minimum of 3-5+ years previous field-based reimbursement team management experience, preferably with products within ...

Payer Policy Coordinator

Akron, OH · On-site

$18.50 - $24.75/hr

The Coordinator translates complex payer policy changes into clear operational and clinical impact assessments to support patient access, reimbursement accuracy, and regulatory compliance. The role ...

Minimum of 10 years "direct" reimbursement/healthcare policy experience. * Minimum of 3-5+ years previous field-based reimbursement team management experience, preferably with products within ...

$21.12 - $32.24/hr

... reimbursement policies. • Ability to manage multiple, competing priorities. • Possess effective oral and written communication skills. • Be assertive, highly motivated and be able to work ...

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Reimbursement Policy information

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$23

$43

How much do reimbursement policy jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for reimbursement policy in the United States is $23.48, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $25.48 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in a reimbursement policy role, and why are they important?

To thrive in a Reimbursement Policy role, you need a solid understanding of healthcare reimbursement systems, regulatory guidelines, and policy analysis, often supported by a degree in health administration, public policy, or a related field. Familiarity with claims processing systems, payer databases, and regulatory research tools is typically required. Strong analytical thinking, attention to detail, and effective communication skills help professionals interpret complex regulations and collaborate with diverse stakeholders. These skills are crucial for ensuring accurate policy development, compliance, and optimal reimbursement outcomes for healthcare organizations.

What is the difference between Reimbursement Policy vs Medical Billing Specialist?

AspectReimbursement PolicyMedical Billing Specialist
Primary FocusGuidelines for reimbursing healthcare servicesProcessing and submitting medical claims
Required CredentialsKnowledge of insurance policies and healthcare regulationsCertification in medical billing or coding
Work EnvironmentHealthcare administration, insurance companiesMedical offices, hospitals, billing companies

Reimbursement Policy involves creating and managing rules for healthcare reimbursements, while Medical Billing Specialists focus on submitting claims and ensuring payment. Both roles require understanding healthcare regulations, but Reimbursement Policy emphasizes policy development, whereas Medical Billing Specialists handle day-to-day billing tasks.

What are some common challenges faced by professionals in reimbursement policy roles, and how can they be addressed?

Professionals in Reimbursement Policy often face challenges such as navigating complex and frequently changing healthcare regulations, ensuring compliance with payer requirements, and effectively communicating policy changes to internal stakeholders. Staying updated with the latest policies and fostering strong relationships with both clinical and administrative teams are essential for success. Leveraging ongoing professional development, participating in industry forums, and utilizing regulatory resources can help address these challenges and ensure accurate reimbursement processes.

What is reimbursement policy and what does a reimbursement policy specialist do?

A reimbursement policy outlines the rules and procedures by which organizations or insurance providers pay back individuals or healthcare providers for expenses incurred, such as medical costs or business travel. A reimbursement policy specialist develops, reviews, and updates these policies to ensure compliance with legal regulations and payer requirements. They may also analyze claims data, advise on best practices, and communicate changes to stakeholders to maximize appropriate reimbursement while preventing fraud or errors.
More about Reimbursement Policy jobs
What cities are hiring for Reimbursement Policy jobs? Cities with the most Reimbursement Policy job openings:
What states have the most Reimbursement Policy jobs? States with the most job openings for Reimbursement Policy jobs include:
Infographic showing various Reimbursement Policy job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 17% Part Time, and 1% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $48,841 per year, or $23.5 per hour.

Senior Director Reimbursement

Socket.dev

Saint Paul, MN • On-site

$200 - $300/hr

Other

Medical, Dental, Life, Retirement, PTO

Posted 3 days ago

New


Job description

Culture

This is where your work makes a difference.

At Baxter, we believe every person—regardless of who they are or where they are from—deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond.

Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results.

Here, you will find more than just a job—you will find purpose and pride.

Summary

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.

Essential Duties and ResponsibilitiesStrategic 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.
Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Education and/or Experience
  • Bachelor’s degree required in healthcare, business, economics, public health, health policy, finance, or related field; advanced degree preferred.
  • 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.
  • Experience in medical device, digital health, diagnostics, respiratory health, cardiology, or adjacent healthcare technology markets preferred.
Knowledge, Skills and Abilities
  • Deep expertise in Medicare, Medicaid, commercial and regional payer systems, federal and state government programs, payer contracting, and healthcare policy.
  • Prior experience establishing reimbursement in International markets.
  • 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.
Reporting Structure / Scope

Reports to: Kari Roehrich (General Manager, Respiratory Health & VP, Reimbursement)

Direct reports:

  • Director, Market Access
  • Director, Payer Enrollment & Contracting
  • Director, Federal Government Programs
  • Senior Manager, State Government Programs
  • Additional roles as assigned.

Scope includes reimbursement development, market access, payer enrollment, payer contracting, and federal / state government program strategy & policy for the FLC portfolio.

Compensation

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 employees, and we strive to be more transparent with our pay practices. The estimated base salary for this position is $200,000 - $300,000 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than of 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, commission, and/or long‑term incentive.

Workplace Policy

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.

US Benefits at Baxter (except for Puerto Rico)
  • 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.
  • 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.
  • 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.
  • 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.
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.

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