Associate Director – Market Access, Payer Strategy

. Develop and execute a national payer access strategy across commercial, Medicare Advantage, Managed Medicaid, and government-sponsored health plans .

Posted 10/14/2026full-timeStuart • Florida • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in developing and executing national payer access strategies, negotiating contracts with health plans, and enhancing reimbursement models. Proven ability to influence policy and engage with key stakeholders in the healthcare landscape.

Highest-signal resume keywords

Healthcare Market AccessPayer ContractingMedicare Advantage StrategyNegotiation SkillsFinancial Modeling

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare Reimbursement SystemsContract NegotiationPayer RelationsBusiness Case DevelopmentEconomic AnalysisReimbursement ModelingPolicy SubmissionCoverage DeterminationValue-Based CareHealth Economics Research

Soft Skills

Executive CommunicationPresentation SkillsInfluencing SkillsIndependent OperationProblem Solving

Certifications & Qualifications

Bachelor's DegreeMBAMHAMPHJD

Industry Keywords

MedicareMedicaidManaged CareDMEPOSHome Medical EquipmentMedical DevicesUrologyOstomyContinence CareHealthcare Policy

About the role

Key responsibilities & impact

Develop and execute a national payer access strategy across commercial, Medicare Advantage, Managed Medicaid, and government-sponsored health plans
Lead negotiations with national and regional health plans to secure favorable reimbursement rates, contract terms, and network participation agreements
Renegotiate payer contracts to improve reimbursement economics, reduce administrative burdens, and increase profitability
Identify payer contracting opportunities that expand covered lives and improve patient access
Develop business cases, financial models, and network expansion strategies
Serve as executive lead during payer negotiations and contracting discussions
Establish and execute Medicare Advantage expansion strategy for PureWick®, Urology, and Ostomy products
Engage Medicare Advantage medical directors and policy committees
Present clinical evidence, health economic analyses, patient outcomes data, and utilization trends
Influence payer policy updates and secure broader PureWick® coverage
Partner with BD Government Affairs, Office of Market Access, CMS, state Medicaid agencies, Legal, Compliance, Finance, Revenue Cycle Management, and Commercial leadership
Lead initiatives to secure coverage pathways, billing codes, reimbursement policies, and fee schedule inclusion
Coordinate clinical dossiers, outcomes research, white papers, economic analyses, and policy submissions
Participate in industry coalitions, advocacy groups, and stakeholder forums
Monitor healthcare policy, reimbursement, regulatory, and legislative developments
Resolve coverage denials, authorization obstacles, contract disputes, escalated patient complaints, and reimbursement challenges
Develop annual market access plans, dashboards, executive reporting, and recommendations
Evaluate geographic, payer, and product expansion opportunities
Drive growth in covered lives, payer contracts, Medicare Advantage participation, reimbursement, Medicaid coverage, and patient access

Requirements

What you’ll need

Bachelor's Degree in Business, Healthcare Administration, Public Health, Finance, Political Science, Health Policy, or related field
10+ years of healthcare market access, managed care contracting, payer relations, reimbursement, government affairs, provider contracting, or healthcare policy experience
Demonstrated success negotiating contracts with national and regional health plans
Deep understanding of Medicare, Medicare Advantage, Medicaid, Managed Medicaid, Commercial Insurance, and healthcare reimbursement systems
Experience engaging medical directors, payer policy leaders, and government agencies
Strong financial, contracting, and reimbursement modeling capabilities
Excellent executive communication and presentation skills
Ability to influence senior leaders internally and externally
Proven ability to operate independently in highly complex environments
Preferred: MBA, MHA, MPH, JD, or related advanced degree
Preferred experience in DMEPOS, Home Medical Equipment, Medical Devices, Urology, Ostomy, Continence Care, or Healthcare Distribution
Preferred experience working with CMS, Medicaid agencies, and healthcare policymakers
Preferred existing relationships with payer organizations and healthcare policy stakeholders
Preferred experience navigating coverage determination, coding, reimbursement, and fee schedule development processes
Preferred experience collaborating with government affairs and industry advocacy organizations
Preferred knowledge of value-based care and health economics research

Benefits

Comp & perks

COVID-19 vaccination may be required for certain roles, subject to applicable accommodations
Equal Opportunity Employer
Learning, growth, and development opportunities
Workplace flexibility and work-life balance recognized by the employer