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 Responsibilities
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.
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.

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 on 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. For questions about this, our pay philosophy, and available benefits, please speak to the recruiter if you decide to apply and are selected for an interview.

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)

This is where your well-being matters. Baxter offers comprehensive compensation and benefits packages for eligible roles. Our health and well-being benefits include 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. Financial and retirement benefits include the 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. We also offer 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. Additional benefits include 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. For additional information regarding Baxter US Benefits, please speak with your recruiter or visit our Benefits site: Benefits | Baxter