Senior Manager, Government Programs - Medicaid

This is where you save and sustain lives

At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You’ll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients. 

Baxter’s products and therapies are found in almost every hospital worldwide, in clinics and in the home. For over 85 years, we have pioneered significant medical innovations that transform healthcare.

Together, we create a place where we are happy, successful and inspire each other. This is where you can do your best work. 

Join us at the intersection of saving and sustaining lives— where your purpose accelerates our mission. 

Your role at Baxter

Are you passionate about impacting patients ability obtain access to potentially life-saving solutions? Are you energized by ensuring patient access and sustainable pricing for medical devices? Working collaboratively, you’ll impact patients driving our mission of saving & sustaining lives and a vision to transform healthcare.

What you'll be doing

• Develop relationships with Medicaid Administrators (i.e. directors, policy managers and medical directors) to assist in clarification of state policies and find opportunities for coverage development, as they apply to Respiratory Health products.
• Act as the primary contact for Respiratory Health to Government Programs in communications and meetings, including reimbursement issues preventing appropriate payment of claims.
• Supervise Government Payer requirements & policies to identify potential changes that may impact Respiratory Health’s reimbursement process. Work with internal teams to improve processes and ensure requirements are documented in both billing system and relevant work instructions.
• Lead resolution of Medicaid payer issues brought up from Patient & Customer Service (PCS) teams, per the established critical issue process, to result in accurate payments in accordance with Medicaid Payer requirements.
• Advance questions requiring Legal or Compliance guidance related to reimbursement processes and government policies to appropriate resource in Legal team; work with Legal and Compliance to communicate guidance, where appropriate, and implement any relevant process changes.
• Participate in industry Trade Associations or State HME / DME Associations to supervise potential policy changes and meetings with Government Programs; Participate regularly in provider outreach programs conducted by Medicaid payers.
• Collaborate with Government Affairs on state lobbying efforts, where applicable to Respiratory health products.
• Analyze government program trends applying internal and external data to educate senior management about risks to the State Government Programs business.
• Maintain communication with senior management regarding major reimbursement issues, changes in legislation or in guidelines at a federal, state and local level.
• Assist the Coverage Manager on Coverage Expansion strategy development, targeted expansion efforts and acquiring contacts for Medicaid Medical Policy departments.
• Assist the Managed Care Directors on acquiring new contracts with Medicaid Managed Care programs and lead projects for Medicaid transitions to Managed Care, including contract implementation.

What you'll bring

• Bachelor’s degree required. A graduate degree a plus.
• 6 plus years in health policy, reimbursement, Medicaid and public health payment programs is required.
• 3 plus years of pharmaceutical/medical device proven experience is required.
• Proven understanding of Medicaid systems and differences in state operations required.
• Detailed understanding of state programs, processes, and experience preferred.
• Established track record of cultivating relationships with Medicaid Administrators, specifically directors, policy managers, and medical directors, through articulate written and verbal communication.

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.

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 $152,000 - 209,000 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 is also eligible for discretionary bonuses and 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.

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time.

#LI-CF1

#LI-BaxGen

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

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.
                                                                                                                                                               
EEO is the Law 
EEO is the law - Poster Supplement 
Pay Transparency Policy

Reasonable Accommodations

Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click on the link here and let us know the nature of your request along with your contact information.

Recruitment Fraud Notice

Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our Recruitment Fraud Notice.

Salary : $152,000 - $209,000