Payer Relations Director

Job Description

How will you make an impact?

The Payer Relations Director - West (PRD) is a remote position responsible for managing coverage, coding, and reimbursement processes across Pharmacy Benefit Managers, National & Regional Health Plans, Medicare Advantage, and Medicaid. The PRD will drive favorable payer coverage, ensure fair reimbursement, and remove barriers to access. Additionally, this role engages KOL healthcare providers, state societies, and advocacy groups to influence payer policies. The PRD will collaborate with Sales, Customer Relations, Reimbursement Liaison teams, Specialty Pharmacy, and Medical Affairs to support payer and provider business goals.

What will you do?

• Develop and implement payer strategies to secure and maintain coverage for Glaukos marketed products.
• Support KOL healthcare providers with reimbursement needs in collaboration with Sales Leadership.
• Build and sustain corporate relationships to drive growth for current and future technologies.
• Engage key stakeholders, including:
• National & Regional Health Plans
• Medicaid (Fee-for-Service, Managed Care Organizations)
• State Government Health Staffers
• Specialty Pharmacy & Pharmacy Benefit Managers
• Medical Groups, Advocacy, and Patient Organizations
• Conduct outreach and networking with key provider, patient, and healthcare system advocates.
  
  

How will you get here?

• Bachelor’s degree required; advanced degree preferred.
• 15+ years of industry experience, with 10+ years in payer relations for medical devices and procedural pharmaceuticals.
• Expertise in buy-and-bill systems and reimbursement policies for PBMs, health plans, Medicare Advantage, and Medicaid.
• Experience in biologic product launches and ophthalmology preferred.
• Knowledge of T codes, J codes, billing, appeals processes, and reimbursement policies.
• Strong understanding of healthcare regulations (AdvaMed, MDMA, BIO, PHARMA guidelines).
• 50%+ travel required (3-4 nights per week).
• Excellent communication, project management, and analytical skills.
  
  
  

#GKOSUS

About Us

Generous. Innovative. Leadership-driven. Family-oriented. Socially responsible.

Founded in 1998, Glaukos Corporation is an ophthalmic pharmaceutical and medical technology company focused on developing and commercializing novel therapies for the treatment of glaucoma, corneal disorders, and retinal diseases.

Our mission at Glaukos is to truly transform vision by pioneering novel, dropless therapies that can meaningfully advance the standard of care and improve the lives of patients suffering from chronic, sight-threatening eye diseases.

Innovation is at the core of everything we do, and we are resolute in our commitment to challenge conventional thinking with new treatment alternatives that are supported by real science, robust clinical evidence, and an unrelenting focus on patients.

Our constant pursuit of game-changing technologies that disrupt legacy treatment paradigms is encapsulated in the Glaukos mantra “We’ll Go First,” which articulates our willingness to take chances, our determination to forge new ground, and our commitment to continuous improvement in all that we do.

Our company completed an initial public offering in June of 2015, and our shares are traded on the New York Stock Exchange under the ticker symbol “GKOS”. Our global headquarters is in Aliso Viejo, California with additional locations in San Clemente, California, and Burlington, Massachusetts.

Glaukos Corporation is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.