Director, U.S. Policy – Medicare Advantage Policy
Bristol Myers Squibb
This listing was originally posted on Bristol Myers Squibb's careers page. Formulate is an equal opportunity job aggregator and is not involved in the hiring process. Where salary information is estimated, it is derived from BLS industry benchmarks and may differ from actual compensation.
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Challenging. Meaningful. Life-changing. Those aren’t words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every day, in every department. From optimizing a production line to the latest breakthroughs in cell therapy, this is work that transforms the lives of patients, and the careers of those who do it. You’ll get the chance to grow and thrive through opportunities uncommon in scale and scope, alongside high-achieving teams. Take your career farther than you thought possible.
Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work and in their personal lives. Read more: careers.bms.com/working-with-us.
Position Summary
This position will work under the oversight of the Senior Director, Policy and Research and will be a Washington, DC or Princeton, NJ based role. The Director will lead policy development and strategy related to the Medicare Advantage market for BMS as a member of a highly collaborative and innovative team. This role requires deep expertise in policy, market, and access dynamics in the Medicare Advantage space and the ability to develop and advance solutions to protect patient access to medicines. The Director will lead internal cross-functional initiatives to develop and implement policy strategies to address reimbursement and access objectives in the Medicare Advantage market and must have proven ability to collaborate effectively with a range of internal business stakeholders. The Director will also serve as an external ambassador for BMS with trade associations, government agencies, and other key stakeholders to advance BMS’s policy objectives.
Key Responsibilities
Policy Development & Analysis
Develop proactive policy solutions to address emerging trends and risks in Medicare Advantage payment policy related to drug reimbursement, formulary management, and patient access (e.g., utilization management, step therapy).
Monitor developments and assess impacts of Medicare Advantage program policies on risk adjustment, benefit design, network adequacy, prior authorization, quality measurement, and program integrity.
Analyze federal legislation, rulemaking, guidance, and sub-regulatory actions to assess business, operational, and market impacts.
Identify gaps and opportunities for policy innovation that align with organizational objectives and develop BMS positions for internal and external engagement.
Policy Research & Advocacy Support
Identify and commission research to strengthen advocacy campaigns and inform policy positions.
Translate complex data and evidence into compelling narratives for policymakers and stakeholders.
Collaborate with internal teams to integrate research findings into advocacy strategies.
Strategic Leadership
Drive policy strategies to protect innovation, reimbursement, and patient access in the Medicare Advantage market.
Collaborate with internal teams (legal, government affairs, market access) to align on advocacy objectives and effective engagement efforts.
Lead cross-functional workgroups to develop proactive solutions for pricing, reimbursement, and access challenges in the Medicare Advantage market.
External Engagement
Represent the organization in industry coalitions, trade associations, and stakeholder forums.
Build and maintain relationships with policymakers, regulators, and advocacy groups.
Prepare and deliver testimony, comments, and briefing materials for legislative and regulatory processes.
Communication & Education
Develop clear messaging on Medicare Advantage and drug pricing policy priorities for internal and external audiences.
Provide training and updates to senior leadership and business units on market and policy changes in the Medicare Advantage space, including implications to BMS.
Qualifications & Experience
Advanced degree in Public Policy, Health Economics, Law, or related field.
10+ years of experience in health policy, government affairs, or reimbursement strategy, with a focus on Medicare Advantage and health plans.
Direct experience with health plan coverage, formulary development, bid strategy, and access management decision-making in the Medicare Advantage space
Strong understanding of the Medicare Advantage market, including CMS regulations, plan bid process, government funding, and market / vertical integration dynamics.
Proven ability to lead complex projects, collaborate effectively with internal stakeholders, and influence policy outcomes.
Exceptional written and verbal communication skills.
Experience in biopharmaceutical or healthcare industry preferred.
Familiarity with legislative processes and regulatory comment cycles.
Ability to work in a fast-paced environment and manage competing priorities.
Domestic travel required (up to 20%)
#LI-Hybrid
If you come across a role that intrigues you but doesn’t perfectly line up with your resume, we encourage you to apply anyway. You could be one step away from work that will transform your life and career.
Compensation Overview:
The starting compensation range(s) for this role are listed above for a full-time employee (FTE) basis. Additional incentive cash and stock opportunities (based on eligibility) may be available. The starting pay rate takes into account characteristics of the job, such as required skills, where the job is performed, the employee’s work schedule, job-related knowledge, and experience. Final, individual compensation will be decided based on demonstrated experience.
Eligibility for specific benefits listed on our careers site may vary based on the job and location. For more on benefits, please visit https://careers.bms.com/life-at-bms/.
Benefit offerings are subject to the terms and conditions of the applicable plans in effect at the time and may require enrollment. Our benefits include:
Health Coverage: Medical, pharmacy, dental, and vision care.
Wellbeing Support: Programs such as BMS Well-Being Account, BMS Living Life Better, and Employee Assistance Programs (EAP).
Financial Well-being and Protection: 401(k) plan, short- and long-term disability, life insurance, accident insurance, supplemental health insurance, business travel protection, personal liability protection, identity theft benefit, legal support, and survivor support.
Work-life benefits include:
Paid Time Off
US Exempt Employees: flexible time off (unlimited, with manager approval, 11 paid national holidays (not applicable to employees in Phoenix, AZ, Puerto Rico or Rayzebio employees)
Phoenix, AZ, Puerto Rico and Rayzebio Exempt, Non-Exempt, Hourly Employees: 160 hours annual paid vacation for new hires with manager approval, 11 national holidays, and 3 optional holidays
Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.
All global employees full and part-time who are actively employed at and paid directly by BMS at the end of the calendar year are eligible to take advantage of the Global Shutdown.
*Eligibility Disclosure: The summer hours program is for United States (U.S.) office-based employees due to the unique nature of their work. Summer hours are generally not available for field sales and manufacturing operations and may also be limited for the capability centers. Employees in remote-by-design or lab-based roles may be eligible for summer hours, depending on the nature of their work, and should discuss eligibility with their manager. Employees covered under a collective bargaining agreement should consult that document to determine if they are eligible. Contractors, leased workers and other service providers are not eligible to participate in the program.
Uniquely Interesting Work, Life-changing Careers
With a single vision as inspiring as “Transforming patients’ lives through science™ ”, every BMS employee plays an integral role in work that goes far beyond ordinary. Each of us is empowered to apply our individual talents and unique perspectives in a supportive culture, promoting global participation in clinical trials, while our shared values of passion, innovation, urgency, accountability, inclusion and integrity bring out the highest potential of each of our colleagues.
On-site Protocol
BMS has an occupancy structure that determines where an employee is required to conduct their work. This structure includes site-essential, site-by-design, field-based and remote-by-design jobs. The occupancy type that you are assigned is determined by the nature and responsibilities of your role:
Site-essential roles require 100% of shifts onsite at your assigned facility. Site-by-design roles may be eligible for a hybrid work model with at least 50% onsite at your assigned facility. For these roles, onsite presence is considered an essential job function and is critical to collaboration, innovation, productivity, and a positive Company culture. For field-based and remote-by-design roles the ability to physically travel to visit customers, patients or business partners and to attend meetings on behalf of BMS as directed is an essential job function.
Supporting People with Disabilities
BMS is dedicated to ensuring that people with disabilities can excel through a transparent recruitment process, reasonable workplace accommodations/adjustments and ongoing support in their roles. Applicants can request a reasonable workplace accommodation/adjustment prior to accepting a job offer. If you require reasonable accommodations/adjustments in completing this application, or in any part of the recruitment process, direct your inquiries to adastaffingsupport@bms.com. Visit careers.bms.com/eeo-accessibility to access our complete Equal Employment Opportunity statement.
Candidate Rights
BMS will consider for employment qualified applicants with arrest and conviction records, pursuant to applicable laws in your area.
If you live in or expect to work from Los Angeles County if hired for this position, please visit this page for important additional information: https://careers.bms.com/california-residents/
Data Protection
We will never request payments, financial information, or social security numbers during our application or recruitment process. Learn more about protecting yourself at https://careers.bms.com/fraud-protection.
Any data processed in connection with role applications will be treated in accordance with applicable data privacy policies and regulations.
If you believe that the job posting is missing information required by local law or incorrect in any way, please contact BMS at TAEnablement@bms.com. Please provide the Job Title and Requisition number so we can review. Communications related to your application should not be sent to this email and you will not receive a response. Inquiries related to the status of your application should be directed to Chat with Ripley.
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