Director, U.S. Policy – Medicare Advantage Policy

Working with Us
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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.

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