Director of Reimbursement Policy and Strategy

Posted: Sep 14, 2026
Director of Reimbursement Policy and Strategy
National Home Infusion Association
Application Deadline: N/A
Director of Reimbursement Policy and Strategy
Full Time – Exempt | Remote | Travel: ~20–30%
About The Role
NHIA is hiring a Director of Reimbursement Policy and Strategy to help advance fair, sustainable payment policy for home and alternate site infusion. Reporting to the Senior Vice President, Reimbursement Policy, this person translates Medicare, Medicaid, and commercial payer policy into actionable recommendations, engages directly with payers and state Medicaid programs on benefit design, and helps develop payment approaches that reflect the clinical and economic value of home infusion — working closely with NHIA members, policymakers, and other stakeholders along the way.
What You'll Do (Payer-Focused Highlights)
Monitor and analyze Medicare, Medicaid, and commercial payer policy changes affecting home infusion, specialty pharmacy, DMEPOS, and alternate sites of care
Develop evidence-informed policy and program recommendations for commercial payers, state Medicaid programs, and Medicaid managed care organizations
Lead direct engagement with commercial payers and state Medicaid programs to advocate for sustainable reimbursement and coverage policies
Design and advance alternative payment approaches, demonstrations, and value-based programs that showcase home infusion's value
Draft comments on proposed regulations, payment rules, and payer policies
Represent NHIA in meetings with payers, state Medicaid agencies, federal agencies, and coalition partners
Serve as staff liaison to NHIA's reimbursement, regulatory, and public policy committees
Qualifications
Bachelor's degree required (advanced degree in Public Policy, Health Policy, Healthcare Administration, Pharmacy, Public Health, Law, or Political Science preferred)
7–10+ years of progressive experience in healthcare payer policy, government health programs, managed care, or pharmacy benefits
Government agency experience (DMEPOS, Medicare Part D, Medicaid pharmacy) or payer-side experience (health plan, PBM, Medicaid MCO) strongly preferred
Proven ability to analyze complex payer reimbursement policy and turn it into practical recommendations
Experience with payment models, benefit design, demonstrations, or value-based care initiatives
Strong knowledge of Medicare, Medicaid, commercial insurance, and federal/state regulatory processes
Excellent analytical, writing, presentation, and consensus-building skills
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Work arrangement
Yes