Director, U.S. Policy – Medicare Advantage

Bristol Myers Squibb

. 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).

Posted 5/2/2026full-timeWashington DC • District of Columbia, New Jersey, Washington • 🇺🇸 United StatesLead💰 $206,210 - $249,878 per yearWebsite

About the role

Key responsibilities & impact

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.
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.
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.
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.
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.

Requirements

What you’ll need

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%).

Benefits

Comp & perks

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: T he 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.

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

health policygovernment affairsreimbursement strategyformulary developmentbid strategyaccess managementpolicy analysisadvocacy strategiesdata analysislegislative processes

Soft Skills

collaborationleadershipcommunicationproject managementinfluencerelationship buildingnarrative developmenttrainingstrategic thinkingproblem-solving

Certifications

advanced degree in Public Policyadvanced degree in Health Economicsadvanced degree in Law