Field Reimbursement Manager - GA

BioSpace; Macon (GA); On-site; USD 166,000 - 210,000; Full time

Job summary

Regeneron is seeking an experienced Reimbursement Business Manager (RBM) to join the Commercial and Field Reimbursement Management team. This role supports healthcare providers in obtaining access to Regeneron products, driving payer-ready access strategies, and coordinating with sales, payer, and Alliance partners to optimize patient access across Alliance products such as Dupixent.

The RBM will build strategic plans, educate physician offices on coverage, and stay current on payer criteria and

Qualifications

• Bachelor's degree and minimum 5 years experience in Pharmaceuticals and/or sub-cutaneous biologics in a matrix environment with 2 years reimbursement experience.
• Experience with products delivered through a Specialty Pharmacy network is essential.
• Background in leadership and cross-functional partnership a plus.
• Knowledge of Commercial Insurers, Managed Care, Government and Federal payer sectors.
• CMS policies and Part D expertise.

Responsibilities

• Support HCP offices to improve access to Regeneron products and payer coverage.
• Build and execute strategic plans for Alliance product access and reimbursement initiatives.
• Provide payer and specialty pharmacy support with field teams to educate physician offices on coverage.
• Maintain knowledge of local and national payer landscape and criteria for assigned products.
• Develop relationships with targeted healthcare providers to resolve payer coverage barriers in line with Regeneron policies.
• Ensure ongoing training to be the most knowledgeable team on access and reimbursement across Alliance therapies.

Skills

Medical coding knowledge

Claims/billing processes

Organizational skills

Project management

Communication skills

Cross-functional partnership

Payer market knowledge

CMS Part D knowledge

Leadership experience

Account management exposure

Education

Bachelor's degree

Job description

The Reimbursement Business Manager (RBM) is a critical front-line member of the Regeneron Commercial and Field Reimbursement Management team. We are seeking someone to support HCP offices in acquiring appropriate access to Regeneron products for patients. Ensuring efficient access, effective pull-through, and understanding of access services and program support as it relates to the Regeneron Alliance product portfolio. You will drive and support the company and divisional reimbursement strategy for Regeneron products within various payer segments. The RBM position requires the ability to successfully navigate and across multiple internal stakeholders, sales teams, Payer teams, and Alliance partners.

A Typical Day May Include The Following

• Work cross-functionally and collaboratively with Regeneron and Alliance sales organizations (Sales Directors and Medical Specialists) to act as a process and payer subject matter expert, in efforts to support the healthcare provider segment.
• Build and execute a Strategic tactical plan for the execution of Alliance products access and reimbursement initiatives relevant to the defined needs of each respective product and account within the defined customer market
• Provide appropriate process, payer and specialty pharmacy support services/activities in concert with District Managers/Medical Specialists (field sales), to educate physician offices regarding coverage of alliance products (Dupixent).
• Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for assigned products
• Establish relationships within targeted healthcare provider offices to assist healthcare professionals in resolving payer coverage issues that may be barriers to Alliance product access in a manner that aligns with Regeneron policies, processes, and standard operating procedures
• Ensure individual training and knowledge is maintained to the level required to guarantee that personnel are seen as the most knowledgeable team in the industry as it pertains to access and reimbursement across Alliance therapeutic areas as well as future product markets

This Role May Be For You If

• You are patient focused, and have expertise in supporting healthcare provider offices with medical coding, claims/billing processes
• You are an ethical, standout colleague and have can grow in a cross-functional team environment - contributing creative ideas and positive energy to the group.
• You possess excellent organizational, project management, and communication skills.

To be considered for this opportunity, you will possess the following:

• A bachelors' degree and Minimum 5 years experience in pharmaceuticals and/or sub-cutaneous self-injectable biologics working in a matrix environment with 2 years Reimbursement experience.
• Experience working with products delivered through a Specialty Pharmacy network is essential.
• Collaboration and proactive communication skills required.
• Background in leadership and effective cross functional partnership a plus.
• Established ability to work within an Account Management based structure.
• Knowledge of Commercial Insurers, Managed Care, Government, and Federal payer sectors.
• Knowledge of Integrated Delivery Network/Integrated Health Systems. Knowledge of CMS policies and expertise in Part D.

Does this sound like you?

We are committed to building a workplace with an inclusive culture. Regeneron is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion or belief (or lack thereof), sex, sexual orientation, gender identity or expression, gender reassignment, marital or civil partnership status, civil status, pregnancy or parental status, age, disability, nationality, citizenship status, ethnic or national origin, membership of the Traveler community, familial status, genetic information, military or veteran status, or any other characteristic protected under applicable law. Where required, we will provide reasonable accommodation to applicants with known disabilities or chronic illnesses during the recruitment process, unless such accommodation would impose undue hardship.

Where necessary, we disclose salary ranges for roles in all countries in which we operate. The final offer will be determined within the relevant range based on the country of employment, specific role level, and your skills and experience. In some countries, collective bargaining agreements (CBAs) may apply and influence certain elements of pay or benefits. Regeneron offers a competitive and comprehensive total rewards package which may include, depending on country and role: annual bonuses or other incentive plans, equity awards, pension or retirement benefits, 401(k) company match, health and wellness programs, fitness centers, insurance benefits (e.g. medical, dental, vision, life and disability), paid time off, and family support benefits. For additional information about Regeneron benefits in the U.S., please visit https://careers.regeneron.com/en/working-at-regeneron/total-rewards/. For other locations, additional information will be provided during the recruitment process. If you have any questions, please speak with your recruiter.

Please be advised that at Regeneron, we believe we do our best work when we are together. For that reason, many roles are required to be performed onsite. Please speak with your recruiter and hiring manager for more information about onsite expectations for your role and location.

As part of the recruitment process, certain background checks may be conducted in accordance with the laws of the country where the position is based. The purpose of such checks is to verify certain information prior to the commencement of employment such as identity, right to work and educational qualifications.

For jobs in Canada: this posting is for an existing position.

Salary Range (annually)

$165,600.00 - $209,600.00