Ophthalmology Field Reimbursement Leader

Regeneron Healthcare Solutions, Inc (USA); United States; Remote; USD 166,000 - 210,000; Full time

Benefits offered by this job

annual bonuses or other incentive plan

equity awards

pension or retirement benefits

401(k) company match

health and wellness programs

fitness centers

insurance benefits

paid time off

family support benefits

Job summary

Regeneron seeks a Field Reimbursement Manager to join the Ophthalmology Field team. This remote role supports physician offices nationwide, guiding reimbursement and coding for Regeneron products while maintaining compliant communications with providers.

The ideal candidate has a bachelor's degree and 5–8 years in pharma/biotech with reimbursement and payer experience, familiarity with CPT/HCPCS/ICD-10, and willingness to travel 50–70% within the assigned territory.

Qualifications

• Bachelor's degree from a four-year college or university.
• 5-8 years' pharmaceutical/biotech/device experience, including minimum of 3-5 years healthcare coverage, coding and/or reimbursement experience.
• Experience working with billing and medical claims personnel in physician offices, hospitals, HOPD or ASC.
• Expertise in supporting healthcare provider offices with coding, billing and submissions across payer environments.
• Familiarity with Medicare, Medicaid and other payer initiatives.
• Knowledge of CPT, HCPCS, ICD-10, revenue codes and DRG coverage.
• Familiarity with UB-04, CMS-1500, EOBs, and prior authorization forms; troubleshoot billing/documentation errors.
• Ability to analyze/regulatory payer policies.

Responsibilities

• Develop and execute account plans that build reimbursement confidence with customers (e.g. MD and staff) & support continued patient access.
• Proactively educate accounts on support services to ensure patient access to care and track impact of services.
• Develop collaborative relationships with Regeneron colleagues to educate physician offices in coverage/coding and support patient access.
• Guide healthcare professionals in resolving reimbursement issues following Regeneron policies.
• Anticipate customer needs and market changes.
• Demonstrate proactive planning and time management for the assigned FRM Territory.
• Establish positive relationships with accounts and manage product concerns.
• Update customers on reimbursement requirements, payer trends, and payer policy changes; use approved materials.

Skills

Pharmaceutical/biotech experience

Healthcare reimbursement experience

Billing & medical claims knowledge

CPT/HCPCS/ICD-10 knowledge

Medicare/Medicaid knowledge

Regulatory/payer policy analysis

Travel readiness

Education

Bachelor's degree

Job description

Regeneron seeks a Field Reimbursement Manager to join the Ophthalmology Field team. This remote role supports physician offices nationwide, guiding reimbursement and coding for Regeneron products while maintaining compliant communications with providers.

The ideal candidate has a bachelor's degree and 5–8 years in pharma/biotech with reimbursement and payer experience, familiarity with CPT/HCPCS/ICD-10, and willingness to travel 50–70% within the assigned territory.