Reimbursement Business Manager

Scorpion Therapeutics; United States; Remote; USD 90,000 - 130,000; Full time

Job summary

Regeneron seeks a Field Reimbursement Manager to support ophthalmology products. You will educate providers on coverage, develop account plans, and help maintain patient access through reimbursement support.

The role requires 5–8 years in pharma/biotech with 3–5 years in reimbursement, a Bachelor's degree, 50–70% travel, and collaboration with providers and internal teams to resolve barriers and monitor payer trends.

Qualifications

• Bachelor's degree required.
• 5–8 years in pharma/biotech/device with 3–5 years in healthcare coverage, coding, or reimbursement.
• Experience with billing and claims in various healthcare settings.
• Ability to interpret regulatory and payer policies.

Responsibilities

• Develop account plans.
• Educate providers on coverage and coding.
• Resolve reimbursement barriers.
• Monitor payer trends.
• Build collaborative relationships with healthcare providers and internal teams.

Skills

CPT, HCPCS, ICD-10 codes

Payer policy interpretation

Account planning

Education

Bachelor's degree

Job description

Role: Field Reimbursement Manager supporting Regeneron's ophthalmology products, ensuring physician offices maintain patient access through reimbursement support.

Responsibilities

• develop account plans
• educate providers on coverage and coding
• resolve reimbursement barriers
• monitor payer trends
• build collaborative relationships with healthcare providers and internal teams

Requirements

• Bachelor's degree
• 5-8 years in pharma/biotech/device, with 3-5 years in healthcare coverage, coding, or reimbursement
• experience working with billing and claims in various healthcare settings
• proficiency with CPT, HCPCS, ICD-10, revenue codes, and payer forms
• ability to interpret regulatory and payer policies
• reside within the territory and willing to travel 50-70%

HighValue: ophthalmology, reimbursement cycle support, coding and billing expertise, payer policy knowledge, territory management, remote role based in Nashville, TN.