Field Reimbursement Manager-Oncology-Atlanta, GA/Jacksonville, FL

Regeneron Pharmaceuticals • Jacksonville, FL

9d • $165,600 - $209,600 • Hybrid

About The Position

This position is a critical front-line member of the Regeneron Field Access & Reimbursement team. The primary purpose of this role is to support Physician offices in obtaining appropriate reimbursement and to support the company and divisional reimbursement strategy for Regeneron products within various payer segments. This is a hybrid role located in Atlanta, GA/Jacksonville, FL. The role involves working cross-functionally and collaboratively with multiple field teams (Regional Directors, Oncology Medical Specialists from multiple teams, Key Account & Payer teams) to act as a Reimbursement/Payer Subject Matter Expert, supporting the healthcare provider segment. The role provides reimbursement support services/activities to educate physician offices on payer policies, billing & coding, and Regeneron Patient & Practice services, aiming to streamline the acquisition and reimbursement processes for Regeneron products. It also involves establishing working relationships within targeted healthcare provider offices to assist healthcare professionals in resolving prior authorization and reimbursement issues that may be barriers to product access, in a manner that complies with Regeneron policies, processes, and standard operating procedures. Additionally, the role assists healthcare providers in identifying claims, coding issues, and process changes to provide guidance on claims appeal processes within provider offices. The individual must be acutely aware of reimbursement requirements and environmental changes to coverage policies set forth by federal and state governments and managed care organizations. Flexibility is required to anticipate and adapt to customer reimbursement and support needs, as well as market changes and challenges. The ability to build foundational relationships within payer segments is crucial to ensure appropriate product education and overall product support.

Requirements

• A Bachelor’s degree.
• At least five years of field reimbursement experience.
• Buy and Bill market experience.

Nice To Haves

• Oncology experience is preferred.

Responsibilities

• Responsible for submitting individual development goals, territory business plan, monthly activity reports, expense reports and other reports as requested by the Regional Director
• Complete assignments projects as directed and in a timely manner.
• Demonstrate appropriate territory planning and time management skills by effectively covering the specific geographical area of responsibility.
• Meet or exceed the standard level of performance in target account activity.
• Provide sales support via distribution of reimbursement materials and assistance to physician offices and Medical Specialists.
• Work with Director of Reimbursement Services to track and report on trends within territory assist hotline staff in addressing coding, coverage, or reimbursement resolutions, appeals for authorization and payment as directed.
• Constantly evaluate levels of customer support delivered and work with department personnel toward improving customer support.
• Work collaboratively within the various Regeneron departments to facilitate, implement, and execute the overall divisional and corporate goals and objectives.

Benefits

• health and wellness programs (including medical, dental, vision, life, and disability insurance)
• fitness centers
• 401(k) company match
• family support benefits
• equity awards
• annual bonuses
• paid time off
• paid leaves (e.g., military and parental leave)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level