Field Reimbursement Manager

Regeneron Pharmaceuticals • Remote - United States, MO

22h • $169,000 - $213,800 • Onsite

About The Position

The Field Reimbursement Manager is a front-line member of Regeneron’s Ophthalmology Field team. The role uses expertise with internal and external customers to support physician offices throughout the reimbursement cycle and maintain communication about existing and future Regeneron products. The manager works to understand provider business drivers and develop compliant approaches to account issues and management.

The territory covers Missouri and Oklahoma. This is a field role, and the candidate must reside within the assigned territory and be able to travel 50%–70% of the time. The role supports physician offices and healthcare professionals with reimbursement questions and barriers, helps build reimbursement confidence, and supports continued patient access to care.

Requirements

• Bachelor's degree from a four-year college or university.
• 5–8 years of pharmaceutical, biotech, or device experience, including at least 3–5 years of healthcare coverage, coding, and/or reimbursement experience.
• Previous experience working with billing and medical claims personnel in healthcare settings such as physician offices, hospitals, HOPDs, or ASCs.
• Demonstrated expertise supporting healthcare provider offices with coding, billing, and submissions across a range of payer environments.
• Experience implementing and delivering Medicare, Medicaid, and other payer initiatives.
• Familiarity with CPT, HCPCS, ICD-10, revenue codes, DRG, and coverage.
• Familiarity with UB-04 and CMS-1500 health insurance claim forms, explanations of benefits, prior authorization forms, and superbills or charge tickets, to troubleshoot billing, claims submission, or documentation errors.
• Ability to analyze, interpret, and understand regulatory and legislative payer and healthcare policies.
• Must reside within the assigned territory and be able to travel 50%–70% of the time.

Responsibilities

• Develop and complete account plans that build reimbursement confidence among customers, including physicians and staff, and support continued patient access.
• Educate accounts about support services to help ensure patient access to care, and work with leadership to monitor and track the impact of those services and their interactions with providers.
• Collaborate with Regeneron colleagues, including Regional Directors and Medical Specialists, to educate physician offices about product coverage and coding and support patient access to care.
• Guide healthcare professionals in resolving reimbursement issues or barriers in accordance with Regeneron policies and processes.
• Anticipate and adapt to customer needs and market changes and challenges.
• Plan and manage time proactively to provide efficient and effective coverage of the assigned territory.
• Establish positive working relationships with physicians, administrators, and office staff, and effectively manage product concerns.
• Proactively update customers about reimbursement requirements, payer trends, and payer policy changes, and use company-approved access materials to support reimbursement confidence.

Benefits

• Competitive and comprehensive total rewards package, which may include annual bonuses or other incentive plans, equity awards, pension or retirement benefits, a 401(k) company match, health and wellness programs, fitness centers, insurance benefits, paid time off, and family support benefits.

What This Job Offers

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