Reimbursement Business Manager

Regeneron Pharmaceuticals

99d • $163,100 - $206,500

About The Position

The Field Access & Reimbursement environment for specialty biologics has proven to be highly challenging for HCPs and Patients. Payer Formularies and restrictive Utilization Management Criteria including: Prior Authorization Processes, Step Edits, Appeals, detailed Clinical Documentation, Peer to Peer reviews etc., requires dedicated and focused customer facing support through the Reimbursement Management Team. The Field Reimbursement Manager is a critical front-line member of the Regeneron Commercial and Field Reimbursement Management team. The primary purpose of this role is to support Health Care Practitioner offices in obtaining appropriate access to Regeneron products for patients. Ensuring optimal access, effective pull-through, and understanding of access services and program support as it relates to the Regeneron product portfolio. Support the company and divisional reimbursement strategy for Regeneron products within various payer segments. The RBM position requires the ability to successfully navigate across multiple internal stakeholders, sales teams, Payer teams, Alliance partners, HUBs, etc. The Field Reimbursement Management reports to the District Manager of Field Market Access.

Requirements

• Bachelor's degree.
• At least 5 years of experience in the pharmaceuticals and/or sub-cutaneous self-injectable biologics working in a matrix environment.
• 2 years of Reimbursement experience.
• Experience working with products delivered through a Specialty Pharmacy network.

Nice To Haves

• Biologic expertise (Specialty Pharmacy/Buy & Bill).
• Ability to collaborate effectively.
• Strong communication skills across multiple regions via different mediums.
• Proven ability to achieve results with activity.
• Capability to meet the expectations of internal and external customers.

Responsibilities

• Work cross-functionally and collaboratively with Regeneron and Alliance sales organizations to act as a process and payer subject matter expert.
• Complete 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.
• Complete established performance parameters and monitor personal performance against these agreed parameters.
• Work closely with partners as assigned; District Sales Managers, Medical Specialists, other FRM, Reimbursement, Marketing and Access team members in assigned geographical areas.
• Provide appropriate process, payer, and specialty pharmacy support services/activities to educate physician offices regarding coverage of alliance products.
• Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for assigned products.

Benefits

• Health and wellness programs.
• Fitness centers.
• Equity awards.
• Annual bonuses.
• Paid time off for eligible employees.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees