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Field Reimbursement Manager - Pulm/Gastro (Knoxville,TN)Regeneron • Johnson City, TN, United States
Field Reimbursement Manager - Pulm/Gastro (Knoxville,TN)

Field Reimbursement Manager - Pulm/Gastro (Knoxville,TN)

Regeneron • Johnson City, TN, United States
4 days ago
Salary
$165,600.00 yearly
Job type
  • Full-time
Job description

Field Reimbursement Manager

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.

Regeneron has an Alliance partner for commercializing Dupixent. As a result, members of the Regeneron Field Reimbursement Team must demonstrate the ability to in a proactive and highly collaborative environment across an Alliance team.

When & where:

  • Field role
  • Location: Knoxville, TN, Chattanooga, TN, and Johnson City, TN

Discover your role:

  • Work cross-functionally and collaboratively with Regeneron and Alliance sales organizations (Sales Directors and Medical Specialists) to act as a process and payer subject matter expert, in efforts to support the healthcare provider segment.
  • Execute 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 within the defined customer market
  • Execute against established performance parameters and monitor personal performance against these agreed parameters:
  • Work closely with REGN and Sanofi partners as assigned; REGN and Sanofi District Sales Managers, Medical Specialists, other FRM, Reimbursement, Marketing and Access team members in assigned geographical areas to ensure optimal coverage and customer knowledge of this process and all REGN patient services within defined accounts
  • Provide appropriate process, payer, and specialty pharmacy support services/activities in concert with District Managers/Medical Specialists (field sales), to educate physician offices regarding coverage of alliance products, in efforts to streamline the coverage and specialty pharmacy processes to obtain alliance products
  • Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for assigned products
  • Establish relationships within targeted healthcare provider offices to assist healthcare professionals in resolving payer coverage issues that may be barriers to Alliance product access in a manner that complies with Regeneron policies, processes, and standard operating procedures

This role requires:

  • Bachelor's Degree. Minimum 5 years' experience in pharmaceuticals and/or sub-cutaneous self-injectable biologics working in a matrix environment with 2 years Reimbursement experience.
  • Experience working with products delivered through a Specialty Pharmacy network is critical.
  • Knowledge of CMS policies and processes with expertise in Part D (Pharmacy Benefit design and coverage policy).
  • Assist in providing appropriate field insights throughout the development of Market Access marketing support materials as needed
  • Ensure individual training and knowledge is maintained to the level required to guarantee that personnel are seen as the most knowledgeable team in the industry as it pertains to access and reimbursement across Alliance therapeutic areas as well as future product markets
  • This is a field-based position. Candidates must live within the geographical territory that includes Knoxville, TN, Chattanooga, TN, and Johnson City, TN.

Does this sound like you? Apply now to take your first step towards living the Regeneron Way! We are committed to building a workplace with an inclusive culture. Regeneron is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion or belief (or lack thereof), sex, sexual orientation, gender identity or expression, gender reassignment, marital or civil partnership status, civil status, pregnancy or parental status, age, disability, nationality, citizenship status, ethnic or national origin, membership of the Traveler community, familial status, genetic information, military or veteran status, or any other characteristic protected under applicable law. Where required, we will provide reasonable accommodation to applicants with known disabilities or chronic illnesses during the recruitment process, unless such accommodation would impose undue hardship.

Where necessary, we disclose salary ranges for roles in all countries in which we operate. The final offer will be determined within the relevant range based on the country of employment, specific role level, and your skills and experience. In some countries, collective bargaining agreements (CBAs) may apply and influence certain elements of pay or benefits. Regeneron offers a competitive and comprehensive total rewards package which may include, depending on country and role: annual bonuses or other incentive plans, equity awards, pension or retirement benefits, 401(k) company match, health and wellness programs, fitness centers, insurance benefits (e.g. medical, dental, vision, life and disability), paid time off, and family support benefits. For additional information about Regeneron benefits in the U.S., please visit For other locations, additional information will be provided during the recruitment process. If you have any questions, please speak with your recruiter.

Please be advised that at Regeneron, we believe we do our best work when we are together. For that reason, many roles are required to be performed on?site. Please speak with your recruiter and hiring manager for more information about on?site expectations for your role and location.

As part of the recruitment process, certain background checks may be conducted in accordance with the laws of the country where the position is based. The purpose of such checks is to verify certain information prior to the commencement of employment such as identity, right to work and educational qualifications.

For jobs in Canada: this posting is for an existing position.

Salary Range (annually)

$165,600.00 - $209,600.00

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Field Reimbursement Manager - Pulm/Gastro (Knoxville,TN) • Johnson City, TN, United States

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