Role Summary
The Field Reimbursement Manager supports Health Care Practitioner offices in obtaining appropriate access to Regeneron products for patients, ensuring optimal access and understanding of access services and program support. The role works across multiple internal and external partners to implement reimbursement strategy within various payer segments and reports to the District Manager of Field Market Access.
Responsibilities
- Work cross-functionally and collaboratively with Regeneron and Alliance sales organizations to act as a process and payer subject matter expert, supporting 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 product and account within the defined customer market.
- Collaborate with REGN and Sanofi partners and District managers to ensure optimal coverage and thorough knowledge of REGN patient services within defined accounts.
- Provide process, payer, and specialty pharmacy support services to educate physician offices regarding coverage of alliance products, streamlining 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.
- Build relationships within targeted healthcare provider offices to resolve payer coverage issues in a manner compliant with Regeneron policies and SOPs.
Qualifications
- Required: Bachelorโs Degree.
- Required: Minimum 5 yearsโ experience in pharmaceuticals and/or sub-cutaneous self-injectable biologics working in a matrix environment, with 2 years Reimbursement experience.
- Required: Experience working with products delivered through a Specialty Pharmacy network.
- Preferred: Previous experience launching new Specialty Pharmaceutical/Biologics products or indications.
- Preferred: Knowledge of Commercial Insurers, Managed Care, Government, and Federal payer sectors; Knowledge of Integrated Delivery Network/Integrated Health Systems; Knowledge of CMS policies and Part D (Pharmacy Benefit design and coverage policy).
- Preferred: Ability to maintain knowledge base for all access and patient/payer support programs and resources offered for all products; ability to provide field insights for Market Access marketing materials; ability to develop and execute annual budgets for the territory.