Reimbursement Business Manager-Immunology-Pulmonology and Gastroenterology (Tampa, FL)

Role Summary

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.

Responsibilities

• 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. 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 within the defined customer market
• 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 to insure efficient 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 acquire alliance products
• Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for assigned products

Qualifications

• Required: Bachelor’s degree and at least 5 years of experience in the pharmaceuticals and/or sub-cutaneous self-injectable biologics working in a matrix environment – with 2 years Reimbursement experience
• Preferred: Experience with products delivered through a Specialty Pharmacy network

Skills

• Biologic expertise (Specialty Pharmacy/Buy & Bill)
• Collaborative and able to build relationships across teams
• Strong cross-regional communication across multiple mediums
• Results-driven with capability to meet internal and external expectations

Education

• Bachelor’s degree (required)

Additional Requirements

• Travel expectations may apply as part of role requirements