Senior Director Public Policy - Federal Policy & Reimbursement
Regeneron
12 hours ago
Remote friendly (Washington, DC)
United States
Market Access
Responsibilities:
- Lead development of policy and reimbursement strategies across Medicare, Medicaid, commercial payers, and integrated delivery systems.
- Translate complex policy changes (e.g., coverage criteria, coding/payment updates, inflationary policies, price negotiations, step therapy, prior authorization) into actionable implications for brand teams.
- Shape company positions and responses to proposed/final rules, guidance, and sub-regulatory memorandums.
- Reimbursement Pathway Enablement:
- Strategize and map optimal coding, coverage, and payment pathways (HCPCS, CPT, ICD-10, DRG) across sites of care (physician office, hospital outpatient, specialty pharmacy) for product launches.
- Guide coding strategy; support applications for product-specific codes; monitor and communicate coding/payment updates.
- Partner with pricing and contracting to align policy/reimbursement assumptions to gross-to-net and payer access goals.
- External Engagement & Advocacy:
- Engage trade associations and policy influencers; represent Regeneron’s policy perspectives.
- Partner with patient and provider advocacy organizations to understand access barriers and co-develop policy solutions.
- Support government affairs in comment letters, stakeholder briefings, and policymaker education.
- Insights, Analytics & Reporting:
- Establish policy monitoring frameworks, dashboards, and indicators for access risks/opportunities.
- Synthesize payer policy changes and reimbursement trends into concise executive updates and recommendations.
- Commission and interpret analyses (claims, policy impact modeling) to guide decision-making.
Qualifications/Requirements:
- Bachelor’s degree.
- Graduate degree in public policy, healthcare policy, or law, or 15+ years of relevant experience.
- Excellent verbal and written communication and presentation skills.
- Strong strategy and execution skills.
- Strong track record working with key thought leaders and diverse stakeholders.
- Ability to travel up to 20% (primarily within the U.S.).
Benefits:
- Health and wellness programs (medical, dental, vision, life, disability)
- Fitness centers
- 401(k) company match
- Family support benefits
- Equity awards
- Annual bonuses
- Paid time off
- Paid leaves (e.g., military and parental leave)
Application Instructions:
- Apply now.
- Lead development of policy and reimbursement strategies across Medicare, Medicaid, commercial payers, and integrated delivery systems.
- Translate complex policy changes (e.g., coverage criteria, coding/payment updates, inflationary policies, price negotiations, step therapy, prior authorization) into actionable implications for brand teams.
- Shape company positions and responses to proposed/final rules, guidance, and sub-regulatory memorandums.
- Reimbursement Pathway Enablement:
- Strategize and map optimal coding, coverage, and payment pathways (HCPCS, CPT, ICD-10, DRG) across sites of care (physician office, hospital outpatient, specialty pharmacy) for product launches.
- Guide coding strategy; support applications for product-specific codes; monitor and communicate coding/payment updates.
- Partner with pricing and contracting to align policy/reimbursement assumptions to gross-to-net and payer access goals.
- External Engagement & Advocacy:
- Engage trade associations and policy influencers; represent Regeneron’s policy perspectives.
- Partner with patient and provider advocacy organizations to understand access barriers and co-develop policy solutions.
- Support government affairs in comment letters, stakeholder briefings, and policymaker education.
- Insights, Analytics & Reporting:
- Establish policy monitoring frameworks, dashboards, and indicators for access risks/opportunities.
- Synthesize payer policy changes and reimbursement trends into concise executive updates and recommendations.
- Commission and interpret analyses (claims, policy impact modeling) to guide decision-making.
Qualifications/Requirements:
- Bachelor’s degree.
- Graduate degree in public policy, healthcare policy, or law, or 15+ years of relevant experience.
- Excellent verbal and written communication and presentation skills.
- Strong strategy and execution skills.
- Strong track record working with key thought leaders and diverse stakeholders.
- Ability to travel up to 20% (primarily within the U.S.).
Benefits:
- Health and wellness programs (medical, dental, vision, life, disability)
- Fitness centers
- 401(k) company match
- Family support benefits
- Equity awards
- Annual bonuses
- Paid time off
- Paid leaves (e.g., military and parental leave)
Application Instructions:
- Apply now.