Oncology Reimbursement Manager

Oncology Reimbursement Manager

Chicago, IL / Minneapolis, MN

The Oncology Reimbursement Manager reports to the Regional Director, Field Market Access & Reimbursement. This position is a critical front-line member of the Regeneron Field Access & Reimbursement team. The primary purpose of this role is to support Physician offices in obtaining appropriate reimbursement and to support the company and divisional reimbursement strategy for Regeneron products within various payer segments.

• Work cross-functionally and collaboratively with multiple field teams (Regional Directors, Oncology Medical Specialists from multiple teams, Key Account & Payer teams) to act as Reimbursement/Payer Subject Matter Expert, in efforts to support the healthcare provider segment.
• Provide reimbursement support services/activities in concert with multiple field teams, to educate physician offices on payer policies, billing & coding and Regeneron Patient & Practice services, in efforts to streamline the acquisition and reimbursement processes for Regeneron products.
• Establish a working relationship within targeted healthcare provider offices to assist healthcare professionals in resolving prior authorization and reimbursement issues that may be barriers to product access in a manner that complies with Regeneron policies, processes, and standard operating procedures.
• Assist healthcare providers in identifying claims, coding issues and process changes to provide guidance on claims appeal processes within provider offices.
• Maintain awareness of reimbursement requirements and environmental changes to coverage policies set forth by federal and state governments and managed care organizations.
• Be flexible to anticipate and adapt to customer reimbursement and support needs, as well as market changes and challenges.
• Build foundational relationships within payer segments to ensure appropriate product education and overall product support.
• Identify payer trends through payer, provider and field collaboration.
• Analyze provided data to provide appropriate account and sales force education.
• Submit individual development goals, territory business plan, monthly activity reports, expense reports and other reports as requested by the Regional Director.
• Complete assignments and projects as directed and in a timely manner.
• Demonstrate appropriate territory planning and time management skills by effectively covering the specific geographical area of responsibility.
• Meet or exceed the standard level of performance in target account activity.
• Provide sales support via distribution of reimbursement materials and assistance to physician offices and Medical Specialists.
• Work with Director of Reimbursement Services to track and report on trends within territory, assist hotline staff in addressing coding, coverage, or reimbursement resolutions, appeals for authorization and payment as directed.
• Constantly evaluate levels of customer support delivered and work with department personnel toward improving customer support.
• Work collaboratively within the various Regeneron departments to facilitate, implement, and execute the overall divisional and corporate goals and objectives.

• Bachelor’s degree.
• At least five years of field reimbursement experience.
• Buy and Bill market experience.
• Oncology experience is preferred.

Salary Range (annually): $ – $

Mid-Senior level

Full-time

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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, nationality, national or ethnic origin, civil status, age, citizenship status, membership of the Traveler community, sexual orientation, disability, genetic information, familial status, marital or registered civil partnership status, pregnancy or parental status, gender identity, gender reassignment, military or veteran status, or any other protected characteristic in accordance with applicable laws and regulations.

The Company will also provide reasonable accommodation to the known disabilities or chronic illnesses of an otherwise qualified applicant for employment, unless the accommodation would impose undue hardship on the operation of the Company’s business.

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