Field Reimbursement Manager-Ophthalmology – Seattle, WA; PNW & Portland

Field Reimbursement Manager – Ophthalmology (Seattle, WA & Portland, OR)

Join to apply for the Field Reimbursement Manager – Ophthalmology (Seattle, WA & Portland, OR) role at Regeneron.

The Field Reimbursement Manager is a critical front-line member of the Regeneron Ophthalmology Field team. You will use your expertise and knowledge with all Regeneron customers, both internal and external. In this role, you will support physician offices throughout all facets of the reimbursement cycle and work to ensure the lines of communication remain open for existing and future Regeneron products.

We always do what is right and seek to fully understand provider business drivers to help develop compliant approaches to account issues and management.

• Develop and execute account plans that build reimbursement confidence with customers (e.g. MD and staff) & support continued patient access.
• Proactively educate accounts on support services to ensure patient access to care and work with leadership to monitor and track the impact of support services and its interaction/services offered to providers.
• Develop collaborative relationships with Regeneron colleagues (ex. Regional Directors and Medical Specialists) to educate physician offices in coverage/coding of Regeneron products and support patient access to care.
• Guide healthcare professionals in resolving reimbursement issues or barriers in a manner that follows Regeneron policies and processes.
• Anticipate and adapt to the customer’s needs, as well as market changes and challenges.
• Demonstrate proactive planning and time management skills by the efficient and effective coverage of your assigned RBM Territory.
• Establish positive working relationships with accounts (e.g. MD’s, Administrators & office staff) and effectively manage product concerns.
• Proactively update customers regarding reimbursement requirements, payer trends, and payer policy changes and utilize basket of company approved access materials to support reimbursement confidence.

• Have previous experience working with billing and medical claims personnel in various health care settings, including, but not limited to a physician office, hospital, HOPD or ASC.
• Show expertise in supporting healthcare provider offices with coding, billing, and submissions in a range of payer environments. Well versed with implementing and executing Medicare, Medicaid, and other payer initiatives.
• Are familiar with CPT, HCPCS, ICD-10, revenue codes and DRG, coverage.
• Have familiarity with health insurance claim forms including UB-04, CMS-1500, explanation of benefits, and prior authorization forms, and super bills charge tickets to troubleshoot cases where billing, claims submission or documentation errors may occur.
• Have the ability to analyze, interpret and understand regulatory and legislative payer and healthcare policies.

To be considered for this role, we expect you to have a bachelor's degree and 5-8 years of pharmaceutical/biotech/device experience, including a minimum of 3-5 years in healthcare coverage, coding and/or reimbursement experience. We also expect you to have worked with products delivered through a Specialty Pharmacy network. Candidate must reside within the assigned territory and have ability to travel 50%-70% of the time.

$ - $

Mid-Senior level

Full-time

Finance and Sales

Biotechnology

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.