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Reimbursement Business Manager - Immunology - Denver

  • Denver, Colorado, United States of America
  • Commercial
  • R25472

Job Description

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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 Reimbursement Business Manager (RBM) 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.

Regeneron has an Alliance partner for commercializing Dupixent. As a result, members of the Regeneron Field Reimbursement Team must demonstrate the ability to in a proactive and highly collaboratively environment across an Alliance team.

GEOGRAPHY: Denver, CO - Representative must reside within the territory.

Essential Duties/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.
    • Execute 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
  • Execute against established performance parameters and monitor personal performance against these agreed parameters:
    • Work closely with REGN and Sanofi partners as assigned; REGN and Sanofi District Sales Managers, Medical Specialists, other RBM, Reimbursement, Marketing and Access team members in assigned geographical areas to insure optimal 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 obtain alliance products
  • Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for assigned products
  • Establish relationships within targeted healthcare provider offices to assist healthcare professionals in resolving payer coverage issues that may be barriers to Alliance product access in a manner that complies with Regeneron policies, processes, and standard operating procedures
  • Maintain knowledge base necessary to ensure support of all access and patient/payer support programs and resources offered for all products.
  • Assist in providing appropriate field insights throughout the development of Market Access marketing support materials as needed
  • Ensure individual training and knowledge is maintained to the level required to guarantee that personnel are seen as the most knowledgeable team in the industry as it pertains to access and reimbursement across Alliance therapeutic areas as well as future product markets
  • Ensure training is completed and kept up to date with appropriate clinical knowledge of the respective products
  • Develop and execute annual budget, with allocation within respective territory

Field Reimbursement: Core Competencies

  • Business acumen
    • Biologic market expertise (Specialty Pharmacy/Buy & Bill)
    • Reimbursement expertise or aptitude to learn
    • Strategic agility
    • Ability to use technology
  • Collaboration
    • Ability to work across key/multiple stakeholders and build strong partnerships
  • Communication
    • Presentation skills: Ability to develop and deliver simple concise messages, tailored to audiences of all sizes
  • Results oriented
    • Not just focused on activity, but ensuring the activity is driving results for the business
    • Proactive: Does not need to be told what to do, looks for opportunities to drive value
  • Customer focused
    • Is dedicated to meeting the expectations and requirements of both internal and external customers
    • Flexibility/Adaptability: Ability to flex based on the needs of the business

Integrity and compliance are fundamental expectation for any RBM

Education and Experience:

  • Minimal educational requirement: Bachelor’s Degree
  • Minimum 5 years’ experience in pharmaceuticals and/or sub-cutaneous self-injectable biologics working in a matrix environment – with 2 years Reimbursement experience
  • Experience working with products delivered through a Specialty Pharmacy network is critical
  • Reimbursement experience a plus
  • Experience in self injectable biologic products a plus
  • Strong collaboration and proactive communication skills required
  • Background in leadership and effective cross functional teamwork a plus
  • Established ability to work within an Account Management based structure
  • Demonstrate excellent interpersonal and collaboration skills

Knowledge, Skills and Abilities:

  • Previous experience in launching new Specialty Pharmaceutical/ Biologics products or indications
  • Knowledge of Commercial Insurers, Managed Care, Government, and Federal payer sectors
  • Knowledge of Integrated Delivery Network/Integrated Health Systems
  • Knowledge of CMS policies and processes with expertise in Part D (Pharmacy Benefit design and coverage policy)
  • Demonstrate excellent interpersonal, leadership and coaching skills within a matrix team environment
  • Strong strategic planning skills
  • Strong interpersonal skills
  • Attention to details, Time Management (multi-tasking) and Problem-Solving skills are required
  • Excellent verbal and written communication skills
  • Ability to rapidly assimilate information in a fast-paced environment
  • Ability to develop and maximize relationships

Does this sound like you? Apply now to take your first steps toward living the Regeneron Way! We have an inclusive and diverse culture that provides comprehensive benefits including health and wellness programs, fitness centers and equity awards, annual bonuses, and paid time off for eligible employees at all levels!
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. We will ensure that individuals with disabilities are provided reasonable accommodations to participate in the job application process. Please contact us to discuss any accommodations you think you may need.
The salary ranges provided are shown in accordance with U.S. law and apply to U.S. based positions, where the hired candidate will be located in the U.S. If you are outside the U.S, please speak with your recruiter about salaries and benefits in your location.

Salary Range (annually)

$156,000.00 - $197,600.00