Known for its scientific and operational excellence, Regeneron is a leading science-based biopharmaceutical company that discovers, invents, develops, manufactures, and commercializes medicines for the treatment of serious medical conditions. Regeneron commercializes medicines for eye diseases, high LDL-cholesterol, and a rare inflammatory condition and has product candidates in development in other areas of high unmet medical need, including oncology, rheumatoid arthritis, asthma, atopic dermatitis, pain, and infectious diseases.
The Director, Reimbursement Business Management will be responsible for hiring, managing and leading the reimbursement provider and payer support field teams in a specified geographic region at Regeneron. The Director will recruit, lead, coach and manage the Regional Business Managers. These teams will be responsible for ensuring optimal provider and patient access, effective pull-through, reimbursement services and program support in collaboration with the Patient Support Services organization as it relates to the Regeneron Ophthalmology product portfolio.
A typical day may include the following:
Work with the Sales and Reimbursement leadership teams within Regeneron counterparts to lead Regional and local strategy for payer and provider access.
Develop and execute strategic & tactical field plan for execution of all existing and new product reimbursement initiatives and relevant to defined needs in each respective customer market.
Lead all field payer and reimbursement activity support by respective teams.
Establish measurable performance parameters and monitor performance against these agreed parameters.
Establish expectations for working closely with collaboration partners as appropriate; Regeneron Regional Directors, respective Sales teams in assigned region as well as across the nation, Marketing, Access and Reimbursement Home office personnel at Regeneron, additional counterparts as defined, and National Accounts Managers to insure optimal coverage and knowledge of this coverage and services within the defined customer base.
Assist in providing insight in the development of Market Access marketing support materials.
Ensure reimbursement team has the required knowledge to insure that Regeneron reimbursement personnel are seen as the most knowledgeable team in the industry as it pertains to reimbursement in the defined therapeutic area.
Ensure 100% Compliance with all industry laws and corporate policies.
Ensure alignment and collaboration with all account resources; MS, Regional Accounts, NAM, etc...
Develop and provide concise career development programs to ensure field team has appropriate guidance and direction to achieve necessary training and developmental. This development program should form the basis for future career opportunities within the Regeneron Commercial Organization.
Ensure that all teams are trained to fully support all reimbursement and patient/payer support programs offered by Regeneron and that customers view these programs as the best in class.
Develop and execute annual budget with allocation for all respective brand divisions. Ensure group stays within financial budget.
This role may be for you if:
Knowledge of CMS policies and processes with expertise in Part B & D (Medical/Pharmacy Benefit design and coverage policy)
Familiarity with appropriate coding terminology and processes CPT, HCPCS, ICD-10, revenue codes and DRG, coverage and reimbursement.
In-depth knowledge of Managed Care, Government, and Federal payer sectors
Knowledge and experience working in the Buy and Bill environment
Ability to function within an organization with evolving organizational structure, lead and influence cross functionally within various Regeneron departments
Strong collaboration, interpersonal, leadership, collaboration and coaching skills
Excellent verbal and written communication skills
Ability to multi-task among a number of high value tasks within Regeneron
Additional broad-based experience valued: sales operations, sales training, marketing, and/or sales management, and/or supply chain
To be considered for this opportunity, you will possess a minimum 5 years’ experience managing a field-based account team. A minimum of 10 years’ experience in the pharmaceutical/biotech industry. A minimum 5 years’ experience within the Biologics, buy and bill market. A strong background in Leadership and knowledge of reimbursement including Account Management. Must 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, as support and guidance may be required to HCP.
Does this sound like you? Apply now to take your first step towards living the Regeneron Way! We have an inclusive and diverse culture that provides comprehensive benefits, which often include (depending on location) health and wellness programs, fitness centers, 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. 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.
For roles in which the hired candidate will be working in the U.S., the salary ranges provided are shown in accordance with U.S. law and apply to U.S.-based positions. For roles which will be based in Japan and/or Canada, the salary ranges are shown in accordance with the applicable local law and currency. If you are outside the U.S, Japan or Canada, please speak with your recruiter about salaries and benefits in your location.
Please note that certain background checks will form part of the recruitment process. Background checks will be conducted in accordance with the law of the country where the position is based, including the type of background checks conducted. The purpose of carrying out such checks is for Regeneron to verify certain information regarding a candidate prior to the commencement of employment such as identity, right to work, educational qualifications etc.
Salary Range (annually)
Top Skills
Similar Jobs
What you need to know about the Los Angeles Tech Scene
Key Facts About Los Angeles Tech
- Number of Tech Workers: 375,800; 5.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Snap, Netflix, SpaceX, Disney, Google
- Key Industries: Artificial intelligence, adtech, media, software, game development
- Funding Landscape: $11.6 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Strong Ventures, Fifth Wall, Upfront Ventures, Mucker Capital, Kittyhawk Ventures
- Research Centers and Universities: California Institute of Technology, UCLA, University of Southern California, UC Irvine, Pepperdine, California Institute for Immunology and Immunotherapy, Center for Quantum Science and Engineering
