Director, Field Reimbursement - Ophthalmology - Southeast - Miami, FL

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, atopic dermatitis and a rare inflammatory condition and has product candidates in development in other areas of high unmet medical need, including rheumatoid arthritis, asthma, pain, cancer and infectious diseases.

Summary:
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.

Responsibilities:
-Lead team of 9 RBM's that encompasses the following geography: TX, OK, AR, LA, MS, TN, KY, AL, GA, FL, SC, NC, VA, WV, MD.

• 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. Insure group stays within financial budget.

Requirements:

• Minimum 5 years' experience managing a field based account team

• Minimum of 10 years' experience in the pharmaceutical/biotech industry

• Minimum 5 years' experience within the Biologics, buy and bill market

• Strong background in Leadership and knowledge of reimbursement including Account Management.

• 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

• 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

• 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

• Individual must be able to travel extensively within the United States

This is an opportunity to join our select team that is already leading the way in the Pharmaceutical/Biotech industry. Apply today and learn more about Regeneron's unwavering commitment to combining good science & good business.

To all agencies: Please, no phone calls or emails to any employee of Regeneron about this opening. All resumes submitted by search firms/employment agencies to any employee at Regeneron via-email, the internet or in any form and/or method will be deemed the sole property of Regeneron, unless such search firms/employment agencies were engaged by Regeneron for this position and a valid agreement with Regeneron is in place. In the event a candidate who was submitted outside of the Regeneron agency engagement process is hired, no fee or payment of any kind will be paid.

Regeneron is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.