Reimbursement Business Manager - Allergy - ENT (Los Angeles S, CA)

Location: Los Angeles
Posted on: June 23, 2025

Job Description:

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 Field Reimbursement Manager 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 customers, sales teams, Payer teams, Alliance partners, HUBs, etc. The Field Reimbursement Management reports to the District Manager of Field Market Access. A typical day may include the following: 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. Build and 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 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 (Dupixent). 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 aligns with Regeneron policies, processes, and standard operating procedures 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 This role may be for you if: You are patient focused, and have expertise in supporting healthcare provider offices with medical coding, claims/billing processes You are an ethical, standout colleague and have can grow in a cross-functional team environment - contributing creative ideas and positive energy to the group. You possess excellent organizational, project management, and communication skills. To be considered for this opportunity, you will possess the following: A bachelors' degree and 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 essential. Collaboration and proactive communication skills required. Background in leadership and effective cross functional partnership a plus. Established ability to work within an Account Management based structure. Knowledge of Commercial Insurers, Managed Care, Government, and Federal payer sectors. Knowledge of Integrated Delivery Network/Integrated Health Systems. Knowledge of CMS policies and expertise in Part D. 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) $163,100.00 - $206,500.00

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