Reimbursement Business Manager - Dermatology (Nashville N, TN)

About the role

The Reimbursement Business Manager (RBM) supports HCP offices in acquiring appropriate access to Regeneron products for patients. The role involves driving and supporting the company's and divisional reimbursement strategy for Regeneron products within various payer segments.

Responsibilities

• Support Regeneron and Alliance sales organizations (Sales Directors and Medical Specialists) to act as a process and payer subject matter expert.
• 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).
• 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.

Requirements

• A bachelor's 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.
• 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.

Qualifications

• Patient-focused, with expertise in supporting healthcare provider offices with medical coding, claims/billing processes.
• An ethical, standout colleague who can grow in a cross-functional team environment - contributing creative ideas and positive energy to the group.
• Excellent organizational, project management, and communication skills.

Skills

• Strong organizational and project management skills.
• Excellent communication skills.
• Ability to work effectively in a matrix environment.
• Knowledge of commercial insurers, managed care, government, and federal payer sectors.
• Knowledge of integrated delivery networks and health systems.
• Understanding of CMS policies and expertise in Part D.

Benefits

• Annual bonuses or other incentive plans.
• Equity awards.
• Pension or retirement benefits.
• 401(k) company match.
• Health and wellness programs.
• Fitness centers.
• Insurance benefits (e.g. medical, dental, vision, life and disability).
• Paid time off.
• Family support benefits.

Pay

$165,600.00 - $209,600.00 annually

Schedule

Full-time