Jobs · Business Development · Tennessee

Reimbursement Business Manager-Ophthalmology-Nashville, TN

Regeneron · Tennessee, United States · 1 mo ago
On-siteBusiness Development$166k–$210k/yrFull-time
We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real content. We need to parse the job posting. Content: - Title: Build Our Future Together The Field Reimbursement Manager is a critical front-line member... (title is "Field Reimbursement Manager"? Actually heading: "Build Our Future Together The Field Reimbursement Manager is a critical front-line member..." Might be weird. But we must not repeat job title as heading. So we will not output a heading for title. We need sections: - About the role: likely the first paragraph describing role: "Build Our Future Together The Field Reimbursement Manager is a critical front-line member of the Regeneron Ophthalmology Field team. You will use your expertise and knowledge with all Regeneron customers, both internal and external. In this role, you will support physician offices throughout all facets of the reimbursement cycle and work to ensure the lines of communication remain open for existing and future Regeneron products. We always do what is right and seek to fully understand provider business drivers to help develop compliant approaches to account issues and management." - Responsibilities: bullet list of duties: "Develop and execute account plans that build reimbursement confidence with customers (e.g. MD and staff) & support continued patient access. Proactively educate accounts on support services to ensure patient access to care and work with leadership to monitor and track the impact of support services and its interaction/services offered to providers. Develop collaborative relationships with Regeneron colleagues (ex. Regional Directors and Medical Specialists) to educate physician offices in coverage/coding of Regeneron products and support patient access to care. Guide healthcare professionals in resolving reimbursement issues or barriers in a manner that follows Regeneron policies and processes. Anticipate and adapt to the customer’s needs, as well as market changes and challenges. Demonstrate proactive planning and time management skills by the efficient and effective coverage of your assigned FRM Territory. Establish positive working relationships with accounts (e.g. MD’s, Administrators & office staff) and effectively manage product concerns. Proactively update customers regarding reimbursement requirements, payer trends, and payer policy changes and utilize basket of company approved access materials to support reimbursement confidence." - Requirements: maybe "This Role Requires Bachelor's degree from a four-year college or university. 5-8 years' pharmaceutical/biotech/device experience, including minimum of 3-5 years healthcare coverage, coding and/or reimbursement experience. Previous experience working with billing and medical claims personnel in various health care settings, including, but not limited to a physician office, hospital, HOPD or ASC. Shown expertise in supporting healthcare provider offices with coding, billing, and submissions in range of payer environments. Well versed with implementing and executing Medicare, Medicaid, and other payer initiatives. We expect you to be familiar with CPT, HCPCS, ICD-10, revenue codes and DRG, coverage. 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. Ability to analyze, interpret and understand regulatory and legislative payer and healthcare policies. Candidate must reside within assigned territory and have ability to travel 50%-70% of the time." - Qualifications: maybe overlapping with requirements; but we can treat "Requirements" as qualifications. However we need to decide sections: maybe "Requirements" and "Qualifications" both could be used but we should avoid duplication. The instruction: use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). We need to include a section only when posting has real specific content. We have content for About the role, Responsibilities, Requirements (maybe also Qualifications). Could combine Requirements and Qualifications into one? But we have both headings possible. The posting includes "This Role Requires ..." which is requirements. Also there is "Shown expertise..." etc. Could treat as Qualifications. But we can just have one section "Requirements" that includes all those bullet points. Or we could split: Requirements (education, years experience) and Qualifications (specific skills). However to avoid thin sections, better to combine into one "Requirements" with all details. - Skills: maybe not explicitly listed separate; but we have skills like "Ability to analyze, interpret and understand regulatory and legislative payer and healthcare policies." Could be under Skills. But we can incorporate into Requirements. - Benefits: The posting mentions total rewards package: "Regeneron offers a competitive and comprehensive total rewards package which may include, depending on country and role: 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, and family support benefits." Also link for US benefits. So we have Benefits content. - Pay: Salary range: "$165,600.00 - $209,600.00" (annually). Also mention that final offer determined within range based on country, role level, skills, experience. Also mention collective bargaining agreements may apply. So we have Pay content. - Schedule: Not explicitly mentioned; there is travel requirement 50%-70% of the time, remote role location Nashville, TN. But schedule (full-time, etc.) not given. So we should not create Schedule section unless posting states it. It does not state schedule like full-time/part-time. So omit. - Also location: "Remote roleLocation: Nashville, TN". Could be included in About the role or a separate metadata paragraph. The instruction: do NOT put Job ID/requisition numbers as headings — fold minor metadata into a short

or drop it. So we can include location in a short paragraph maybe under About the role or separate

before sections. But we need to preserve all substantive information. So we should include location somewhere. We must remove boilerplate: EEO, equal opportunity, accommodation, background checks, etc. Also remove "Discover Your Role" maybe not needed as heading. Also remove "Does this sound like you? Apply now..." etc. Also remove "We are committed to building a workplace with an inclusive culture." etc. Also remove "For additional information about Regeneron benefits..." etc? Actually benefits info we need to keep; but the link and extra info maybe can be kept as part of benefits paragraph. The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So we should cut out the EEO paragraph, the accommodation paragraph, the "Where required, we will provide reasonable accommodation..." etc. Also remove "Please be advised that at Regeneron, we believe we do our best work when we are together..." etc. Also remove background checks paragraph. Also remove "For jobs in Canada: this posting is for an existing position." etc. Also remove "As part of the recruitment process, certain background checks may be conducted..." etc. Also remove "If you have any questions, please speak with your recruiter." etc. Also remove "For other locations, additional information will be provided during the recruitment process." etc. Also remove "Where necessary, we disclose salary ranges for roles in all countries..." maybe part of benefits/pay but we can keep some. We need to preserve all substantive information: role description, responsibilities, requirements, benefits, pay, location, travel requirement. Let's extract substantive content: - About the role: first paragraph(s) before "Discover Your Role". Actually the text: "Build Our Future Together The Field Reimbursement Manager is a critical front-line member of the Regeneron Ophthalmology Field team. You will use your expertise and knowledge with all Regeneron customers, both internal and external. In this role, you will support physician offices throughout all facets of the reimbursement cycle and work to ensure the lines of communication remain open for existing and future Regeneron products. We always do what is right and seek to fully understand provider business drivers to help develop compliant approaches to account issues and management." That's about the role. - Location: "Remote roleLocation: Nashville, TN". Could be a short paragraph: "Location: Remote role based in Nashville, TN." - Responsibilities: list as bullet points. - Requirements: list as bullet points (education, experience, skills, travel). - Benefits: paragraph about total rewards package. - Pay: salary range. We need to format as HTML with

headings and
  • for lists,

    for prose. We must not repeat job title as heading. So no

    for title. We'll output something like:

    About the role

    ...

    Location

    maybe not a standard heading but we could embed location in About the role paragraph. But we have a heading list: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Location is not in that list, but we could include it as a short paragraph under About the role or as a separate

    without heading. The instruction: "use

    for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It doesn't forbid other headings, but suggests using those for sections. It says "include a section ONLY when the posting has real, specific content for it". So we could add a heading like "Location" if we want, but it's not in the examples; but it's not prohibited. However to be safe, we can incorporate location into About the role paragraph. Thus About the role paragraph will include description and location. Now responsibilities: we need to make bullet list. Responsibilities bullet points: - Develop and execute account plans that build reimbursement confidence with customers (e.g. MD and staff) & support continued patient access. - Proactively educate accounts on support services to ensure patient access to care and work with leadership to monitor and track the impact of support services and its interaction/services offered to providers. - Develop collaborative relationships with Regeneron colleagues (ex. Regional Directors and Medical Specialists) to educate physician offices in coverage/coding of Regeneron products and support patient access to care. - Guide healthcare professionals in resolving reimbursement issues or barriers in a manner that follows Regeneron policies and processes. - Anticipate and adapt to the customer’s needs, as well as market changes and challenges. - Demonstrate proactive planning and time management skills by the efficient and effective coverage of your assigned FRM Territory. - Establish positive working relationships with accounts (e.g. MD’s, Administrators & office staff) and effectively manage product concerns. - Proactively update customers regarding reimbursement requirements, payer trends, and payer policy changes and utilize basket of company approved access materials to support reimbursement confidence. Now requirements/qualifications: we need bullet list. From "This Role Requires ..." and following sentences. Let's list: - Bachelor's degree from a four-year college or university. - 5-8 years' pharmaceutical/biotech/device experience, including minimum of 3-5 years healthcare coverage, coding and/or reimbursement experience. - Previous experience working with billing and medical claims personnel in various health care settings, including, but not limited to a physician office, hospital, HOPD or ASC. - Shown expertise in supporting healthcare provider offices with coding, billing, and submissions in a range of payer environments. - Well versed with implementing and executing Medicare, Medicaid, and other payer initiatives. - Familiarity with CPT, HCPCS, ICD-10, revenue codes and DRG, coverage. - 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. - Ability to analyze, interpret and understand regulatory and legislative payer and healthcare policies. - Candidate must reside within assigned territory and have ability to travel

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