National Alliances Manager
CrowdStrike
Oncology Reimbursement Manager
Regeneron
full-time
Posted on:
Location Type: Remote
Location: Remote • Illinois, Minnesota • 🇺🇸 United States
Visit company websiteSalary
💰 $175,300 - $216,500 per year
Job Level
Mid-LevelSenior
About the role
- Report to the Regional Director, Field Market Access & Reimbursement and act as a front-line member of the Field Access & Reimbursement team
- Support physician offices in obtaining appropriate reimbursement and support company/divisional reimbursement strategy
- Work cross-functionally with field teams (Regional Directors, Oncology Medical Specialists, Key Account & Payer teams) as Reimbursement/Payer SME
- Provide reimbursement support services to educate physician offices on payer policies, billing & coding, and Regeneron Patient & Practice services
- Establish relationships within targeted healthcare provider offices to resolve prior authorization and reimbursement issues per company policies and SOPs
- Assist providers in identifying claims, coding issues and guide claims appeal processes
- Monitor reimbursement requirements and coverage policy changes from government and managed care organizations
- Build relationships within payer segments, identify payer trends, and analyze data to inform account and sales force education
- Submit individual development goals, territory business plans, monthly activity reports and expense reports; complete assigned projects timely
- Provide sales support, distribute reimbursement materials, track and report territory trends, and assist hotline staff with coding, coverage, and reimbursement resolutions
Requirements
- Bachelor’s degree
- At least five years of field reimbursement experience
- Buy and Bill market experience
- Oncology experience preferred
- Knowledge of reimbursement requirements and coverage policy changes from federal and state governments and managed care organizations
- Ability to assist with prior authorizations, billing, coding, and claims appeals
- Territory planning and time management skills
- Ability to analyze data to provide account and sales force education
- Experience establishing relationships with healthcare provider offices and payers
- Ability to submit development goals, territory business plans, monthly activity reports, and expense reports
Benefits
- inclusive and diverse culture that provides comprehensive benefits
- health and wellness programs
- fitness centers
- equity awards
- annual bonuses
- paid time off for eligible employees at all levels
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
reimbursementbillingcodingclaims appealsdata analysisterritory planningprior authorizationscoverage policy changesBuy and Bill marketOncology
Soft skills
time managementrelationship buildingcross-functional collaborationcommunicationproblem-solvingorganizational skillseducational supportgoal settingreportingproject management
Certifications
Bachelor’s degree
