Field Reimbursement Manager-Ophthalmology – Minnesota, Wisconsin

Discover Your Role

• Develop and execute account plans that build reimbursement confidence with customers and support continued patient access.
• Proactively educate accounts on support services; monitor and track the impact of support services and their interaction/services offered to providers.
• Build collaborative relationships with Regeneron colleagues to educate physician offices on coverage/coding and support patient access to care.
• Guide healthcare professionals in resolving reimbursement issues/barriers in accordance with Regeneron policies and processes.
• Anticipate and adapt to customer needs, market changes, and challenges.
• Demonstrate proactive planning and time management while efficiently covering the assigned FRM Territory.
• Establish positive relationships with accounts and effectively manage product concerns.
• Proactively update customers on reimbursement requirements, payer trends, and payer policy changes using company-approved access materials.

• Bachelor’s degree from a four-year college or university.
• 5–8 years pharmaceutical/biotech/device experience, including 3–5 years healthcare coverage, coding and/or reimbursement experience.
• Experience working with billing and medical claims personnel in physician office, hospital, HOPD, or ASC settings.
• Expertise supporting provider offices with coding, billing, and submissions across payer environments; experience implementing Medicare, Medicaid, and other payer initiatives.
• Familiarity with CPT, HCPCS, ICD-10, revenue codes, and DRG/coverage.
• Familiarity with UB-04, CMS-1500, explanation of benefits, prior authorization forms, and super bills.
• Ability to analyze and interpret regulatory and legislative payer/healthcare policies.
• Reside within the assigned territory; travel 50%–70%.