Senior Director, Public Policy – Federal Policy & Reimbursement
District of Columbia, United States of America
Full Time
1 week ago
$216,100 - $360,200 USD
Visa Sponsor
Key skills
CommunicationPresentation Skills
About this role
Role Overview
Lead development of policy and reimbursement strategies that anticipate evolving regulatory and payer landscapes across Medicare, Medicaid, commercial payers, and integrated delivery systems
Translate complex policy changes (e.g., coverage criteria, coding/payment updates, inflationary policies, price negotiations, step therapy, prior authorization) into actionable business implications for brand teams
Shape company positions and responses to proposed/final rules, guidance and sub regulatory memorandums
Help strategize and map optimal coding, coverage, and payment pathways (e.g., HCPCS, CPT, ICD-10, DRG,) across sites of care (physician office, hospital outpatient, specialty pharmacy) to prepare for product launches
Guide coding strategy and support applications for product-specific codes; monitor and communicate coding/payment updates
Partner with pricing and contracting to align policy and reimbursement assumptions to gross-to-net and payer access goals
Engage with trade associations and policy influencers to shape the external environment and represent Regeneron’s policy perspectives
Partner with patient and provider advocacy organizations to understand access barriers and co-develop policy solutions
Support government affairs in comment letters, stakeholder briefings, and policymaker education
Establish policy monitoring frameworks, dashboards, and indicators for access risks and opportunities
Synthesize payer policy changes and reimbursement trends into concise executive updates and recommendations
Commission and interpret analyses (claims, policy impact modeling) to guide decision-making
Requirements
Must have a bachelor’s degree; graduate degree in public policy, healthcare policy or law, or another
Minimum of 15+ years relevant experience
Excellent verbal and written communication skills and presentation skills to convey complex and changing legislation, regulations, and their impact to internal and external stakeholders
Strong strategy and execution skills
Strong track record of working with key thought leaders and diverse stakeholders
Ability to travel to relevant meetings/conferences, up to 20% of the time primarily within the U.S.
Benefits
health and wellness programs (including medical, dental, vision, life, and disability insurance)