Access & Reimbursement Manager

Syneos Health, Inc.; Nashville (TN); Remote; USD 85,000 - 110,000; Full time

Benefits offered by this job

Competitive compensation package

Health benefits to include Medical,  D

Company match 401k

Flexible paid time off and sick time

Job summary

Syneos Health, Inc. seeks an Access & Reimbursement Manager to serve as a subject-matter expert on reimbursement, access, and coverage across defined accounts.

This remote/field-based role provides in-person or virtual education, analyzes issues, and coordinates with hubs and cross-functional teams to facilitate patient access. This position requires travel and collaboration with field sales, market access, and other stakeholders.

Qualifications

• Bachelor’s Degree or 4+ years professional sales, healthcare, scientific, marketing or military experience.
• Minimum three years’ experience in public or private third party reimbursement arena or pharmaceutical industry in managed care, patient services, or clinical support.
• Pulmonary Arterial Hypertension experience preferred. Cardiology, Pulmonology and/or orphan drug experience preferred.
• Proven experience with hubs, in-depth knowledge on issues related to billing, coding, appeals across provider types.
• Experience with commercial payers, Medicare plans and state Medicaid in geographic region.
• Exhibit competent understanding of hub and patient support activities.
• Communicate clearly and effectively – written and verbal.
• Local and national travel required for this position.
• Ability to operate as a “team player” in collaborating with multiple sales representatives, sales leadership, and internal colleagues appropriately to reach common goals.
• Ability to travel and possess a valid driver’s license to drive to assigned healthcare accounts, unless otherwise specified.
• Must live within territory or within territory boundaries.

Responsibilities

• Analyze access/reimbursement issues for products.
• Provide access/reimbursement education to HCP offices.
• Provide access/reimbursement education to field teams upon approved direction.
• Coordinate on access/reimbursement issues with third parties including hubs.
• Provide education and support on Specialty Pharmacy issues for payer products.
• Provide information to HCP on how products are covered under the benefit design (Commercial, Medicare Part D, Medicaid).
• Answer questions about coverage, ICD-10 codes of product, including patient-specific access questions.
• Educate and update HCPs on payer coverage changes that impact product access.
• Support patient access to the product by providing subject matter expertise on payer coverage issues.
• Educate HCP offices on the product hub program including patient support offerings and hub resources.
• Demonstrate knowledge of and communicate information about access resources and payer processes/policies.
• Attend National and Regional Meetings.

Skills

Communication

Travel readiness

Team collaboration

Written and verbal communication

Territory management

Driver's license

Education

Bachelor’s Degree

Job description

Updated: Today
Location: Nashville, TN, United States
Job ID:18408

The Access & Reimbursement Manager (ARM) will operate as the subject-matter expert on reimbursement, access, and coverage issues affecting the client’s products. The ARM role is a remote/field-based role that proactively provides in person (or virtual if required) approved education to defined accounts within a given territory on matters related to reimbursement, access and coverage to facilitate appropriate patient access. The ARM will analyze reimbursement and access issues and act as the local access and reimbursement resource for other field force personnel and region management, as permitted by policy. Where appropriate, the ARM will coordinate with the hub concerning individual patient cases including patient access and coverage assistance, hub enrollment and overall coordination. The ARM will need to collaborate cross functionally with Field Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts while abiding by all corporate and industry policy and procedures.

Access & Reimbursement Managers manage daily activities that support appropriate patient access to our client’s products and work as a liaison to other patient support programs offered by our client. Activities include, but are not limited to:

• Analyze access/reimbursement issues
• Provide product access/reimbursement education to HCP offices
• Provide access/reimbursement education to field teams upon approved direction.
• Coordinate on access/reimbursement issues with third parties including hubs
• Provide education and support on Specialty Pharmacy issues for pharmacy benefit products
• Provide information to HCP on how the products are covered under the benefit design (Commercial, Medicare Part D, Medicaid)
• Answer questions about coverage, ICD-10 codes of product, including patient-specific access questions
• Educate and update HCPs on key private and public payer coverage and changes that impact product access for patients
• Support patient access to the product by providing subject matter expertise on payer coverage issues impacting product access in a manner that complies with policies, processes and standard operating procedures
• Educate HCP offices on the product hub program including, e.g., patient support offerings, financial assistance and hub educational resources
• Demonstrate knowledge of and communicate information about access resources and payer processes/policies
• Attend National and Regional Meetings

Along with demonstrated initiative, resourcefulness and a results-oriented mindset, the ideal candidate has:

• Bachelor’s Degree or 4+ years professional sales, healthcare, scientific, marketing or military experience
• Minimum three years’ experience in public or private third party reimbursement arena or pharmaceutical industry in managed care, patient services, or clinical support.
• Pulmonary Arterial Hypertension experience preferred. Cardiology, Pulmonology and/or orphan drug experience preferred.
• Proven experience with hubs, in-depth knowledge on issues related to billing, coding, appeals across provider types
• Experience with commercial payers, Medicare plans and state Medicaid in geographic region
• Exhibit competent understanding of hub and patient support activities
• Communicate clearly and effectively – written and verbal
• Local and national travel required for this position
• Ability to operate as a “team player” in collaborating with multiple sales representatives, sales leadership, and internal colleagues appropriately to reach common goals
• Ability to travel and possess a valid driver’s license to drive to assigned healthcare accounts, unless otherwise specified
• Must live within territory or within territory boundaries.

At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to apply anyway. At times, we will consider transferable skills from previous roles. We also encourage you to join our Talent Network to stay connected to additional career opportunities.

Why Syneos Health? Our ability to collaborate and problem-solve makes a difference in patients’ lives daily. By joining one of our field access teams, you will partner with industry experts and be empowered to succeed with the support, resources, and autonomy needed to successfully navigate the complex reimbursement landscape. The diversification and breadth of our new and existing partnerships create a multitude of career paths and employment opportunities. Join our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients’ lives around the world.

Work Here Matters Everywhere | How are you inspired to change lives?

Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)

Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Additionally, certain local governments or Syneos Health customers may have vaccine requirements that apply to some of our employees. These employees are required to submit proof of vaccination to Syneos Health and maintain compliance with these requirements.

We reward and recognize our people by providing valuable benefits and a quality-of-life balance.

• competitive compensation package
• Health benefits to include Medical, Dental and Vision
• Company match 401k
• flexible paid time off (PTO) and sick time
• Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work
• Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements.

Discover what our more than 29,000 employees already know: work here matters everywhere. We work hard,and smart, all in the name of getting much-needed therapies to thosewho need them most. A career with Syneos Health means your everyday work improvespatients’ lives around the world. Selecting us as an employer secures a career inwhich you’re guaranteed to:

Syneos Health ® is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market realities. Together we share insights, use the latest technologies and apply advanced business practices to speed our customers’ delivery of important therapies to patients.