Access & Reimbursement Specialist — Remote/Field

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

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.