Field Reimbursement Manager

Syneos Health Commercial Solutions; California; Hybrid; USD 170,000 - 180,000; Full time

Job summary

Syneos Health in the United States is seeking a Field Reimbursement Manager to streamline payer processes and reduce barriers to access, helping patients get needed therapies.

The FRM will navigate internal stakeholders, HUB and payer teams, manage site-of-care strategies, and travel as required in a hybrid work model.

Qualifications

• BS/BA Degree required.
• 5+ years of pharmaceutical/biotech/device sales experience.
• Strong preference for Buy & Bill and Specialty Pharmacy experience.
• Previous rare disease experience preferred.
• Knowledge of private payer (MCO), Medicare, and Medicaid structures, systems, methodology, and reimbursement policies and processes.
• Must possess excellent organizational, project management, and communication skills.
• Ability to work in a Hybrid environment.
• Valid driver's license and willingness to travel, including overnights/weekends.

Responsibilities

• Establishing HCP/office access services, including patient-specific coverage and site of care options (infusion centers).
• Supporting identification of potential site of care locations and onboarding sites; ongoing account management.
• Ensuring optimal patient access and effective pull-through at account and patient levels.
• Ongoing monitoring of patient compliance and adherence to treatment.
• Educating physician offices on coverage and coding of products with Regional Directors and Medical Specialists.
• Daily case updates with HUB and communicating case status to field partners.
• Distributing reimbursement materials and assisting physician offices, infusion centers and HUB partners.
• Demonstrating territory planning and time management across the area of responsibility.

Skills

Pharma/biotech/device sales

Hubs, billing, coding, appeals

Payer knowledge (Medicare/Medicaid)

Organization & communication

Education

BS/BA Degree

Job description

Description The Field Reimbursement Manager (FRM) provides best-in-class support to minimize reimbursement and process approval barriers resulting in a better overall patient journey and access to needed therapy. The FRM position requires the ability to successfully navigate across multiple internal stakeholders, sales teams, Payer teams, HUB, etc.

Description The Field Reimbursement Manager (FRM) provides best-in-class support to minimize reimbursement and process approval barriers resulting in a better overall patient journey and access to needed therapy. The FRM position requires the ability to successfully navigate across multiple internal stakeholders, sales teams, Payer teams, HUB, etc.
Responsibilities include but are not limited to;

• Establishing HCP/office, understanding of access services/support, including patient-specific coverage, channel acquisition, and site of care options including infusion centers
• Supporting the identification of potential site of care locations for patient treatment, on-boarding of site and ongoing site account management
• Ensuring optimal patient access, effective account- and patient-level pull-through
• On-going monitoring for patient compliance and adherence to treatment
• Develop an encouraging and collaborative relationship with colleagues (Regional Directors and Medical Specialists) to educate physician offices in coverage, coding of products
• Daily case update meetings with HUB and communication of the case status to field partners
• Provide support to sales partners via distribution of reimbursement materials and assistance to physician offices, infusion centers and HUB program partners
• Demonstrate territory planning and time management skills by efficient covering of the specific geographical area of responsibility

Requirements

• BS/BA Degree required
• 5+ years of pharmaceutical/biotech/device sales experience
• Strong preference for Buy & Bill and Specialty Pharmacy experience
• Previous rare disease experience preferred
• Proven experience with Hubs, in-depth knowledge on issues related to billing, coding, appeals across physician types
• Knowledge of private payer (MCO), Medicare, and Medicaid structures, systems, methodology, and reimbursement policies and processes. Proven ability to lead multiple projects and excellent ability to prioritize work and meet deadlines
• Must possess excellent organizational, project management, and communication skills. This includes demonstrating an understanding of how to call out issues/concerns, and effectively communicate with others, especially those in other functional areas
• Ability to work in a Hybrid environment.
• Valid driver's license and the ability to travel, including overnights and/or weekends

The annual base salary for this position ranges from $170,000 to $180,000. The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate's qualifications, skills, competencies, and proficiency for the role. In addition, some positions may include eligibility to earn commissions/bonus based on company and / or individual performance.

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.

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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.

At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position will include a 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.