Field Reimbursement Manager

Syneos Health; New York (NY); On-site; USD 115,000 - 120,000; Full time

Benefits offered by this job

Health benefits (medical, dental, vision)

401k company match

Flexible paid time off (PTO)

Sick time

Company car or car allowance

Eligibility for commissions/bonus

Job summary

Join a forward-thinking company as a Field Reimbursement Manager, where you will be the expert on reimbursement and access issues. This role involves educating healthcare providers and their staff, analyzing reimbursement criteria, and coordinating patient access efforts. You'll collaborate with various teams to ensure patients receive the necessary support and resources. If you're passionate about making a difference in patients' lives and thrive in a dynamic environment, this position offers a unique opportunity to impact healthcare positively. Your expertise will help navigate complex reimbursement landscapes, ensuring patients have access to vital therapies.

Qualifications

• Strong knowledge of reimbursement processes and patient access issues.
• Experience with Hubs and navigating Prior Authorization processes.

Responsibilities

• Educate HCPs on reimbursement and coverage issues.
• Analyze payer criteria and coordinate with third parties.

Skills

Reimbursement Expertise

Patient Access Knowledge

Communication Skills

Analytical Skills

Collaboration Skills

Education

BS/BA Degree

3+ years experience in reimbursement

Tools

Hub tools

Patient support services

Job description

Updated: March 7, 2025
Location: Long Island, NY, United States
Job ID: 8478

The Field Reimbursement Manager (FRM) will operate as the subject-matter expert on reimbursement, access, and coverage issues affecting the clients’ products. They will educate HCPs and their staff on matters related to access and coverage to facilitate appropriate patient access. The FRM will analyze reimbursement and access issues and act as the local access and reimbursement resource for other field sales force personnel and regional management. They will coordinate with the Hub concerning individual patient cases including patient support services referrals to enrollment, and overall coordination. The FRM will need to collaborate cross-functionally with Field Sales as well as other matrix partners and Specialty Pharmacy Accounts while abiding by all corporate and industry policy and procedures.

• Analyze payer criteria
• Provide offices product access expertise
• Provide patient support services education to field teams
• Coordinate on reimbursement issues with third parties including Hubs
• Liaise with Specialty Pharmacy for pharmacy benefit products
• Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.)
• 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 the products access for patients
• Support patient access to the products by providing subject matter expertise on access issues that may be barriers to product access in a manner that complies with policies, processes, and standard operating procedures
• Educate HCPs and their practice personnel on the products Hub program including reimbursement, financial assistance, and Hub tools (e.g. provider portal tool, copay tracking, forms)
• Demonstrate knowledge of and communicate information about resources and forms available for access and reimbursement
• Demonstrate strong verbal communication skills and issue prioritization related to account management

Job Requirements

Along with a results-oriented mindset, self-assurance, and an engaging manner, the ideal candidate has:

• BS/BA Degree required or 3+ years experience as a field reimbursement specialist or biologic coordinator/office practice manager
• Prior experience as a field reimbursement specialist required
• Experience navigating Prior Authorization process for pharmacy and medical benefit coverage
• Cardiology or Rare Disease preferred
• Proven experience with Hubs, in-depth knowledge on issues related to billing, coding, appeals across physician types
• Experience with commercial payers, Medicare plans, and state Medicaid in geographic region
• Exhibit competent understanding of Hub activities
• Valid driver's license and the ability to travel, including overnights and/or weekends

The annual base salary for this position ranges from $115,000 to $120,000. 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 a company car or car allowance and 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.

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.

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 those who need them most. A career with Syneos Health means your everyday work improves patients’ lives around the world.

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. To learn more about how we are shortening the distance from lab to life, visit syneoshealth.com.

Syneos Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, marital status, ethnicity, national origin, sex, gender, gender identity, sexual orientation, protected veteran status, disability or any other legally protected status and will not be discriminated against. If you are an individual with a disability who requires reasonable accommodation to complete any part of our application process, including the use of this website, please contact us at: Email: [emailprotected] One of our staff members will work with you to provide alternate means to submit your application.