Field Reimbursement Manager

Syneos Health; Phoenix, Northern (AZ, KY); Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

competitive compensation package

Health benefits to include Medical,  D

Company match 401k

flexible paid time off (PTO) and sick

Job summary

Syneos Health is seeking a Field Reimbursement Manager in the United States to act as a reimbursement and access expert for assigned products. You will analyze payer issues and educate field teams, coordinating with HUB and patient support services to optimize access for patients.

The role requires 5+ years in pharma/biotech and 2+ years in roles involving patient journey navigation, payer, reimbursement, and coding. Knowledge of claims submissions and prior authorization is essential.

Qualifications

• 5+ years’ experience pharmaceutical and/or biotech experience.
• 2+ years’ relevant experience in patient journey navigation, payer, reimbursement, medical billings & coding, specialty pharmacy & distribution, and patient support services engagement.
• In-depth understanding of patient enrollment forms; prior authorization process; appeals; coding, coverage, and payment across all sites of care.

Responsibilities

• Analyze access & reimbursement issues and opportunities; educate office personnel on the patient journey.
• Provide access & reimbursement education to field teams and coordinate with HUB/Patient support services.
• Educate HCPs on reimbursement processes, claims submissions, procedures and coding requirements of payer organizations.
• Inform on how products are covered under benefit design and payer coverage changes impacting patient access.

Skills

pharmaceutical/biotech experience

payer/reimbursement knowledge

patient journey navigation

Job description

You are an expert facilitator: you open doors, foster communication, and bridge the gap.

In this role, the Field Reimbursement Manager (FRM) will operate as the subject-matter expert on reimbursement, access, and coverage issues affecting the customers products. The FRM will analyze reimbursement and access issues and act as the local access and reimbursement resource for other field sales force personnel and region management. You will:

• Analyze access & reimbursement issues and opportunities Educate office personnel on the patient journey for assigned product(s) and provide access & reimbursement expertise
• Provide access & reimbursement education to field teams etc.
• Coordinate on access & reimbursement issues with third parties including HUB/Patient support services and 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 and educate key private and public payer coverage and changes that impact the products access for patients
• 5+ years’ experience pharmaceutical and/or biotech experience and 2+ years’ relevant experience in the following: patient journey navigation, payer, reimbursement, medical billings & coding, specialty pharmacy & distribution, and patient support services engagement
• In-depth understanding of patient enrollment forms; prior authorization process; appeals; peer to peer interventions; coding, coverage, and payment across all sites of care (e.g., offices, clinics, hospital)
• Must live within territory or within territory boundaries.

Desired Requirements

• Buy and bill product experience
• Experience in rheumatology; dermatology; gastroenterology, and neurology
• Immunology experience with self-injection specialty pharmacy products

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?

Each life we positively impact makes our work worthwhile. By joining one of our field medical teams, you will partner with some of the most talented clinicians in the industry and be reminded why you chose a career in healthcare. 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.

W o r k H e r e M a t t e r s E v e r y w h e r e | How are you inspired to change lives?

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

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.

• 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 25,000 employees already know: work here matterseverywhere. 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 workimprovespatients’ lives around the world. Selecting us as an employer secures acareer inwhich you’re guaranteed to:

Syneos Health® is a leading fully integrated biopharmaceutical solutions organization builtto accelerate customer success. We translate unique clinical, medical affairs and commercialinsights into outcomes to address modern market realities. To learn more visit syneoshealth.com .

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