Field Reimbursement Manager

Syneos Health Commercial Solutions; Raleigh (NC); On-site; USD 150,000 - 160,000; Full time

Job summary

Syneos Health is seeking an experienced Field Reimbursement Manager to serve as the reimbursement and access expert for assigned products. You will educate field teams on patient journeys and payer processes, coordinating with HUB and specialty pharmacy to support access across care sites.

With 5+ years in pharma/biotech, you will navigate enrollment forms, prior authorizations, and coding while educating HCPs on coverage changes. Territory-based role requiring local presence.

Qualifications

• Bachelor’s degree required.
• 5+ years in pharma/biotech with payer/reimbursement experience.
• In-depth knowledge of patient enrollment forms, prior authorization, appeals, and coding.

Responsibilities

• Serve as subject-matter expert on reimbursement, access, and coverage for assigned products.
• Educate field teams and office personnel on patient journey and payer processes.
• Coordinate with HUB/patient support services and specialty pharmacy.
• Educate HCPs on reimbursement submissions, coding, and payer requirements.
• Ensure awareness of benefit design and payer coverage changes across sites of care.

Skills

Payer navigation

Reimbursement expertise

Patient journey education

Cross-functional collaboration

Communication skills

Education

Bachelor’s degree

Job description

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.

Essential Requirements

• Bachelor’s degree
• 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

The annual base salary for this position ranges from: $150k to $160k.

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.

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.

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.

• 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.

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.