Field Reimbursement Manager

Syneos Health, Inc.; Springfield (IL); On-site; USD 90,000 - 120,000; Full time

Job summary

Syneos Health, Inc. in Springfield, IL seeks a Field Reimbursement Manager to help target accounts navigate reimbursement steps for products within payer policies. The role focuses on urology accounts, hospitals, and ASCs, understanding Medicaid/Medicare rules and patient pathways.

The candidate will develop relationships with key customers, understand billing requirements, and collaborate with the account team to optimize patient access. Travel with overnight stays is required.

Qualifications

• Minimum of 4 years pharmaceutical, biotech or medical device experience.
• Minimum of 2 years reimbursement experience required.
• Ability to travel with overnight stays.
• Valid driver’s license required.
• 2 years hospital or large account experience preferred.
• 2 years Urology experience preferred.

Responsibilities

• Ensure target accounts understand billing and coding requirements.
• Develop and leverage relationships with key customers in target accounts.
• Understand billing and coding responsibilities within target accounts: Urology clinics, ASC, Hospitals.
• Understand all applicable reimbursement regulations for Medicaid, Medicare, and Commercial payers.
• Partner effectively with other members of the account team to ensure the best possible outcome for the patient and the account.
• Demonstrate expertise in the disease state, the product, the surgical process and the reimbursement process.

Skills

Relationship building

Cross-functional com

Travel readiness

Billing knowledge

Payer knowledge

Job description

Updated: Today
Location: Springfield, IL, United States
Job ID:17172-OTHLOC-ClMvYfwk

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

The Field Reimbursement Manager will be responsible for ensuring that target accounts within their geography understand the necessary steps to receive reimbursement through the appropriate payer when ordering products, consistent with company compliance policies, company procedures, and approved materials. The focus will be on key urology accounts and relevant institutions including hospitals and ambulatory surgery centers. Field Reimbursement Managers will be responsible for understanding the unique market issues of their geography, specifically part B reimbursement, health care delivery models, transitions of care and patient pathways.

In this role you will:

• Ensure target accounts understand all applicable billing and coding requirements associated with the products.
• Develop and leverage relationships with key customers in target accounts.
• Understand billing and coding responsibilities within target accounts: Urology clinics, ASC, Hospitals.
• Understand all applicable reimbursement regulations for Medicaid, Medicare, and Commercial payers.
• Partner effectively with other members of the account team to ensure the best possible outcome for the patient and the account.
• Demonstrate expertise in the disease state, the product, the surgical process and the reimbursement process.
• Minimum of 4 years pharmaceutical, biotech or medical device experience.
• Minimum of 2 years reimbursement experience required.
• Ability to communicate cross-functionally within the region to share results, assist training and develop best practices.
• Ability to travel with overnight stays, required.
• Valid driver’s license required.

Desired Requirements:

• 2 years hospital or large account experience preferred.
• 2 years Urology experience preferred.
• Consistent track record of performance.
• Resourceful, creative, enthusiastic, results-oriented.

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.

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. 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 thosewho need them most. A career with Syneos Health means your everyday work improvespatients’ lives around the world. Selecting us as an employer secures a career inwhich you’re guaranteed to:

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. Together we share insights, use the latest technologies and apply advanced business practices to speed our customers’ delivery of important therapies to patients.