Remote Access & Reimbursement Lead

Syneos Health, Inc.; Knoxville (TN); Remote; USD 90,000 - 130,000; Full time

Job summary

Syneos Health is seeking an Access & Reimbursement Manager (ARM) to act as the SME on reimbursement, access, and coverage for our client’s products. This remote/field-based role will educate accounts within a defined territory and collaborate cross-functionally with Field Sales, Market Access, and hub teams to facilitate patient access.

The ARM analyzes reimbursement issues, coordinates with hubs on patient cases, and supports payer strategies to ensure optimal access and coverage for therapies

Qualifications

• Bachelor's Degree or 4+ years professional sales, healthcare, scientific, marketing or military experience.
• Minimum three years’ experience in public or private third party reimbursement arena or pharmaceutical industry in managed care, patient services, or clinical support.
• Pulmonary Arterial Hypertension experience preferred. Cardiology, Pulmonology and/or orphan drug experience preferred.
• Proven experience with hubs, in-depth knowledge on issues related to billing, coding, appeals across provider types.
• Experience with commercial payers, Medicare plans and state Medicaid in geographic region.

Responsibilities

• Analyze access/reimbursement issues.
• Provide product access/reimbursement education to HCP offices.
• Provide access/reimbursement education to field teams upon approved direction.
• Coordinate on access/reimbursement issues with third parties including hubs.
• Provide education and support on Specialty Pharmacy issues for payer products.
• Provide information to HCP on how 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 product access for patients.
• Support patient access to the product by providing subject matter expertise on payer coverage issues.
• Educate HCP offices on the product hub program including patient hub offerings and financial assistance resources.
• Demonstrate knowledge of access resources and payer processes/policies.
• Attend National and Regional Meetings.

Skills

Communication

Travel

Team collaboration

Territory ownership

Education

Bachelor's Degree

Job description

Syneos Health is seeking an Access & Reimbursement Manager (ARM) to act as the SME on reimbursement, access, and coverage for our client’s products. This remote/field-based role will educate accounts within a defined territory and collaborate cross-functionally with Field Sales, Market Access, and hub teams to facilitate patient access.

The ARM analyzes reimbursement issues, coordinates with hubs on patient cases, and supports payer strategies to ensure optimal access and coverage for therapies