Remote Access & Reimbursement Strategist

Syneos Health; Denver (CO); On-site; USD 150,000 - 165,000; Full time

Benefits offered by this job

Company car

Car allowance

Job summary

The Access & Reimbursement Manager (ARM) will serve as the subject-matter expert on reimbursement, access, and coverage issues affecting the client’s products. The ARM role is remote/field-based, providing in-person or virtual education to defined accounts within a territory to facilitate patient access.

This position collaborates cross-functionally with Field Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts and coordinates with

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.

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 pharmacy benefit products.
• 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 product access for patients.
• Support patient access to the product by providing subject matter expertise on payer coverage issues impacting product access in a manner that complies with policies, processes and standard operating procedures.
• Educate HCP offices on the product hub program including, e.g., patient support offerings, financial assistance and hub educational resources.
• Demonstrate knowledge of and communicate information about access resources and payer processes/policies.
• Attend National and Regional Meetings.

Skills

Reimbursement expertise

Cross-functional collaboration

Strong communications

Travel readiness

Education

Bachelor’s Degree

Job description

The Access & Reimbursement Manager (ARM) will serve as the subject-matter expert on reimbursement, access, and coverage issues affecting the client’s products. The ARM role is remote/field-based, providing in-person or virtual education to defined accounts within a territory to facilitate patient access.

This position collaborates cross-functionally with Field Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts and coordinates with