Field Reimbursement Manager

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Updated: December 7, 2023
Location: Atlanta, GA, United States
Job ID: 1351-OTHLOC-CMFvYfwE

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Description

The Field Reimbursement Manager (FRM) proactively provides education and support to appropriate providers and their offices/staff on reimbursement programs for designated therapeutic products in their defined geography / aligned accounts.  They serve as the key contact and lead for reimbursement and access support-related matters and are responsible for being the local market access expert on coding and billing policy and processes. Additionally, the FRM will analyze reimbursement and access issues and serve as the local reimbursement resource for field sales force personnel and area management. 

Essential Functions:

  • The FRM will need to coordinate and communicate cross functionally and provide live face-to-face and virtual engagements, using approved tools, to support and address questions about coverage requirements and educating physician office staff on the use of the patient assistance programs and call center support services.
  • Serve as a reimbursement expert for defined geography and proactively communicates changes to key stakeholders in a timely manner.
  • Maintain and grow knowledge of national, regional, local, and account market dynamics including coverage and coding requirements.
  • Grow the knowledge of hub and specialty distribution channels to improve practice and patient support needs.
  • Offer approved training and process steps to the providers and offices for the entire reimbursement journey.
  • Work with internal partners to build strategic patient access and reimbursement account plans and review franchise, market access, and business plans.
  • Effective account management: uncovering customer insights through effective questioning; critical thinking and problem solving; disseminating data and information to partners.  
  • Educate HCPs on reimbursement processes claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.).
  • Answer questions about coverage, ICD-10 codes, and specific product codes, including patient-specific access questions.
  • Educate and update HCP and staff members on key private and public payer coverage and changes that impact the products access for patients.
  • Support patient access to the products by providing subject matter expertise on reimbursement issues that may be barriers to product access in a manner that complies with policies, processes, and standard operating procedures.

Experience:

  • Education: bachelor’s degree required
  • Minimum 5 years experience in public or private third-party reimbursement arena or pharmaceutical industry in managed care, clinical support, or sales.
  • Experience with coding, billing and in office support programs.
  • Prior account management experience or prior experience with complex accounts (Payer landscape, high patient volume, and large systems).
  • Buy and bill experience with HCP administered drugs required.
  • Ability to operate as a team player, collaborating with multiple sales representatives, sales leadership, and internal colleagues to reach common goals.
  • Ability to travel and cover large multistate geography territories, at least 30% travel required, based on geography and territory / targeting make up.
  • Candidate lives within assigned geographic area.

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? Here, the work is challenging, and the pace is exhilarating. By joining one of our commercial teams, you’re empowered to succeed with the support, resources, and autonomy that you need. The diversification and breadth of our new and existing partnerships create a multitude of career paths and employment opportunities. Syneos Health has launched more sales teams in the last 5 years across all major therapeutic areas than the top 25 pharma companies combined. 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. 

Wor Her Matter Everywher | How are you inspired to change lives?

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

Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Additionally, certain local governments or Syneos Health customers may have vaccine requirements that apply to some of our employees. These employees are required to submit proof of vaccination to Syneos Health and maintain compliance with these requirements.
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.

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