Field Reimbursement Manager

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Updated: February 28, 2024
Location: San Antonio, TX, United States
Job ID: 3376-OTHLOC-CHwwYfwr

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Description

The Field Reimbursement Manager is responsible for the successful launch of Patient Access initiatives for our client within an assigned geographic territory. The primary focus of the Field Reimbursement Manager is to leverage strategic insights within targeted accounts to achieve identified business objectives including reimbursement support and site of care assistance.  Activities include, but are not limited to:

  • Act as an extension of the client company providing live one-on-one coverage support.
  • Offer customer assistance throughout the entire Reimbursement journey, includes prior authorization to appeals/denials requirements procedures and forms.
  • Review patient-specific information in cases where the site has specifically requested the assistance in resolving any issues or coverage challenges.
  • Review patient insurance benefit options
  • Identify alternate funding/financial assistance programs
  • Coordinate with patient support services programs representatives.
  • Educate physician office staff on the use of patient assistance and call center support services, including web-based provider programs
  • Collaborate and communicate with cross-functional partners weekly
  • Provide information on relevant Reimbursement topics related to the product. 
  • Serve as payer expert for defined geography and able to communicate changes to key stakeholders in a timely manner 

JOB REQUIREMENTS: 

Along with demonstrated initiative, resourcefulness and a results-oriented mindset, the ideal candidate has:

  • Bachelor’s degree required  
  • Minimum three-year experience in public or private third party Reimbursement arena or pharmaceutical industry in managed care, clinical support, or sales.
  • Experience with specialty products acquired through Specialty Pharmacy networks required
  • Experience with Buy and Bill products 
  • Specialty pharmacy experience required (ability to teach an office the entire process from script to fulfillment)
  • Establishing relationships within a practice by working closely with them to help remove Reimbursement barriers to specialty products for their patients
  • Ability to operate as a “team player” in collaborating with multiple sales representatives, sales leadership and internal colleagues to reach common goals
  • Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Part D (Pharmacy Benefit design and coverage policy) a plus
  • Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems a plus
  • Previous experience in launching new specialty pharmaceutical/biologics products or indications a plus
  • Ability to travel and cover large multistate geography territories, up to 75% travel

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. 

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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