Field Reimbursement Manager

Overview

Do you have a noticeable passion for results?

You’re bold, empathetic, and very resourceful, especially when results are at stake. You have what it takes: a competitive drive coupled with the exceptional ability to communicate the science behind our client’s products and build lasting business relationships. Such talent and passion make you the right fit for this unique sales role with Syneos Health.

Responsibilities

The Field Reimbursement Manager will be responsible for the management of defined accounts in a specified geographic region in the cardio therapeutic area, specifically supporting our client’s product.

The FRM will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other collaboration partners. Responsibilities include ensuring understanding of Reimbursement process, field reimbursement services, and patient support program. The Reimbursement Manager will also work on patient-level reimbursement issue resolution, and thus will need access to be knowledge of and have had experience with patient health information (PHI).

In this role, the FRM will demonstrate unwavering support and consultative approach to help offices obtain insurance authorization and/or reimbursement of product(s) for appropriate patients. The FRM will have a direct impact on a patient’s ability to access the therapies they need

Job Requirements

Along with a results-oriented mindset, self assurance and an engaging manner, the ideal candidate has:

• • A Bachelor’s Degree, relevant specific practice management experience preferred
  • Minimum two years of experience in public or private third party access arena or pharmaceutical industry in managed care, clinical support, and/or sales
  • Experience with specialty/biologic self-injectable (pharmacy benefit) or physician administered (buy and bill/medical benefit) products
  • Demonstrated ability to educate offices on access processes – including but not limited to:
    • Coding, Coverage, and Payment (Billing)
    • Benefits Investigation
    • Prior Authorization and Medical Exception
    • Appeal and claim resolution processes
    • Formulary Coverage / Utilization Management
    • Insurance processes & forms
  • Educating HCPs on client specific Patient Service programs (i.e. copay, nurse education, bridge, patient assistance, etc.)
  • Experience delivering educational presentations
  • Advanced knowledge of medical insurance terminology
  • Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare (Part B – for buy & bill products and Part D for Pharmacy products)
  • Ability to manage ambiguity & problem solve
  • Ability to manage expenses within allocated budgets

  Preferred

  • 2 years in pharmaceutical role such as: sales, field training, access/reimbursement marketing
  • Previous experience in launching new specialty pharmaceutical/biologics products or indications
  • Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems
  • Ability to travel and cover large multistate geography territories, and a valid driver's license to drive to assigned healthcare accounts, unless otherwise specified

• Work Environment:  This is a virtual based position. 

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.

Why Syneos Health? Join a game-changing global company that is reinventing the way therapies are developed and commercialized. Here, you’re essential in solving and executing against today’s toughest commercialization challenges facing the world’s leading healthcare companies. From the very beginning, you’ll be supported by team members who, like you, aren’t afraid to try something new. You'll gain exposure and work in a dynamic environment to create better, smarter, faster ways to get biopharmaceutical therapies to patients.

WORK HERE MATTERS EVERYWHERE | How will you acclerate bringing Market Access solutions to clients?


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