Field Reimbursement Manager

Overview

Do you have a noticeable passion for results?

Connecting people with the information they need is your forte. You're a unifier by nature and you're at your best when setting others up for success. Your ability to clear the way, extrapolate intricate details, attend to complex situations and serve as a trusted go-between make you a perfect fit for a Field Reimbursement Manager role at Syneos Health.

Responsibilities

The Field Reimbursement Manager (FRM) will operate as the subject-matter expert on reimbursement, access, and coverage issues affecting the clients products. Educate HCPs and their staff on matters related to reimbursement, access and coverage to facilitate appropriate patient access. The FRM will analyze reimbursement and access issues and act as the local access and reimbursement resource for other field sales force personnel and region management. Coordinate with the Hub concerning individual patient cases including patient reimbursement assistance, referrals to enrollment to product shipment, and overall coordination. The FRM will need to collaborate cross functionally with Field Sales, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, and Specialty Pharmacy Accounts while abiding by all corporate and industry policy and procedures.

• Analyze access & reimbursement issues and opportunities Educate office personnel on the Patient Journey for assigned product(s) and provide access & reimbursement expertise
• Provide access & reimbursement education to field teams etc.
• Coordinate on access & reimbursement issues with third parties including Hubs / Patient Support Services and liaise with Specialty Pharmacy for pharmacy benefit products
• Educate HCPs on reimbursement processes claims submissions, procedures and coding requirements of payer organizations (local payers, government payers, etc.)
• Provide information to HCP on how the products are covered under the benefit design and educate 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

Job Requirements

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 take into consideration transferrable skills from previous roles. We also encourage you to join our Talent Network to stay connected to additional career opportunities.

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

• BS/BA required
• 5 years of pharmaceutical and/or biotech experience and 2 years of relevant experience in the following: patient journey navigation, payer, reimbursement, medical billings & coding, specialty pharmacy & distribution, and patient support services engagement
• Specialty Pharmacy product experience required. Buy and bill product experience preferred.
• Experience in Rheumatology; Dermatology; Gastroenterology, and Neurology preferred, Immunology experience with self-injection specialty pharmacy products a plus
• Must have an in-depth understanding of Patient Enrollment Forms; Prior Authorization process; Appeals; Peer to Peer interventions; coding, coverage, and payment across all sites of care (e.g., offices, clinics, hospital)

Interviews may be conducted in person at an on-site interview location. For any in person interviews, local COVID safety guidelines will be followed.

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. Created through the merger of two industry leading companies - INC Research and inVentiv Health - we bring together more than 28,000 clinical and commercial minds to create better, smarter, faster ways to get biopharmaceutical therapies to patients. Teaming with some of the most talented professionals in the industry, you'll gain exposure and work in a dynamic environment where you'll be supported with comprehensive resources including emerging technologies, data, science and knowledge sharing. Grow your career with a global company committed to shortening the distance from lab to life.

WORK HERE MATTERS EVERYWHERE | How will you accelerate pharmaceutical sales?

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

As a healthcare company we have an important responsibility to protect individual and public health. Except in those locations where state or local law impacts this vaccination requirement, this position will require individuals to be fully vaccinated against COVID-19 as part of their job responsibilities unless an exemption can be confirmed based on a medical condition, sincerely-held religious belief, or other reasons recognized by applicable law. Submission and approval of an exemption request does not necessarily guarantee that an accommodation can be provided for any specific job.