What are the responsibilities and job description for the Virtual Field Reimbursement Specialist position at Syneos Health Commercial Solutions?
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 Virtual Field Reimbursement Specialist role at Syneos Health.
Responsibilities
The Virtual Field Reimbursement Specialist (VFRS) will be responsible for the management of defined accounts in a specified geographic region in the respiratory therapeutic area, specifically supporting our client's products. The VFRS 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 Specialist 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 VFRS will demonstrate unwavering support and consultative approach to help offices obtain insurance authorization and/or reimbursement of products for appropriate patients. The VFRS will have a direct impact on a patient's ability to access the therapies they need.
Additional responsibilities include:
- Manage daily activities that support appropriate patient access to our client's products in the provider offices and work as a liaison to other patient assistance and access support services offered by our clients (i.e. HUB, Call Center, Specialty Pharmacy Services)
- Act as an extension of the call center and/or HUB and provide live one-on-one coverage support
- Serve as payer expert for defined geography and able to communicate payer changes to key stakeholders in a timely manner
- Offer office education during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution
- Educate offices using approved materials provided by the client
- Review patient-specific information in reimbursement cases where the office has specifically requested assistance in resolving access issue or coverage challenge
- Educate physician office staff on the use of our client's patient support services, including web based provider portals
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:
- A Bachelor's Degree
- 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:
- Experience 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
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. The benefits for this position include flexible paid time off (PTO), company car or car allowance, Health benefits to include Medical, Dental and Vision, Company match 401k, eligibility to participate in Employee Stock Purchase Plan and Eligibility to earn commissions/bonus based on company and individual performance.
The annual base salary for this position ranges from $115,000 to $122,000. The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate's qualifications, skills, competencies, and proficiency for the role.
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 accelerate pharmaceutical sales?
Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)
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Salary : $115,000 - $122,000
