Hybrid Field Reimbursement Manager

Updated: January 28, 2026
Location: Chicago, IL, United States
Job :13757

You are an expert facilitator: you open doors, foster communication, and bridge the gap.

The Virtual Field Reimbursement Manager (VFRM) will be responsible for the management of defined accounts in a specified geography.

The VFRM will execute a strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other collaboration partners.

In this role, the VFRM will serve as a reimbursement subject matter expert and will be responsible for providing office education during the entire process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution.

• Serves as the primary virtual reimbursement contact for assigned accounts, responding to reimbursement requests
• Serves as payer expert and be able to interpret and communicate payer changes, payer policies for Medicare, Medicaid and Commercial plans to key stakeholders in a timely manner
• Provides education and support to prescribing physicians and support staff regarding reimbursement, coding and patient access issues
  • Benefit verification results
  • Prior authorization requirements
  • Appeals processes
  • Claims submission and denial troubleshooting
  • Site of Care considerations (Buy and Bill)
  • CPT, HCPCS/J-codes, ICD-10, diagnosis of codes
• Assists with claims issue resolution, including underpayments, denials, and requests for additional documentation
• Tracks payer-specific challenges and communicate access or time-to-therapy trends, while triaging complex reimbursement or policy issues to appropriate internal partners for escalation when needed.
• Maintains detailed documentation of reimbursement cases, trends, and outcomes to identify recurring access barriers
• Manages multiple reimbursement cases simultaneously while meeting service-level expectations

• Coordinate virtually and in-person as needed with internal partners to:
  • Share payer insights and recurring reimbursement challenges
  • Support consistent messaging related to access pathways
• Provide clear, timely updates on case status and resolution outcomes using approved internal tools and processes
• Participate in internal meetings and trainings to stay aligned on reimbursement strategy and product updates

• 5+ years of pharmaceutical &/or biotech experience
• 1+ years of experience in field reimbursement
• Ability to solve access issues related in specialty pharmacy channel
• Experience in oncology nice to have, not required
• Ability to travel 15% – 80% virtual and 15% live

The annual base salary for this position ranges from $145,000 to $150,000. Salary may vary based on qualifications and performance. Some positions may include a company car or car allowance and eligibility to earn commissions/bonus based on company and/or individual performance.

Competitive compensation package, health benefits (medical, dental, vision), Company match 401(k), flexible paid time off (PTO) and sick time, and compliance with applicable paid sick time requirements.

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

Syneos Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, marital status, ethnicity, national origin, sex, gender, gender identity, sexual orientation, protected veteran status, disability or any other legally protected status and will not be discriminated against. If you are an individual with a disability who requires reasonable accommodation to complete any part of our application process, please contact us at:
Email: [email protected]