Field Reimbursement Manager

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The Field Reimbursement Manager (FRM) serves as a subject‑matter expert on reimbursement, access and coverage issues affecting the company’s products. The FRM analyzes reimbursement and access challenges and acts as the local resource for field sales personnel and regional management. The FRM will:

• Analyze access and reimbursement issues and opportunities and educate office personnel on the patient journey for assigned product(s).
• Provide access and reimbursement education to field teams.
• Coordinate access and reimbursement matters with third parties, including HUB/Patient support services and specialty pharmacy for pharmacy benefit products.
• Educate HCPs on reimbursement processes, claim submissions, procedures and coding requirements of payer organizations (local payers, government payers, etc.).
• Provide information to HCPs on how products are covered under benefit design and educate them about key private and public payer coverage changes that impact product access for patients.

• Bachelor’s degree.
• 5+ years’ pharmaceutical and/or biotech experience and at least 2 years’ experience in patient journey navigation, payer, reimbursement, medical billing & coding, specialty pharmacy & distribution, and patient support services engagement.
• In‑depth understanding of patient enrollment forms, prior authorization, appeals, peer‑to‑peer interventions, coding, coverage and payment across all sites of care.
• Must live within territory or within territory boundaries.

• Buy and bill product experience.
• Experience in rheumatology, dermatology, gastroenterology, neurology.
• Immunology experience with self‑injection specialty pharmacy products.

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. Certain local governments or customers may have vaccine requirements that apply to some employees. Those employees are required to submit proof of vaccination and maintain compliance with these requirements.

Benefits include: competitive compensation package; health benefits (medical, dental, vision); company match 401k; flexible paid time off and sick time; and compliance with applicable paid sick time requirements.

Mid‑Senior level

Full‑time

Finance and Sales;
Industries:
Advertising Services, Public Relations and Communications Services, and Pharmaceutical Manufacturing

Kansas City, MO – $–$ (1 day ago)