Field Reimbursement Manager

Syneos Health • Allentown, PA

388d

About The Position

The Field Reimbursement Manager (FRM) at Syneos Health will serve as the subject-matter expert on reimbursement, access, and coverage issues affecting client products. This role involves educating healthcare providers (HCPs) and their staff on reimbursement matters to facilitate patient access, analyzing reimbursement issues, and coordinating with various teams to support patient access to products. The FRM will also provide expertise on reimbursement processes and collaborate with field sales and other departments to ensure compliance with corporate policies.

Requirements

• Bachelor of Science or Bachelor of Arts degree required.
• 5+ years of pharmaceutical sales experience.
• 2+ years of experience with a buy and bill, complex product.
• Experience in Cardiology or Rare Disease preferred.
• Proven experience with Hubs and knowledge of billing, coding, and appeals.
• Experience with commercial payers, Medicare plans, and state Medicaid in the geographic region.
• Valid driver's license and ability to travel, including overnights and/or weekends.

Nice To Haves

• Experience with complex reimbursement issues in the pharmaceutical industry.
• Strong communication and interpersonal skills.
• Ability to work independently and as part of a team.

Responsibilities

• Operate as the subject-matter expert on reimbursement, access, and coverage issues affecting client products.
• Educate HCPs and their staff on reimbursement, access, and coverage to facilitate appropriate patient access.
• Analyze reimbursement and access issues and act as a local resource for field sales personnel and regional management.
• Coordinate with the Hub on individual patient cases, including reimbursement assistance and referrals.
• Collaborate cross-functionally with Field Sales, Marketing, Market Access, and other departments.
• Provide reimbursement education to field teams and HCPs.
• Liaise with Specialty Pharmacy for pharmacy benefit products.
• Educate HCPs on claims submissions, procedures, and coding requirements.
• Support patient access by providing expertise on reimbursement barriers.
• Demonstrate knowledge of Hub programs and available resources for access and reimbursement.

Benefits

• Company car
• Health insurance
• Dental insurance
• Paid time off
• Vision insurance
• 401(k) matching
• Paid sick time

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Industry: Professional, Scientific, and Technical Services
• Education Level: Bachelor's degree