Field Reimbursement Manager

Syneos Health, Inc•Phoenix, AZ

71d•Hybrid

About The Position

The Field Reimbursement Manager (FRM) provides best-in-class support to minimize reimbursement and process approval barriers resulting in a better overall patient journey and access to needed therapy. The FRM position requires the ability to successfully navigate across multiple internal stakeholders, sales teams, Payer teams, HUB, etc.

Requirements

BS/BA Degree required
5+ years of pharmaceutical/biotech/device sales experience
Proven experience with Hubs, in-depth knowledge on issues related to billing, coding, appeals across physician types
Knowledge of private payer (MCO), Medicare, and Medicaid structures, systems, methodology, and reimbursement policies and processes. Proven ability to lead multiple projects and excellent ability to prioritize work and meet deadlines
Must possess excellent organizational, project management, and communication skills. This includes demonstrating an understanding of how to call out issues/concerns, and effectively communicate with others, especially those in other functional areas
Ability to work in a Hybrid environment.
Valid driver's license and the ability to travel, including overnights and/or weekends

Nice To Haves

Strong preference for Buy & Bill and Specialty Pharmacy experience
Previous rare disease experience preferred

Responsibilities

Establishing HCP/office, understanding of access services/support, including patient-specific coverage, channel acquisition, and site of care options including infusion centers
Supporting the identification of potential site of care locations for patient treatment, on-boarding of site and ongoing site account management
Ensuring optimal patient access, effective account- and patient-level pull-through
On-going monitoring for patient compliance and adherence to treatment
Develop an encouraging and collaborative relationship with colleagues (Regional Directors and Medical Specialists) to educate physician offices in coverage, coding of products
Daily case update meetings with HUB and communication of the case status to field partners
Provide support to sales partners via distribution of reimbursement materials and assistance to physician offices, infusion centers and HUB program partners
Demonstrate territory planning and time management skills by efficient covering of the specific geographical area of responsibility