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Field Reimbursement Manager

Syneos Health Commercial Solutions

Description Field Reimbursement Manager (FRM) will serve as the subject‑matter expert on reimbursement, access, and coverage issues affecting the company’s products. The FRM will analyze reimbursement and access issues and act as the local access and reimbursement resource for field sales personnel and regional management. Responsibilities Analyze access and reimbursement issues and opportunities, educate office personnel on the patient journey for assigned product(s), and provide access and reimbursement expertise. Provide access and reimbursement education to field teams. Coordinate on access and reimbursement issues with third parties, including HUB/Patient support services, and liaise with 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 the products are covered under the benefit design and educate key private and public payer coverage changes that impact product access for patients. Essential Requirements Bachelor’s degree. 5+ years’ experience in pharmaceutical and/or biotech, and 2+ years’ relevant 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 process, appeals, peer‑to‑peer interventions, coding, coverage, and payment across all sites of care (e.g., offices, clinics, hospital). Must live within territory or within territory boundaries. Desired Requirements Buy and bill product experience. Experience in rheumatology, dermatology, gastroenterology, and neurology. Immunology experience with self‑injection specialty pharmacy products. Benefits The benefits for this position will include a competitive compensation package, health benefits (medical, dental and vision), company match 401(k), flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements. Equal Opportunity Employer Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled). #J-18808-Ljbffr

Vacancy posted 4 days ago
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