Virtual Reimbursement Manager

Job Details Updated: Yesterday Location: Salt Lake City, UT, United States Job ID: 16379-OTHLOC-CDywYfwp Job Summary The Virtual Reimbursement Manager (VRM) will be responsible for reactively supporting multiple accounts in a specified geographic region through the access process. The VRM will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, ensuring understanding of coverage, access processes, and reimbursement services. Key Responsibilities Manage daily activities that support appropriate patient access to the client’s products in provider offices. Serve as payer expert for a defined geography and communicate payer changes to key stakeholders promptly. Offer office education throughout the access process, covering formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, and appeals. Educate offices using approved materials provided by the client. Educate physician office staff about the client’s patient support services, including web‑based provider portals. Qualifications Bachelor’s Degree. Minimum two years of experience in public or private third‑party reimbursement or access arena, or pharmaceutical industry in managed care or clinical support. Demonstrated understanding of access, coverage and reimbursement issues in the retail channel, including commercial and federal health‑care program utilization management tools such as prior authorization, step edits, and denials. Demonstrated ability to educate offices on access processes, including: Experience educating HCPs on client‑specific Patient Service programs (e.g., copay, bridge, patient assistance). Experience delivering educational presentations. Advanced knowledge of medical insurance terminology. Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes, with expertise in Medicare Parts B & D. Benefits Competitive compensation package. Health benefits including Medical, Dental, and Vision. Company match 401(k). Flexible paid time off (PTO) and sick time. Compliance with applicable federal, state, and municipal paid sick time requirements. EEO Statement Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled). #J-18808-Ljbffr