Virtual Reimbursement Manager

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. Responsibilities Manage daily activities that support appropriate patient access to client products in provider offices. Serve as payer expert for a defined geography and communicate payer changes to key stakeholders in a timely manner. Offer office education during the entire access process, including formulary coverage, utilization management criteria, insurance forms and procedures, benefits investigation, prior authorization, and appeals. Educate offices using approved materials provided by the client. Educate physician office staff on the use of client 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. 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. Syneos Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, marital status, ethnicity, national origin, sex, gender identity, sexual orientation, veteran status, disability, or any other legally protected status, and will not be discriminated against. #J-18808-Ljbffr Syneos Health