Virtual Reimbursement Manager

The Virtual Reimbursement Manager (VRM) will be responsible for 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 process, and reimbursement services to help offices obtain insurance authorization and/or reimbursement of products for appropriate patients. Responsibilities Manage daily activities that support appropriate patient access to our client’s products in provider offices. Serve as a payer expert for the defined geography and communicate payer changes to key stakeholders in a timely manner. 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 on the use of our 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 in the 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 for Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Parts B & D. Compensation The annual base salary for this position ranges from $140,000 to $150,000. Some positions may include a company car or car allowance and eligibility to earn commissions/bonuses based on company and/or individual performance. Equal Opportunity Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled). #J-18808-Ljbffr Syneos Health, Inc.