Field Reimbursement Manager

Syneos Health Careers • $90K — $120K *
Chicago, IL 60629In-Person
Pharmaceuticals & Biotech
5 - 7 years of experience
1 week ago
Job Overview by Ladders

Qualifications

  • Bachelor's degree in a relevant field
  • 5+ years of experience in pharmaceutical/biotech
  • 2+ years in patient journey navigation, payer reimbursement, and medical billing
  • Deep understanding of prior authorization, appeals, coding, and payment processes
  • Must reside within or near the assigned territory

Responsibilities

  • Analyze reimbursement access issues and identify opportunities
  • Educate healthcare office personnel on patient journeys for assigned products
  • Provide reimbursement training to field sales teams
  • Coordinate reimbursement issues with third-party services and specialty pharmacies
  • Inform healthcare providers regarding coding and submission processes
  • Advise on benefits design and payer coverage changes affecting product access

Benefits

  • Comprehensive health benefits including Medical, Dental, and Vision
  • 401k plan with company match
  • Flexible paid time off and sick leave
  • Supportive environment for professional development
  • Recognition programs for employee contributions
Full Job Description
Description

You are an expert facilitator: you open doors, foster communication, and bridge the gap.

In this role, the Field Reimbursement Manager (FRM) will operate as the subject-matter expert on reimbursement, access, and coverage issues affecting the customers products. The FRM will analyze reimbursement and access issues and act as the local access and reimbursement resource for other field sales force personnel and region management. You will:
  • Analyze access & reimbursement issues and opportunities Educate office personnel on the patient journey for assigned product(s) and provide access & reimbursement expertise
  • Provide access & reimbursement education to field teams etc.
  • Coordinate on access & reimbursement issues with third parties including HUB/Patient support services and liaise with specialty pharmacy for pharmacy benefit products
  • Educate HCPs on reimbursement processes claims submissions, procedures and coding requirements of payer organizations (local payers, government payers, etc.)
  • Provide information to HCP on how the products are covered under the benefit design and educate key private and public payer coverage and changes that impact the products access for patients

Essential Requirements:
  • Bachelor's degree
  • 5+ years' experience pharmaceutical and/or biotech experience and 2+ years' relevant experience in the following: patient journey navigation, payer, reimbursement, medical billings & 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

At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position will include a competitive compensation package, Health benefits to include Medical, Dental and Vision, Company match 401k, 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.

400001859

About Syneos Health Careers

Syneos Health Careers

Joining Syneos Health presents an unparalleled opportunity to become part of a global team of professionals dedicated to biopharmaceutical solutions. At Syneos Health, job opportunities abound, offering a gateway to enhancing career paths in a company celebrated for its commitment to therapeutic and operational excellence.

Work That Matters

Syneos Health is at the forefront of healthcare innovation, collaborating on projects that integrate smart technology and human ingenuity to improve patient outcomes. This dynamic company is actively seeking professionals who are eager to drive progress in the biopharmaceutical field through diverse job opportunities ranging from scientific roles to operational positions.

Innovative Employment Opportunities

Syneos Health offers a variety of positions that cater to a range of skills and experiences, from entry-level to senior leadership roles. Employment at Syneos Health means contributing to a culture that values diversity and inclusion, ensuring every team member’s voice is heard and valued.

Internship Programs and Professional Growth

For those starting their career, Syneos Health provides robust internship programs designed to foster professional growth and build essential industry skills. Interns at Syneos Health gain hands-on experience, beneficial for future employment opportunities within the company or the broader healthcare industry.

Cultivating Leadership and Professional Development

Syneos Health is committed to the professional development of its employees, offering leadership training and career growth opportunities that encourage innovation and leadership skills. Employees are supported through comprehensive benefits, diversity training, and initiatives that promote personal and professional growth.

Join a Team of Experts

The team at Syneos Health is composed of industry-leading experts who bring a wealth of knowledge and experience to the company. Networking within Syneos Health’s global community allows for unparalleled professional development and insights into the latest industry trends.

Explore Career Opportunities

Syneos Health is hiring! Explore the numerous positions available that match a variety of skills and interests. The company looks for driven, curious, and innovative team players ready to make a significant impact in the healthcare industry.

Stay Connected with Syneos Health Careers

Stay informed about the latest career tips, industry insights, and job opportunities at Syneos Health. Tailor your job search with personalized alerts and keep up to date with the newest openings to find a position that suits your career aspirations.

APPLY TO JOBS AT SYNEOS HEALTH

Engage with Us

Discover more about the culture, values, and opportunities at Syneos Health by connecting with current team members and leaders. Learn firsthand about the company’s commitment to growth, innovation, and leadership in the healthcare sector.

READ CAREERS BLOG

Job Alert Emails

Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding career opportunities that await at Syneos Health.
Learn more about Syneos Health Careers
Industry
Healthcare
* Ladders Estimates

Similar Jobs

Ad banner background

Get Ready For Your
Next Interview

More Jobs at Syneos Health Careers

More Pharmaceuticals & Biotech Jobs

Find similar Field Reimbursement Manager jobs:

NationwideChicago, IL