Field Reimbursement Manager

Updated:
Today

Location: Chicago, IL, United States

Job : 16619-OTHLOC-CPKvYfwM

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.

• 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.
• 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.
• Must live within territory or within territory boundaries.

• 5+ years’ experience pharmaceutical and/or biotech experience and 2+ years’ relevant experience in 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).

• Buy and bill product experience.
• Experience in rheumatology; dermatology; gastroenterology; and neurology.
• Immunology experience with self‑injection specialty pharmacy products.

Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled).

Benefits include a competitive compensation package, Health benefits (Medical, Dental, Vision), Company match 401k, flexible paid time off (PTO) and sick time. Eligibility for paid sick time may vary depending on location. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements.