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Field Reimbursement Manager

Job in St. Louis, Saint Louis, St. Louis city, Missouri, 63105, USA
Listing for: Syneos Health Commercial Solutions
Full Time position
Listed on 2025-12-08
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Consultant
Job Description & How to Apply Below
Location: St. Louis

The Field Reimbursement Manager (FRM) will operate as the subject‑matter expert on reimbursement, access, and coverage issues affecting the company's 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 regional management.

Responsibilities
  • Analyze access and reimbursement issues and opportunities, and educate office personnel on the patient journey for assigned product(s).
  • Provide access and reimbursement education to field teams.
  • Coordinate on access and reimbursement issues with third parties, including HUB/Patient support services and specialty pharmacy for pharmacy benefit products.
  • Educate HCPs on reimbursement processes, claim submissions, procedures and coding requirements of payer organizations (local payers, government payers, etc.).
  • Provide information to HCPs on how the products are covered under the benefit design and educate key private and public payer coverage changes that impact product access for patients.
Essential Requirements
  • Bachelor’s degree.
  • 5+ years’ experience in pharmaceutical and/or biotech, and 2+ years’ relevant experience in patient journey navigation, payer reimbursement, medical billing & 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 (offices, clinics, hospital).
  • Must live within the 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.
Benefits

The benefits for this position include a competitive compensation package, health benefits (medical, dental, and vision), company match 401(k), flexible paid time off (PTO) and sick time, and additional quality‑of‑life perks as required by applicable laws.

Syneos Health is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled) and has a voluntary COVID‑19 vaccination policy. Certain local governments or customers may have vaccine requirements that apply to some employees.

We believe in creating an environment where people can thrive, develop, and advance. Our people are rewarded through recognition, benefits, and career advancement opportunities.

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