Access Reimbursement Manager

Overview

Do you have a noticeable passion for results?

Connecting people with the information they need is your forte. You’re a unifier by nature and you’re at your best when setting others up for success. Your ability to clear the way, extrapolate intricate details, attend to complex situations and serve as a trusted go-between make you a perfect fit for an Access Reimbursement Manager role at Syneos Health.

Responsibilities

The Access Reimbursement Manager (ARM) will operate as the subject-matter expert on reimbursement, access, and coverage issues affecting the clients’ products. Educate HCPs and their staff on matters related to reimbursement, access and coverage to facilitate appropriate patient access. The ARM will analyze reimbursement and access issues and act as the local access and reimbursement resource for other field sales force personnel and region management. Coordinate with the hub concerning individual patient cases including patient reimbursement assistance, referrals to enrollment and overall coordination. The ARM will need to collaborate cross functionally with Field Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts while abiding by all corporate and industry policy and procedures.

• Analyze access/reimbursement issues and opportunities
• Provide offices product access/reimbursement expertise
• Provide access/reimbursement education to field teams etc.
• Coordinate on access/reimbursement issues with third parties including hubs
• Liaising with Specialty Pharmacy for pharmacy benefit products
• Provide information to HCP on how the products are covered under the benefit design (Commercial, Medicare Part D, Medicaid)
• Answer questions about coverage, ICD-10 codes of product, including patient-specific access questions
• Educate and update HCPs on key private and public payer coverage and changes that impact the products access for patients
• Support patient access to the products by providing subject matter expertise on reimbursement issues that may be barriers to product access in a manner that complies with policies, processes and standard operating procedures
• Educate HCPs and their practice personnel on the products HUB program including reimbursement, financial assistance and HUB tools (e.g., provider portal tool, copay tracking, forms)
• Demonstrate knowledge of and communicate information about resources and forms available for access and reimbursement

Job Requirements

Along with a results-oriented mindset, self-assurance and an engaging manner, the ideal candidate has:

• BS/BA Degree required
• 5+ years in Commercial Biotech/Pharmaceutical experience
• 2+ years field reimbursement experience preferably with specialty products
• Proven experience with hubs, in-depth knowledge on issues related to billing, coding, appeals across physician types
• Experience with commercial payers, Medicare plans and state Medicaid in geographic region
• Exhibit competent understanding of hub activities
• Valid driver's license and the ability to travel, including overnights and/or weekends

Interviews may be conducted in person at an on-site interview location. For any in person interviews, local COVID-19 safety guidelines will be followed.

I understand that if I am made an offer of employment, it will be conditioned on my demonstration I am fully vaccinated OR I plan to initiate vaccination by my start date AND be fully vaccinated within 4 weeks of start date against the COVID-19 virus.

IMPORTANT: I understand that if the role for which I am applying requires extensive in-person contact with colleagues, health care providers, clients and other medical professionals who have stringent vaccination requirements that all Syneos Health employees with whom they partner be fully vaccinated and will not accept or consider any exemptions. I understand I can request an exemption from Syneos Health’s vaccination requirement based on a qualifying medical condition or sincerely held religious belief. However, in the event that I successfully obtain an exemption, I understand that it is highly unlikely that I will be able to adequately perform the essential functions of this position without imposing an undue hardship on Syneos Health due to the clients’ demands.

Why Syneos Health? Join a game-changing global company that is reinventing the way therapies are developed and commercialized. Here, you’re essential in solving and executing against today’s toughest commercialization challenges facing the world’s leading healthcare companies. From the very beginning, you’ll be supported by team members who, like you, aren’t afraid to try something new. You'll gain exposure and work in a dynamic environment to create better, smarter, faster ways to get biopharmaceutical therapies to patients.

WORK HERE MATTERS EVERYWHERE | How will you accelerate bringing Market Access solutions to clients?

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