Hybrid Field Reimbursement Manager jobs in United States
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Syneos Health Commercial Solutions · 16 hours ago

Hybrid Field Reimbursement Manager

Syneos Health Commercial Solutions is a global company dedicated to improving patients’ lives by navigating the complex reimbursement landscape. The Virtual Field Reimbursement Manager (VFRM) will manage defined accounts, serve as a reimbursement subject matter expert, and provide education on various reimbursement processes to stakeholders.

Biotechnology

Responsibilities

Serves as the primary virtual reimbursement contact for assigned accounts, responding to reimbursement requests
Serves as payer expert and be able to interpret and communicate payer changes, payer policies for Medicare, Medicaid and Commercial plans to key stakeholders in a timely manner
Provides education and support to prescribing physicians and support staff regarding reimbursement, coding and patient access issues
Assists with claims issue resolution, including underpayments, denials, and requests for additional documentation
Tracks payer-specific challenges and communicate access or time-to-therapy trends, while triaging complex reimbursement or policy issues to appropriate internal partners for escalation when needed
Maintains detailed documentation of reimbursement cases, trends, and outcomes to identify recurring access barriers
Manages multiple reimbursement cases simultaneously while meeting service-level expectations
Coordinate virtually and in-person as needed with internal partners to: Share payer insights and recurring reimbursement challenges
Provide clear, timely updates on case status and resolution outcomes using approved internal tools and processes
Participate in internal meetings and trainings to stay aligned on reimbursement strategy and product updates

Qualification

Reimbursement expertisePayer policy interpretationBenefit verificationPrior authorizationClaims resolutionPharmaceutical experienceField reimbursement experienceOncology experienceCommunication skillsProblem-solving skillsDocumentation skills

Required

BA/BS degree required
5+ years of pharmaceutical &/or biotech experience
1+ years of experience in field reimbursement
Ability to solve access issues related in specialty pharmacy channel
Ability to travel 15% – 80% virtual and 15% live

Preferred

Experience in oncology nice to have, not required

Benefits

Health benefits to include Medical, Dental and Vision
Company match 401k
Flexible paid time off (PTO)
Sick time

Company

Syneos Health Commercial Solutions

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Syneos Health® is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success.

Funding

Current Stage
Late Stage

Leadership Team

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Phil Moussally
CFO Deployment Solutions
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Barrie Pendsay
Chief Operating Financial Officer
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Company data provided by crunchbase