Field Reimbursement Specialist

Description

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

The Field Reimbursement Specialist (FRS) will be responsible for the management of defined accounts in a specified geographic region in the respiratory therapeutic area, specifically supporting our client's products.

In this role, the FRS will demonstrate unwavering support and consultative approach to help offices obtain insurance authorization and/or reimbursement of products for appropriate patients. The FRS will have a direct impact on a patient's ability to access the therapies they need. Additional responsibilities include:

• Manage daily activities that support appropriate patient access to our client's products in the provider offices and work as a liaison to other patient assistance and access support services offered by our clients (i.e. HUB, Call Center, Specialty Pharmacy Services)
• Act as an extension of the call center and/or HUB and provide live one-on-one coverage support
• Serve as payer expert for defined geography and able to communicate payer changes to key stakeholders in a timely manner
• Offer office education during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution
• Educate physician office staff on the use of our client's patient support services, including web based provider portals

Along with demonstrated initiative, resourcefulness and a results-oriented mindset, the ideal candidate has:

• Bachelor's Degree or a minimum three years of experience in public or private third party access arena or pharmaceutical industry in managed care, clinical support, and/or sales or a minimum of 6 years biologic coordinator experience
• Experience with specialty/biologic self-injectable (pharmacy benefit) or physician administered (buy and bill/medical benefit) products
• Demonstrated ability to educate offices on access processes including educating HCPs on client specific Patient Service programs (i.e. copay, nurse education, bridge, patient assistance, etc.) and delivering educational presentations
• Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare (Part B - for buy & bill products and Part D for Pharmacy products)

At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesn't align perfectly, we encourage you to apply anyway. At times, we will consider transferable skills from previous roles. We also encourage you to join our Talent Network to stay connected to additional career opportunities.

Why Syneos Health? Our ability to collaborate and problem-solve makes a difference in patients' lives daily. By joining one of our field access teams, you will partner with industry experts and be empowered to succeed with the support, resources, and autonomy needed to successfully navigate the complex reimbursement landscape. The diversification and breadth of our new and existing partnerships create a multitude of career paths and employment opportunities. Join our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients' lives around the world.

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

Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Additionally, certain local governments or Syneos Health customers may have vaccine requirements that apply to some of our employees. These employees are required to submit proof of vaccination to Syneos Health and maintain compliance with these requirements.
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.

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