Field Reimbursement Manager

6 days ago

Riverside, United States Syneos Health inVentiv Health Commercial LLC Full time

Description

POSITION SUMMARY:

A Field Reimbursement Manager (FRM) is responsible for partnering with internal and external stakeholders to create and execute a business plan for assigned accounts with an objective of removing all access barriers, providing pull-through and issue resolution for all appropriate patients while optimizing conversions and adherence. Accounts may include HCPs, large specialty accounts, academic centers, integrated delivery networks, and others.

Key responsibilities include:

  • Execute on the vision and strategy created by the brand and market access teams specific to the unique business needs of each region/area to drive prescription fulfillment
  • Lead and compliantly partner with their regional team to achieve/exceed market access objectives for their assigned region at launch and beyond
  • Work with Market Access and Sales leadership, Marketing, Channel and Patient Services to educate/execute support programs that will enhance our value proposition of removing barriers to access and assist HCPs with understanding the regional/national coverage environment and provide appropriate patients a path to product
  • Proactively engage with assigned accounts supporting internal/external customer access needs and compliantly engage within assigned geography to support access and adherence needs
  • Educate office staff on prior authorization process, denial next steps, appeal for all products
  • Educate on financial support options
  • Serve as an access and payer criteria expert for defined geography and communicate changes to key internal and external stakeholders; FRMs identify and address time-sensitive market development and implementation efforts to remove all access barriers for all products for appropriate patients, while optimizing adherence
  • Lead and demonstrate the ability to expand and build long-term key stakeholder relationships with assigned accounts by working closely with them to help remove access barriers and optimize adherence for patients; offer educational resources to support the entire patient access journey through payer prior authorization, appeals/denials procedures and forms to resolve any issues with access challenges
  • Coordinate and educate customers to the Patient Support Services program representatives to seamlessly support customer and patient-centric needs
  • Act as an arm of the patient services team to provide live one-on-one coverage support
  • Educate physician office staff on patient support services available through patient assistance and call center, including web-based provider programs; this may include alternative support options for appropriate patients (e.g., copay, patient assistance); provide information on relevant access topics

QUALIFICATIONS:

  • Bachelor‘s Degree required; graduate degree preferred
  • 7 years of proven commercial experience within the biopharmaceutical industry (preferably with specialty pharmaceuticals experience)
  • 5 years of Market Access/Sales experience; experience in Marketing, Market Access, Commercial Operations or Sales/Sales Training preferred, with a minimum of 2 years as an FRM or RAM working specifically with PBM medications
  • Extensive pharmacy benefit knowledge (specialty product specific) required, identifying and educating to payer criteria for authorization, and accumulator and maximizer programs
  • Knowledge and understanding of all payer segments (e.g., Commercial, Medicare Part D) required
  • Bridge program experience
  • Knowledge and understanding of specialty markets, HUB/Reimbursement experience required
  • Previous experience launching orphan or specialty products is strongly preferred
  • Must live within territory or within territory boundaries
  • Ability to travel up to 50% required, which may include overnight and/or weekend travel

The annual base salary for this position ranges from $155,000 to $170,000. The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate‘s qualifications, skills, competencies, and proficiency for the role. In addition, some positions may include eligibility to earn commissions/bonus based on company and / or individual performance.

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.

Work Here Matters Everywhere | How are you inspired to change lives?

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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