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Regional Reimbursement Manager
4 months ago
You are an expert facilitator: you open doors, foster communication, and bridge the gap.
In this role, you will manage daily activities that support appropriate patient reimbursement for products in provider offices. You will also serve as a liaison to other patient assistance and reimbursement support services. You will:
- Provide live one-on-one support to address questions about coverage requirements
- Offer assistance from prescriber decision to access, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements, procedures and forms
- Review patient-specific information in cases where the site has specifically requested assistance and patient health information is available in resolving any issues or coverage challenges
- Educate physician office staff on the use of the patient assistance programs and call-center support services, including web-based provider programs
- Bachelor's degree
- 5+ years' pharmaceutical and/or biotech experience
- 2+ years' relevant experience in the following: patient journey navigation, payer, reimbursement, medical billings & coding, specialty pharmacy & distribution, and patient support services engagement
- Buy and bill experience
- Must have an in-depth understanding of Patient Enrollment Forms; Prior Authorization process; Appeals; Peer to Peer interventions; coding, coverage, and payment across all sites of care (e.g., offices, clinics, hospital)
- Ability to travel up to 70%
- Must live within territory or within territory boundaries.
- Experience with Neurology and infused products
- Experience with IDNs, Health Systems and Infusion Centers
The annual base salary for this position ranges from $160,000 to $175,000. 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.
W o r k H e r e M a t t e r s E v e r y w h e r e | 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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