Reimbursement and Access Specialist
4 weeks ago
The Access & Reimbursement Manager will serve as the subject-matter expert on reimbursement, access, and coverage issues affecting the client's products. This role will operate remotely or in the field, providing education to defined accounts within a given territory on matters related to reimbursement, access, and coverage to facilitate appropriate patient access.
Key Responsibilities- Analyze reimbursement and access issues and act as the local access and reimbursement resource for other field force personnel and region management, as permitted by policy.
- Coordinate with the hub concerning individual patient cases, including patient access and coverage assistance, hub enrollment, and overall coordination.
- Collaborate cross-functionally with Field Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade, and Specialty Pharmacy Accounts while adhering to all corporate and industry policy and procedures.
- Manage daily activities that support appropriate patient access to the client's products and work as a liaison to other patient support programs offered by the client.
- Bachelor's Degree or 4+ years of professional sales, healthcare, scientific, marketing, or military experience.
- Minimum three years' experience in public or private third-party reimbursement arena or pharmaceutical industry in managed care, patient services, or clinical support.
- Pulmonary Arterial Hypertension experience preferred. Cardiology, Pulmonology, and/or orphan drug experience preferred.
- Proven experience with hubs, in-depth knowledge on issues related to billing, coding, appeals across provider types.
- Experience with commercial payers, Medicare plans, and state Medicaid in the geographic region.
- Exhibit competent understanding of hub and patient support activities.
- Communicate clearly and effectively - written and verbal.
- Local and national travel required for this position.
- Ability to operate as a 'team player' in collaborating with multiple sales representatives, sales leadership, and internal colleagues appropriately to reach common goals.
- Ability to travel and possess a valid driver's license to drive to assigned healthcare accounts, unless otherwise specified.
- Must live within the territory or within the territory boundaries.
A competitive compensation package, including a base salary range of $145,000 to $158,000, and eligibility to earn commissions/bonus based on company and/or individual performance. Additionally, we offer a comprehensive benefits package, including health benefits, company match 401(k), flexible paid time off (PTO), and sick time.
Syneos Health is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled). We strongly encourage all employees to be fully vaccinated and comply with local and national vaccine requirements.
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