Access & Reimbursement Specialist

Description

The Access & Reimbursement Specialist (ARS) will serve as an expert on reimbursement, access, and coverage challenges related to the client's products. This remote / field-based position proactively delivers approved education to designated accounts about reimbursement, access, and coverage to enhance patient access. The ARS will assess reimbursement and access challenges and act as a vital resource for other field personnel and regional management, in accordance with policy. When appropriate, the ARS will collaborate with the hub regarding individual patient cases, which includes access and coverage assistance, hub enrollment, and overall coordination.

This role requires significant collaboration across various functions, including Field Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade, and Specialty Pharmacy Accounts while adhering to all corporate and industry policies and procedures.

The daily responsibilities of the Access & Reimbursement Specialist include :

• Analyzing access / reimbursement issues
• Providing education on product access and reimbursement to healthcare provider (HCP) offices
• Educating field teams on access / reimbursement, following approved guidelines
• Coordinating access / reimbursement matters with external parties, including hubs
• Offering guidance and support on Specialty Pharmacy issues for pharmacy benefit products
• Informing HCPs about coverage related to benefit designs (Commercial, Medicare Part D, Medicaid)
• Responding to inquiries about coverage, ICD-10 codes, and patient-specific access concerns
• Keeping HCPs updated on key payer coverage changes that impact patient access
• Supporting patient product access through expertise in payer coverage issues while ensuring compliance with policies and standard operating procedures
• Educating HCP offices about the product hub program, including patient support services, financial assistance, and educational resources
• Demonstrating knowledge of access resources and payer processes / policies
• Participating in National and Regional Meetings

The ideal candidate will possess strong initiative, resourcefulness, and a results-driven mindset, along with the following qualifications :

The annual base salary for this role is between $145,000 and $160,000. This range represents the expected low and high salary for this position at Syneos Health. Actual salary will depend on various factors, including qualifications, skills, and experience. Some positions may offer a company car or a car allowance, as well as eligibility for commissions or bonuses based on individual or company performance.

At Syneos Health, we are committed to fostering a diverse and inclusive workplace. If your experience does not perfectly align, we still encourage you to apply. We appreciate transferable skills from previous roles and invite you to join our Talent Network to stay informed about further career opportunities.

Why Syneos Health? Our collaborative approach and problem-solving capabilities positively impact patients' lives every day. By becoming part of our field access teams, you will work alongside industry experts and receive the support, resources, and autonomy necessary to effectively navigate the complex reimbursement landscape. Our diverse partnerships provide numerous career paths and employment opportunities. Experience the satisfaction of knowing your efforts play a vital role in improving patients' lives globally.

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Syneos Health is an equal opportunity employer (Minorities / Females / Veterans / Disabled)

Syneos Health has a voluntary COVID-19 vaccination policy and encourages all employees to be fully vaccinated. Certain local laws or Syneos Health clients may have additional vaccination requirements, and those employees must provide proof of vaccination and comply with such requirements.

Syneos Health is dedicated to creating an environment and culture where our people can thrive, develop, and advance. We reward and recognize our employees through valuable benefits and a focus on work-life balance. Benefits include a competitive compensation package, health benefits covering medical, dental, and vision, a company-matched 401k plan, flexible paid time off (PTO), and sick leave. Given that some states and municipalities have specific paid sick leave laws, eligibility for paid sick time may vary based on location. Syneos Health adheres to all relevant federal, state, and local paid sick leave laws.

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