Talent.com
Access & Reimbursement Manager

Access & Reimbursement Manager

Syneos Health / inVentiv Health Commercial LLCRochester, NY, United States
22 days ago
Job type
  • Full-time
Job description

Description

The Access & Reimbursement Manager (ARM) will operate as the subject-matter expert on reimbursement, access, and coverage issues affecting the client's products. The ARM role is a remote / field-based role that proactively provides in person (or virtual if required) approved education to defined accounts within a given territory on matters related to reimbursement, access and coverage to facilitate appropriate patient access. The ARM will 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. Where appropriate, the ARM will coordinate with the hub concerning individual patient cases including patient access and coverage assistance, hub enrollment and overall coordination. The ARM will need to collaborate cross functionally with Field Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts while abiding by all corporate and industry policy and procedures.

Access & Reimbursement Managers manage daily activities that support appropriate patient access to our client's products and work as a liaison to other patient support programs offered by our client. Activities include, but are not limited to :

  • Analyze access / reimbursement issues
  • Provide product access / reimbursement education to HCP offices
  • Provide access / reimbursement education to field teams upon approved direction.
  • Coordinate on access / reimbursement issues with third parties including hubs
  • Provide education and support on Specialty Pharmacy issues for pharmacy benefit products
  • Provide information to HCP on how the products are covered under the benefit design (Commercial, Medicare Part D, Medicaid)
  • Answer questions about coverage, ICD-10 codes of product, including patient-specific access questions
  • Educate and update HCPs on key private and public payer coverage and changes that impact product access for patients
  • Support patient access to the product by providing subject matter expertise on payer coverage issues impacting product access in a manner that complies with policies, processes and standard operating procedures
  • Educate HCP offices on the product hub program including, e.g., patient support offerings, financial assistance and hub educational resources
  • Demonstrate knowledge of and communicate information about access resources and payer processes / policies
  • Attend National and Regional Meetings

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

  • Bachelor's Degree or 4+ years 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.
  • Experience in Pulmonary Arterial Hypertension (PAH) preferred. Experience in Cardiology, Pulmonology, or with orphan drugs is desirable.
  • 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 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 territory or within territory boundaries.
  • The annual base salary for this position ranges from $145.000 to $160.000. 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 a company car or car allowance and 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.

    400002439

    Create a job alert for this search

    Reimbursement Manager • Rochester, NY, United States

    Related jobs
    Controller

    Controller

    Carrie Rikon & Associates, LLC.Brockport, NY, US
    Full-time
    Quick Apply
    Controller Brockport, NY $100K Plus Benefits Full-time Do you want to be part of a leading, patient-centered organization where professionals come together to improve access to quality health care ...Show moreLast updated: 30+ days ago
    Controller

    Controller

    Carrie Rikon & AssociatesBrockport, NY, US
    Full-time
    Quick Apply
    Now Hiring : Controller – Brockport, NY.Play a Key Role in Leading Financial Strategy for a Patient-Centered Healthcare Organization. Must Have Healthcare Industry Background.Are you ready to bring y...Show moreLast updated: 30+ days ago
    • Promoted
    Executive Secretaries and Administrative Assistants

    Executive Secretaries and Administrative Assistants

    Nexus StaffRochester, NY, US
    Full-time
    Location : 1111 Elmwood Ave, Rochester NY 14620.Show moreLast updated: 30+ days ago
    • Promoted
    Staff Administrative Coordinator - UR Labs

    Staff Administrative Coordinator - UR Labs

    University of RochesterRochester, NY, US
    Full-time
    Job Opportunity At The University Of Rochester.As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share : e...Show moreLast updated: 30+ days ago
    • Promoted
    Seasonal Tax Expert - Local

    Seasonal Tax Expert - Local

    IntuitEAST ROCHESTER, New York, United States
    Full-time
    Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...Show moreLast updated: 5 days ago
    • Promoted
    Practice Manager I

    Practice Manager I

    University of RochesterRochester, NY, US
    Full-time
    University Of Rochester Job Posting.As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share : equity, lead...Show moreLast updated: 30+ days ago
    • Promoted
    Assistan Controller

    Assistan Controller

    TradeJobsWorkforce14621 Rochester, NY, US
    Full-time
    Assistant Controller Job Duties : Prepares financial statements to summarize and forecast the company's fin...Show moreLast updated: 30+ days ago
    • Promoted
    Billing Supervisor

    Billing Supervisor

    TradeJobsWorkForce14605 Rochester, NY, US
    Full-time
    Billing Supervisor Job Duties : Accomplishes billing human resource objectives by selecting, ori...Show moreLast updated: 30+ days ago
    • Promoted
    Accounts Receivable Manager

    Accounts Receivable Manager

    BonadioRochester, NY, US
    Full-time
    Beacon Solutions Group, a subsidiary of The Bonadio Group, is currently seeking an Accounts Receivable Manager.This person will provide billing services and general revenue cycle services to health...Show moreLast updated: 30+ days ago
    • Promoted
    Accounting Director

    Accounting Director

    TradeJobsWorkforce14609 Rochester, NY, US
    Full-time
    Accounting Director Job Responsibilities : Supports organization financial objectives by providing financial analyses and recommendations and directing staff.Develops acc...Show moreLast updated: 30+ days ago
    • New!
    Audit Senior

    Audit Senior

    DeJoy & Co. CPAs, LLPRochester, NY, USA
    Full-time
    Quick Apply
    Rochester, NY, or work on a fully remote or hybrid basis.Founded in 1990, DeJoy & Co.Rochester's state-of-the-art Tower280 at Midtown. We provide clients with the highest quality audit, tax, fin...Show moreLast updated: 2 hours ago
    • Promoted
    Treasurer

    Treasurer

    TradeJobsWorkForce14617 Irondequoit, NY, US
    Full-time
    Treasurer Job Duties : Analyzes and recommends optimal capital structure alternativ...Show moreLast updated: 30+ days ago
    Master Scheduler

    Master Scheduler

    PEKO Precision Products IncRochester, NY, US
    Full-time
    Quick Apply
    PEKO is a full-service, debt-free, privately-owned contract manufacturer with over 50 years embedded in the Rochester, NY community. In collaboration with our valued business partners, we deliver ne...Show moreLast updated: 30+ days ago
    • Promoted
    Staff Accountant

    Staff Accountant

    fairlifeWebster, NY, US
    Full-time
    LLC is a Chicago-based nutrition company that creates great-tasting, nutrition-rich and dairy products to nourish consumers. With over $3B in annual retail sales, fairlife's portfolio of delicious, ...Show moreLast updated: 2 days ago
    • Promoted
    Sr Accountant

    Sr Accountant

    University of RochesterRochester, NY, US
    Full-time
    Job Opportunity At The University Of Rochester.As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share : e...Show moreLast updated: 30+ days ago
    • Promoted
    Staff Accountant

    Staff Accountant

    TradeJobsWorkForce14606 Rochester, NY, US
    Full-time
    Staff Accountant Job Duties : Prepares consolidated internal and external financial statements b...Show moreLast updated: 30+ days ago
    Revenue Cycle Supervisor

    Revenue Cycle Supervisor

    Carrie Rikon & Associates, LLC.Brockport,, NY, US
    Full-time
    Quick Apply
    Revenue Cycle Supervisor Brockport, NY Salary; 75K-85K Plus Benefits Full-time Do you want to be part of a leading, patient-centered organization where professionals come together to improve access...Show moreLast updated: 30+ days ago
    • Promoted
    Branch Office Administrator

    Branch Office Administrator

    Edward JonesWebster, NY, US
    Full-time
    Show moreLast updated: 24 days ago
    • Promoted
    Compliance Director

    Compliance Director

    TradeJobsWorkForce14609 Rochester, NY, US
    Full-time
    Compliance Director Job Duties : Accomplishes compliance human resource strategies by determining acco...Show moreLast updated: 30+ days ago
    • New!
    Audit Manager

    Audit Manager

    DeJoy & Co. CPAs, LLPRochester, NY, USA
    Full-time
    Quick Apply
    CPAs, RLLP is a mid-sized regional Accounting firm dedicated to providing exceptional client service while fostering a collaborative, growth-focused environment. Our team values integrity, continuou...Show moreLast updated: 2 hours ago