Talent.com
Access & Reimbursement Manager
Access & Reimbursement ManagerSyneos Health/ inVentiv Health Commercial LLC • Syracuse, NY, United States
Access & Reimbursement Manager

Access & Reimbursement Manager

Syneos Health / inVentiv Health Commercial LLC • Syracuse, NY, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.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

    serp_jobs.job_alerts.create_a_job

    Reimbursement Manager • Syracuse, NY, United States

    Job_description.internal_linking.related_jobs
    Organizing Manager (Central & Western NY)

    Organizing Manager (Central & Western NY)

    New York Civil Liberties Union Foundation • Syracuse, NY, US
    serp_jobs.job_card.full_time
    Organizing Manager (Central & Western NY).Regular / Full-Time Exempt Position (NYCLU is working in a hybrid model; a number of in-person days is required) . New York Civil Liberties Union, Ce...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Patient Access Manager

    Patient Access Manager

    Helio Health • Syracuse, NY, United States
    serp_jobs.job_card.full_time
    The mission of Helio Health, Inc.To promote recovery from the effects of substance use and mental health disorders and other health issues. Patient Access Team Leaders and manage the patient access ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Behavioral Care Manager (REMOTE / Clinical supervision - NY, LMSW / LPC / LMFT / LMHC)

    Behavioral Care Manager (REMOTE / Clinical supervision - NY, LMSW / LPC / LMFT / LMHC)

    Integral Health • Syracuse, NY, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time +1
    Behavioral Care Manager (Remote).LMSW, LCSW, LMHC, LAC, LPC, LAMFT, LMFT.Integral Health – Making Behavioral Health Part of Everyday Care. At Integral Health, we partner with primary care providers,...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Remote Medical Director

    Remote Medical Director

    HealthCare Support • Syracuse, NY, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time +1
    Monday–Friday schedule, professional collaboration, and the chance to make a meaningful impact by supporting quality behavioral health care across diverse patient populations.Serve as a key clinica...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Manager In Training

    Manager In Training

    AutoZone • Syracuse, NY, US
    serp_jobs.job_card.full_time
    AutoZone’s Store Management team drives store performance, fosters a productive team, and ensures exceptional customer service. Managers and MITs play a key leadership role, expected to Live The Ple...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Healthcare Revenue Analytics Specialist

    Healthcare Revenue Analytics Specialist

    Tandym Group • Syracuse, NY, US
    serp_jobs.job_card.full_time
    A health services network in Westchester County is actively seeking a new Healthcare Revenue Analytics Specialist for a great opportunity. Analyze reimbursement and ensure adherence to payer contrac...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    RN Clinical Care Manager - Field-Based

    RN Clinical Care Manager - Field-Based

    UnitedHealth Group • East Syracuse, NY, United States
    serp_jobs.job_card.full_time
    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Regional Account Executive (Northeast)

    Regional Account Executive (Northeast)

    Eisai • Syracuse, NY, United States
    serp_jobs.job_card.full_time
    At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission.We're a growing pharm...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Head of Claims Compliance, Employee Benefits

    Head of Claims Compliance, Employee Benefits

    Confidential • Syracuse, NY, US
    serp_jobs.job_card.full_time
    Head of Claims Compliance, Employee Benefits.Prominent financial services company.Consulting & Professional Services.The Company is seeking a Head of Claims Compliance for Employee Benefits.Thi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Manager Engineering

    Manager Engineering

    Constellation Energy • Parish, NY, US
    serp_jobs.job_card.full_time
    As the nation's largest producer of clean, carbon-free energy, Constellation is focused on our purpose : accelerating the transition to a carbon-free future. We have been the leader in clean ener...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    United States Customs and Border Protection Officer

    United States Customs and Border Protection Officer

    U.S. Customs and Border Protection • Cleveland, New York, US
    serp_jobs.job_card.full_time +1
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Director, Cardiac Services

    Director, Cardiac Services

    Merraine Group, Inc. • Syracuse, NY, US
    serp_jobs.job_card.full_time
    This is an outstanding opportunity for an accomplished healthcare leader to oversee and advance a high-performing cardiovascular program within a respected regional hospital.The successful candidat...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    RN Case Manager / Utilization Review

    RN Case Manager / Utilization Review

    GreenLife Healthcare Staffing • Syracuse, NY, United States
    serp_jobs.job_card.full_time
    RN Case Manager / Utilization Review - Syracuse, NY (#25268).Acute Care / Academic Medical Center, Syracuse, NY.About Greenlife Healthcare Staffing : . Greenlife Healthcare Staffing is a leading nationw...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    RN Field Clinical Care Manager

    RN Field Clinical Care Manager

    UnitedHealth Group • Syracuse, NY, United States
    serp_jobs.job_card.full_time +1
    Virtual Job Fair, on December 2nd, 12 : 00-2 : 00pm EST.SIGN ON BONUS FOR EXTERNAL APPLICANTS.Coverage Area : Central Upstate NY Region. At UnitedHealthcare, we're simplifying the health care experience,...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Special Agent, $40,000 Recruitment Incentive

    Special Agent, $40,000 Recruitment Incentive

    The United States Secret Service • Cicero, NY, United States
    serp_jobs.job_card.full_time
    Recruitment Incentive : Applicants may be eligible for a $40,000 recruitment incentive in accordance with regulatory requirements. Click apply for complete details on the recruitment incentive detail...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel RN Case Manager – Utilization Review & Clinical Documentation Improvement - $2,320 per week

    Travel RN Case Manager – Utilization Review & Clinical Documentation Improvement - $2,320 per week

    HonorVet Technologies • Syracuse, NY, United States
    serp_jobs.job_card.full_time
    HonorVet Technologies is seeking a travel nurse RN Case Management for a travel nursing job in Syracuse, New York.Job Description & Requirements. RN-Case Manager / Utilization Review / CDI (clinical doc...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    RN Case Manager / Utilization Review

    RN Case Manager / Utilization Review

    National Coalition of Healthcare Recruiters • Syracuse, NY, United States
    serp_jobs.job_card.full_time
    Only QUALIFIED Healthcare Professionals accepted).Case Manager-RN - JOB TITLE (#25268) : RN Case Manager | Utilization Review - Syracuse, NY. Location : Acute Care|Academic Medical Center, Syracuse, N...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Nurse Account Manager

    Nurse Account Manager

    Clarest Health • Syracuse, NY, United States
    serp_jobs.job_card.full_time
    At Clarest Health , we are dedicated to transforming patient care by providing innovative and efficient pharmacy services to healthcare facilities. Our commitment to excellence ensures that our auto...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted