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The Field Reimbursement Manager (FRM) proactively provides education and support on product access programs for physicians and their staff. Your ability to clear the way, extrapolate intricate details, attend to complex situations and serve as a trusted go-between make you a perfect fit for a Field Reimbursement Manager role at Syneos Health.
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Additionally, the FRM will analyze reimbursement and access issues and act as the local access and reimbursement resource for other field sales force personnel and region management.
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The Field Reimbursement Manager will be responsible for the management of defined accounts in Urology and Oncology area, specifically supporting our client's product. The Field Reimbursement Manager will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, including acting as an extension of patient support program and in other collaboration with other partners.
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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.
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The Market Access Field Reimbursement Manager (FRM) - Western Region will proactively engage with the ADMA field force to provide education and support to providers and their offices/staff on ADMA HUB Patient Support Program and services, current national and regional payor coverage, and payor policy for regionally and nationally based customers.
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Field Reimbursement Managers manage daily activities that support appropriate patient Reimbursement to our client's products in the provider offices and work as a liaison to other patient support programs offered by our client.
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The Reimbursement Manager will also work on patient level reimbursement issue resolution, and thus will need access to be knowledge of and have had experience with patient health information (PHI), navigating access issues, and working with payer and NCCN guidelines for product utilization.
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Support patient access assistance from prescriber decision through to fulfillment, supporting the entire Reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms.
$155,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Must have general payer policy knowledge including public & private payers, foundational knowledge of benefit verifications & prior authorization/pre-determination requirements (including appeals/exceptions), & knowledge of access & reimbursement processes within various sites of care.
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The Field Reimbursement Manager (FRM) is a field-based non-promotional position who will use their extensive knowledge of insurance coverage, patient assistance programs, and the local reimbursement landscape to provide support to Healthcare Professional's offices and their patients to obtain appropriate access to Bausch + Lomb's products.
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2+ years field reimbursement experience preferably with specialty products. Provide reimbursement education to field teams etc. The FRM will need to coordinate cross functionally within Field Sales, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, and Specialty Pharmacy Account Management.
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The FRM will educate and support the integration of the product into physician offices as well as provide support on reimbursement related processes and issues, as needed. They serve as the key contact responsible for reimbursement and access support-related matters for the product in the assigned geography.
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Coordinate on reimbursement issues with third parties including HUBs. Provide offices product reimbursement expertise. Analyze reimbursement issues and opportunities. Proven experience with high cost biologics and in-depth knowledge on issues related to billing, coding, appeals across physician types.
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Provide in-person or virtual one-on-one support to address questions about coding, coverage, reimbursement, and patient support requirements. Responsibilities include ensuring understanding and communicating Reimbursement, access, and program support program as it relates to the product.
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Comfortable working and communicating NCCN guidance including covering category 2B off-label recommendations for determination of Medicare reimbursement eligibility. Provide information on relevant Reimbursement topics related to the client product.
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Title: field reimbursement Company: Rayner
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