Reimbursement Specialist - Healthcare jobs in Richmond, VA

Description

You are an expert facilitator : you open doors, foster communication, and bridge the gap.

In this role, you will be responsible for the management of defined accounts in a specified geographic region within the cardiac therapeutic area, specifically supporting our customers products.

The FRS will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other collaboration partners. You will :

• Act as an extension of the call center and / or HUB and provide live one-on-one coverage support
• Serve as payer expert for defined geography and able to communicate payer changes to key stakeholders in a timely manner
• Offer office education during the entire access process which may include formulary coverage / utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and / or claims resolution
• Review patient-specific information in reimbursement cases where the office has specifically requested assistance in resolving access issue or coverage challenge

Essential Requirements :

• Bachelors degree
• 3 years experience in public or private third-party reimbursement arena or pharmaceutical industry in managed care, clinical support, or sales
• Experience with specialty / biologic products
• Demonstrated ability to educate offices on access processes
• Must live within territory or within territory boundaries.

Desired Requirements :

Cardiology experience

At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesnt 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.

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.

Last updated : 2024-04-22