Jobs · Finance

Access & Reimbursement Manager

Syneos Health Commercial Solutions · Charlotte, NC · 1 mo ago
RemoteRemoteFinance$145k–$155k/yrFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule as appropriate. Use

for each heading. Use
  • for lists,

    for prose. Do not repeat job title. Do not include Job ID. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. Keep substantive info. We need to parse description. Key content: - Role description: Access & Reimbursement Manager (ARM) will operate as SME on reimbursement, access, coverage issues affecting client's products. Remote/field-based role that proactively provides in person (or virtual) approved education to defined accounts within a given territory on matters related to reimbursement, access and coverage to facilitate appropriate patient access. Analyze reimbursement and access issues and act as local access and reimbursement resource for other field force personnel and region management, as permitted by policy. Where appropriate, coordinate with hub concerning individual patient cases including patient access and coverage assistance, hub enrollment and overall coordination. 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. Manage daily activities that support appropriate patient access to client's products and work as a liaison to other patient support programs offered by client. Activities include, but not limited to: list of duties. List of duties (activities): - 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 Then "Along with demonstrated initiative, resourcefulness and a results-oriented mindset, the ideal candidate has:" then list of qualifications/experience. Qualifications: - 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. - Pulmonary Arterial Hypertension experience preferred. - Cardiology, Pulmonology and/or orphan drug experience preferred. - 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. Pay: "The annual base salary for this position ranges from $145,000-$155,000. 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." Benefits: later: "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." Schedule: Not explicitly mentioned. There's travel required, local and national travel required. No explicit schedule like full-time, part-time. So we should not create Schedule section unless posting actually states it. It does not state schedule like "full-time". So omit Schedule. We need sections: About the role (maybe a brief summary), Responsibilities (list of duties), Requirements (maybe qualifications?), Qualifications (maybe education/experience?), Skills (maybe communication, team player, travel, driver license, territory residence). Benefits, Pay. We need to avoid filler like "commensurate with experience". Not present. We need to preserve all substantive info. So we need to include all bullet points. We need to not repeat job title as heading. So no heading for Access & Reimbursement Manager. We need to not include Job ID (400002439) - drop. We need to remove EEO etc. At end there is "Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled) Syneos Health has a voluntary COVID-19 vaccination policy..." That's boilerplate; remove. Also remove "Why Syneos Health?" paragraphs? Those are promotional but maybe considered boilerplate? The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The "Why Syneos Health?" paragraphs are promotional but not explicitly listed; but they might be considered fluff. However they contain substantive info about culture etc. Might be considered not required? The instruction says preserve ALL substantive information; do NOT invent or summarize away detail. The "Why Syneos Health?" paragraphs are not essential job details but could be considered fluff. However they are not explicitly listed as boilerplate to remove. But they are generic marketing. Safer to keep? The instruction: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." It does not say remove promotional fluff. So we could keep them but they'd be in prose. However they'd be somewhat repetitive. Might be okay. But we need to output only HTML fragment. We'll include sections: About the role (maybe a short paragraph summarizing role), Responsibilities (list), Requirements (maybe education/experience?), Qualifications (maybe preferred experience?), Skills (maybe communication, teamwork, travel, driver license, territory residence), Benefits, Pay. We need to decide what goes where. The posting includes qualifications and experience under "Along with demonstrated initiative...". That includes education, experience, preferred experience, etc. We can split: Requirements: 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. Qualifications: Pulmonary Arterial Hypertension experience preferred; Cardiology, Pulmonology and/or orphan drug experience preferred; 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. Skills: Communicate clearly and effectively – written and verbal; 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; Local and national travel required for this position. But note "Local and national travel required for this position" is a requirement, could be under Skills or Requirements. We'll put under Skills. Now Benefits: list: competitive compensation package, Health benefits to include Medical, Dental and Vision, Company match 401k, flexible paid time off (PTO) and sick time. Also note 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. Pay: base salary range $145,000-$155,000; actual salary varies; some positions may include a company car or car allowance and eligibility to earn commissions/bonus based on company and/or individual performance. Now About the role: we can summarize first paragraph(s) describing role: 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. That seems good. Now Responsibilities: list of activities (the bullet list). We'll output as

    • each. Now we need to ensure we don't duplicate content. Ensure we include all bullet points. Let's list bullet points exactly as in text: - 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 Now Requirements: 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. Qualifications: Pulmonary Arterial Hypertension experience preferred; Cardiology, Pulmonology and/or orphan drug experience preferred; 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. Skills: Communicate clearly and effectively – written and verbal; Ability to operate as a “team player” in collaborating with multiple sales representatives, sales leadership,

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