Jobs · Finance

Access & Reimbursement Manager

Syneos Health Commercial Solutions · Nashville, TN · 1 mo ago
RemoteRemoteFinanceFull-time
We need to output HTML fragment with sections only if content present. Use

for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to parse the description. We must not repeat job title as heading. No Job ID. Remove boilerplate: EEO, vaccination policy, etc. Also remove duplicated lines, navigation, cookie, legal, EEO, scam-warning, application instructions. Also remove "Why Syneos Health?" maybe considered boilerplate? It's promotional but maybe keep? The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. "Why Syneos Health?" is promotional but not explicitly prohibited. However we should keep substantive info. The "Why Syneos Health?" includes some fluff but maybe considered not boilerplate. However we can keep as part of About the role? Might be better to include under About the role. We need sections: About the role (summary), Responsibilities (list), Requirements (maybe combine with Qualifications?), Qualifications (maybe education/experience), Skills (maybe specific skills), Benefits (benefits listed), Pay (if mentioned), Schedule (if mentioned). The posting mentions: "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." Also mentions "Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work." That's benefits. No explicit pay amount or schedule. So we should not create Pay or Schedule sections because no specific content. So we will have sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits. We need to preserve all substantive information. Let's extract. About the role: The first paragraph: "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's a good summary. Responsibilities: The list after "Activities include, but are not limited to:" then bullet points: - 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 Also later: "Along with demonstrated initiative, resourcefulness and a results-oriented mindset, the ideal candidate has:" that's qualifications. Also: "Local and national travel required for this position" maybe under Responsibilities or Requirements? Could be a requirement. We'll put under Requirements maybe. Also: "Ability to operate as a “team player” in collaborating with multiple sales representatives, sales leadership, and internal colleagues appropriately to reach common goals" - skill. "Ability to travel and possess a valid driver’s license to drive to assigned healthcare accounts, unless otherwise specified" - requirement. "Must live within territory or within territory boundaries." - requirement. Now Requirements: maybe combine education/experience etc. 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. Skills: maybe "Communicate clearly and effectively – written and verbal", "Ability to operate as a team player", "Demonstrated initiative, resourcefulness and a results-oriented mindset", "Proven experience with hubs", "In-depth knowledge on issues related to billing, coding, appeals", etc. But we already have many in qualifications. To avoid duplication, we could separate: Requirements = education/experience + travel/license/live; Qualifications = preferred experience etc; Skills = communication, teamwork, initiative, resourcefulness, results-oriented. But we must not repeat info. Let's decide: - About the role: summary paragraph. - Responsibilities: list of activities. - Requirements: Bachelor’s Degree or 4+ years experience; Minimum three years’ experience in reimbursement arena; Ability to travel and possess valid driver’s license; Must live within territory; Local and national travel required. - 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; Demonstrated initiative, resourcefulness and a results-oriented mindset. - Benefits: competitive compensation package, Health benefits to include Medical, Dental and Vision, Company match 401k, flexible paid time off (PTO) and sick time; note about sick time eligibility varying. We should not include Pay or Schedule sections. Now produce HTML: use

for each heading, then

for prose,

  • for lists. We need to ensure we don't include any boilerplate like EEO, vaccination policy, etc. Also remove duplicated lines. Let's craft. About the role: combine the summary paragraph(s) into one

    . Might be long but okay. Responsibilities: list each bullet as

  • . Requirements: list as
    • . Qualifications: list. Skills: list. Benefits: maybe a

      describing benefits. Let's write. Check for any leftover boilerplate: "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." That's promotional but maybe considered boilerplate? It's not EEO but still generic. The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. This is not exactly those, but it's more like company culture pitch. Could be considered part of "Why Syneos Health?" but we already have a similar section later. Might be safe to keep? However to be safe, we could omit that as it's not substantive about the role. The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." That paragraph is not substantive about the role; it's generic encouraging. Could be considered boilerplate. I'd remove it. Also remove "Why Syneos Health?" paragraph and the following inspirational paragraphs. Those are promotional. Might be considered boilerplate. Safer to remove them. Thus we keep only role description, responsibilities, requirements, qualifications, skills, benefits. Now produce HTML. Let's draft:

      About the 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.

      Responsibilities

      • 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

      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
      • 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

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