Virtual Reimbursement Manager
About the role
The Virtual Reimbursement Manager (VRM) will be responsible for reactively supporting multiple accounts in a specified geographic region through the access process. The VRM will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, which may include sales, market access, and other collaboration partners.
Responsibilities
- Manage daily activities that support appropriate patient access to our client’s products in the provider offices
- 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, and appeals
- Educate offices using approved materials provided by the client
- Educate physician office staff on the use of our client’s patient support services, including web based provider portals
Requirements
- Demonstrated initiative, resourcefulness and a results-oriented mindset
- Bachelor’s Degree
- Minimum two years of experience in public or private third party reimbursement or access arena or pharmaceutical industry in managed care or clinical support
- Demonstrated understanding of access, coverage and reimbursement issues in the retail channel, including commercial and federal health care program utilization management tools such as prior authorization, step edits, and denials
- Advanced knowledge of medical insurance terminology
- Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Parts B & D
Qualifications
- Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Parts B & D
Skills
- Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Parts B & D
Benefits
Annual base salary for this position ranges from $140,000 to $150,000. 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 eligibility to earn commissions/bonus based on company and / or individual performance.
Pay
The annual base salary for this position ranges from $140,000 to $150,000.
Schedule
Not specified.