Virtual Reimbursement Manager
About the role
The Virtual Reimbursement Manager (VRM) will support multiple accounts in a specified geographic region through the access process. Responsibilities include ensuring understanding of coverage, access process and reimbursement services.
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 communicate payer changes to key stakeholders in a timely manner
- Offer office education during the entire access process, including 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
- Experience educating HCPs on client specific Patient Service programs (i.e. copay, bridge, patient assistance, etc.)
- Experience delivering educational presentations
- 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
- 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
- Experience educating HCPs on client specific Patient Service programs (i.e. copay, bridge, patient assistance, etc.)
- Experience delivering educational presentations
- Advanced knowledge of medical insurance terminology
- Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Parts B & D
Benefits
- Competitive compensation package
- Health benefits to include Medical, Dental and Vision
- Company match 401k
- Flexible paid time off (PTO) and sick time
Pay
- Details TBD
Schedule
- Details TBD
Why Syneos Health?
At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. We encourage you to apply if your past experience doesn’t align perfectly, as we consider transferable skills from previous roles. We also encourage you to join our Talent Network to stay connected to additional career 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.