Regional Reimbursement Manager

Do you have a noticeable passion for results?

Connecting people and developing high-performing teams is your forte. You’re a leader by nature and at your best when clearing the way for others to succeed. Your ability to coach, navigate complex reimbursement landscapes, extrapolate intricate details, and manage challenging access scenarios makes you a perfect fit for a Regional Manager, Field Reimbursement Navigators role at Syneos Health.

Responsibilities

The Regional Manager, Field Reimbursement Navigators (FRNs), will operate as the regional leader and subject-matter expert on reimbursement, access, and coverage issues affecting the client’s products. Lead and develop a team of FRNs to educate HCPs and their staff on matters related to reimbursement, access, and coverage to facilitate appropriate patient access. Analyze regional reimbursement and access trends and act as the escalation point and local resource for field sales leadership and region management. Collaborate cross-functionally with Field Sales, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, HUB, and Specialty Pharmacy Accounts while abiding by all corporate and industry policies and procedures.

• Lead, coach, and develop a team of 6 field-based FRNs across the western region
• Establish performance expectations and drive accountability aligned to client objectives
• Conduct field travel, ride-alongs, and performance coaching sessions
• Analyze regional access/reimbursement issues and opportunities
• Provide reimbursement expertise and escalation support for complex patient access cases
• Coordinate on reimbursement issues with third parties including HUB and Specialty Pharmacy
• Liaise with Specialty Pharmacy for pharmacy benefit products
• Ensure consistent education to HCPs on benefit design (Commercial, Medicare, Medicaid)
• Support resolution of coding, billing, coverage, and appeals-related questions
• Monitor regional KPIs and manage expenses within allocated budgets

Job Requirements

Along with a results-oriented mindset, leadership presence, and the ability to influence across a matrixed organization, the ideal candidate has:

• BS/BA Degree required
• 8–10+ years in Commercial Biotech/Pharmaceutical experience
• 5+ years reimbursement, patient services, specialty pharmacy, or market access experience
• 2–3+ years direct field-based people management experience
• Proven experience with HUBs and in-depth knowledge of billing, coding, and appeals
• Experience with commercial payers, Medicare, and state Medicaid plans
• Demonstrated success leading geographically dispersed teams
• Valid driver’s license and the ability to travel, including overnights

The annual base salary for this position ranges from $180,000 to $187,000. 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.

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.

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.
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.

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