Field Reimbursement Manager

Description Join us as a vital facilitator: connecting people, enabling communication, and bridging gaps in healthcare access. The Field Reimbursement Manager will be responsible for managing designated accounts within a defined geographic area. This role involves executing strategic plans through collaboration with both internal and external stakeholders, which may include call center services, sales, market access, and partnerships. You will act as a reimbursement subject matter expert, delivering educational support throughout the reimbursement process, assisting with formulary coverage, insurance forms, benefits investigation, prior authorization, appeals, and claims resolution. Your Core Responsibilities Include: Act as the primary reimbursement contact for assigned accounts, addressing requests efficiently. Serve as a payer expert, interpreting and communicating changes in Medicare, Medicaid, and Commercial plans to key stakeholders promptly. Provide education and support to prescribing physicians and their staff on reimbursement, coding, and patient access issues, including: Benefit verification Prior authorization requirements Appeals processes Claims submission and denial troubleshooting Site of Care considerations (Buy and Bill) CPT, HCPCS/J-codes, ICD-10, diagnosis codes Assist with claims resolution, including underpayments, denials, and documentation requests. Track payer challenges, report access trends, and escalate complex issues to appropriate internal teams as needed. Maintain detailed documentation of reimbursement cases and trends to identify recurring access barriers. Manage multiple reimbursement cases simultaneously while meeting service-level expectations. Cross-Functional Interaction: Collaborate virtually and in-person when necessary with internal partners to: Share payer insights and address recurring reimbursement challenges Support consistent messaging related to access pathways Provide timely updates on case status and resolution outcomes using approved internal tools. Participate in internal meetings and trainings to align reimbursement strategies and product updates. The Ideal Candidate Will Have: BA/BS degree 5+ years of experience in the pharmaceutical or biotech industry 1+ years in field reimbursement Ability to resolve access issues in specialty pharmacy channels Experience in oncology is a plus, but not required Willingness to travel 15% - 80% virtually and 15% live The annual base salary for this position ranges from $145,000 to $160,000. This range represents the anticipated low and high for this position at Syneos Health. Actual salary will vary based on various factors, including qualifications, skills, and experience. Additionally, some positions may include eligibility for commissions or bonuses based on performance. At Syneos Health, we are committed to building a diverse and inclusive workplace. If your experience doesn’t align perfectly with the job description, we encourage you to apply anyway. We value transferable skills and also invite you to join our Talent Network to stay connected for more career opportunities. Why Choose Syneos Health? Your collaboration and problem-solving skills can significantly impact patients' lives. By joining our field access teams, you will work alongside industry experts while receiving the support and resources necessary to navigate the complex reimbursement landscape effectively. The diversity and breadth of our partnerships offer a multitude of career paths and opportunities. Experience the fulfillment of actively contributing to improving patients’ lives globally. Syneos Health is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled). Syneos Health promotes a voluntary COVID-19 vaccination policy and encourages employees to be fully vaccinated. Compliance with local government or client requirements may necessitate proof of vaccination. We believe in creating an environment where our employees can thrive, grow, and succeed. We offer a competitive compensation package, comprehensive health benefits, 401k match, flexible PTO, and paid sick time, with eligibility varying based on federal, state, and local regulations.

Created: 2026-03-10