Virtual Field Reimbursement Specialist - Los Angeles, CA
Company: Syneos Health/ inVentiv Health Commercial LLC
Location: Los Angeles
Posted on: April 20, 2024
Job Description:
Description You are an expert facilitator: you open doors, foster
communication, and bridge the gap.The Virtual Field Reimbursement
Specialist (VFRS) will be responsible for the management of defined
accounts in a specified geographic region across numerous
therapeutic areas.The VFRS will execute the collaborative territory
strategic plan through partnership with internal and external
stakeholders, which may include call center services (HUB), sales,
market access, and other collaboration partners. Responsibilities
include ensuring understanding of reimbursement process, field
reimbursement services, and patient support programs. The
Reimbursement Specialist will also work on patient-level
reimbursement issue resolution.In this role, the VFRS will
demonstrate unwavering support and a consultative approach to help
offices obtain insurance authorization and/or reimbursement of
products for appropriate patients. The VFRS will have a direct
impact on a patients ability to access the therapies they need.
Additional responsibilities include:
- Manage daily activities that support appropriate patient access
to our clients products in the provider offices and work as a
liaison to other patient assistance and access support services
offered by our clients (i.e. HUB, Call Center, Specialty Pharmacy
Services)
- Act as an extension of the call center and/or HUB and provide
live one-on-one coverage support
- 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, appeal, and/or claims resolution
- Educate offices using approved materials provided by the
client
- Review patient-specific information in reimbursement cases
where the office has specifically requested assistance in resolving
access issue or coverage challenge
- Educate physician office staff on the use of our clients
patient support services, including web based provider portalsAlong
with demonstrated initiative, resourcefulness and a
results-oriented mindset, the ideal candidate has:
- Bachelors Degree
- Minimum two years of experience in public or private third
party access arena or pharmaceutical industry in managed care,
clinical support, and/or sales
- Experience with specialty/biologic or physician administered
products
- Demonstrated ability to educate offices on access processes
including but not limited to:
- Experience educating HCPs on client specific Patient Service
programs (i.e. copay, nurse education, 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
- Must live within territory or within territory boundaries.The
annual base salary for this position ranges from $112,000 -
$118,000. 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 candidates
qualifications, skills, competencies, and proficiency for the role.
In addition, some positions may include a company car or car
allowance and 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 doesnt 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 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. Work Here Matters
Everywhere - 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.#LI-West #LI-BC1
Keywords: Syneos Health/ inVentiv Health Commercial LLC, La Mirada , Virtual Field Reimbursement Specialist - Los Angeles, CA, Other , Los Angeles, California
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