A Compensation or Benefits Specialist evaluates and works to maintain the pay structure and benefits program at an organization. Analyzes wage and salary data and trends, monitors market conditions; works with benefits vendors, processes benefit claims for employees; monitors government employment regulations. May focus specifically on job classifications and compensation or on benefits programs such as pensions.
17967-OTHLOC-CGmwYfwg Not ready to apply? Join our Talent Network Description The Field Reimbursement Specialist (FRS) will be responsible for the management of defined accounts in a specified geographic region in the ophthalmic therapeutic area, specifically supporting our client's products. The FRS 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 program. The Reimbursement Specialist will also work on patient-level reimbursement issue resolution, and thus will need access to be knowledge of and have had experience with patient health information (PHI). Field Reimbursement Specialists manage daily activities that support appropriate patient reimbursement to our client's products in the provider offices and work as a liaison to other patient assistance and reimbursement support services offered by our clients. Activities include, but are not limited to: Act as an extension of the product providing live one-on-one coverage support. Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms. Reviewing patient-specific information in cases where the site has specifically requested the assistance in resolving any issues or coverage challenges. Reviewing patient insurance benefit options. Identifying alternate funding/financial assistance programs. Coordinating with our client's patient support services programs representatives. Educating physician office staff on the use of our client's patient assistance and call center support services, including web‑based provider programs. Provide information on relevant reimbursement topics related to our client's products. Serve as payer expert for defined geography and able to communicate changes to key stakeholders in a timely manner. Provide office support in accurate coding and billing for the client's products.
Minimum Qualifications & Education:
Bachelor's degree or a minimum three years of experience in public or private third-party access arena or pharmaceutical industry in managed care, clinical support, and/or sales or a minimum of 6 years biologic coordinator experience Minimum two years' of access and reimbursement, managed care, and/or billing and coding support experience Experience working with Buy and Bill products and a thorough understanding of the entire reimbursement process from script to injection required Ophthalmic, retina specialists and biosimilar experience preferred Experience establishing relationships within a practice by working closely to help remove reimbursement barriers to specialty products for their patients Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Part D (Pharmacy Benefit design and coverage policy) a plus Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems a plus Ability to travel and cover large multistate geography territories, 50% travel required Excellent presentation and project management skills The annual base salary for this position ranges from $155,000 to $160,000. 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 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 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) 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. 400003488 Apply for this job Not ready to apply? Join our Talent Network Recent Job Searches All Jobs - 9 minutes Share this job Apply Inside Syneos Health Our Values Who We Are Our Solutions Diversity, Equity, And Inclusion Why Work Here Discover what our more than 29,000 employees already know: work here matters everywhere. We work hard, and smart, all in the name of getting much-needed therapies to those who need them most. A career with Syneos Health means your everyday work improves patients' lives around the world. Selecting us as an employer secures a career in which you're guaranteed to: Collaborate with passionate problem solvers Partner with the most diverse team of experts in the industry. From the top down, our people are inspiring. Everyone has a voice and is encouraged to use it. Be empowered and thrive Here, there's no shortage of challenging work, learning and opportunities. Evolve in a growing, global company that is always looking for ways to work smarter and more efficiently. Over deliver and out-perform Challenge the status quo in a highly competitive and ever-changing environment. Be agile and take initiative to find new solutions reflective of the high-quality standards we and our customers expect. Help change lives We take our work seriously. Each day, you'll contribute to improving patients' lives around the world by shortening the distance from lab to life. It's powerful and fulfilling work of which you can be proud.
