Updated:
January 28, 2026 Location:
Boston, MA, United States Job ID: 13736
You are an expert facilitator: you open doors, foster communication, and bridge the gap.
The Virtual Field Reimbursement Manager (VFRM) will be responsible for the management of defined accounts in a specified geography.
The VFRM will execute a strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other collaboration partners.
In this role, the VFRM will serve as a reimbursement subject matter expert and will be responsible for providing office education during the entire process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution.
Core Responsibilities
Serves as the primary virtual reimbursement contact for assigned accounts, responding to reimbursement requests
Serves as payer expert and be able to interpret and communicate payer changes, payer policies for Medicare, Medicaid and Commercial plans to key stakeholders in a timely manner
Provides education and support to prescribing physicians and support staff regarding reimbursement, coding and patient access issues
Benefit verification results
Prior authorization requirements
Appeals processes
Claims submission and denial troubleshooting
Site of Care considerations (Buy and Bill)
CPT, HCPCS/J-codes, ICD-10, diagnosis of codes
Assists with claims issue resolution, including underpayments, denials, and requests for additional documentation
Tracks payer-specific challenges and communicate access or time-to-therapy trends, while triaging complex reimbursement or policy issues to appropriate internal partners for escalation when needed.
Maintains detailed documentation of reimbursement cases, trends, and outcomes to identify recurring access barriers
Manages multiple reimbursement cases simultaneously while meeting service-level expectations
Cross Functional Interaction
Coordinate virtually and in-person as needed with internal partners to
Share payer insights and recurring reimbursement challenges
Support consistent messaging related to access pathways
Provide clear, timely updates on case status and resolution outcomes using approved internal tools and processes
Participate in internal meetings and trainings to stay aligned on reimbursement strategy and product updates
Qualifications
5+ years of pharmaceutical &/or biotech experience
1+ years of experience in field reimbursement
Ability to solve access issues related in specialty pharmacy channel
Experience in oncology nice to have, not required
Ability to travel 15% – 80% virtual and 15% live
The annual base salary for this position ranges from $145,000 to $150,000. 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.
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.
Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)
Syneos Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, marital status, ethnicity, national origin, sex, gender, gender identity, sexual orientation, protected veteran status, disability or any other legally protected status and will not be discriminated against. If you are an individual with a disability who requires reasonable accommodation to complete any part of our application process, including the use of this website, please contact us at: Email: [email protected] One of our staff members will work with you to provide alternate means to submit your application.
#J-18808-Ljbffr
January 28, 2026 Location:
Boston, MA, United States Job ID: 13736
You are an expert facilitator: you open doors, foster communication, and bridge the gap.
The Virtual Field Reimbursement Manager (VFRM) will be responsible for the management of defined accounts in a specified geography.
The VFRM will execute a strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other collaboration partners.
In this role, the VFRM will serve as a reimbursement subject matter expert and will be responsible for providing office education during the entire process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution.
Core Responsibilities
Serves as the primary virtual reimbursement contact for assigned accounts, responding to reimbursement requests
Serves as payer expert and be able to interpret and communicate payer changes, payer policies for Medicare, Medicaid and Commercial plans to key stakeholders in a timely manner
Provides education and support to prescribing physicians and support staff regarding reimbursement, coding and patient access issues
Benefit verification results
Prior authorization requirements
Appeals processes
Claims submission and denial troubleshooting
Site of Care considerations (Buy and Bill)
CPT, HCPCS/J-codes, ICD-10, diagnosis of codes
Assists with claims issue resolution, including underpayments, denials, and requests for additional documentation
Tracks payer-specific challenges and communicate access or time-to-therapy trends, while triaging complex reimbursement or policy issues to appropriate internal partners for escalation when needed.
Maintains detailed documentation of reimbursement cases, trends, and outcomes to identify recurring access barriers
Manages multiple reimbursement cases simultaneously while meeting service-level expectations
Cross Functional Interaction
Coordinate virtually and in-person as needed with internal partners to
Share payer insights and recurring reimbursement challenges
Support consistent messaging related to access pathways
Provide clear, timely updates on case status and resolution outcomes using approved internal tools and processes
Participate in internal meetings and trainings to stay aligned on reimbursement strategy and product updates
Qualifications
5+ years of pharmaceutical &/or biotech experience
1+ years of experience in field reimbursement
Ability to solve access issues related in specialty pharmacy channel
Experience in oncology nice to have, not required
Ability to travel 15% – 80% virtual and 15% live
The annual base salary for this position ranges from $145,000 to $150,000. 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.
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.
Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)
Syneos Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, marital status, ethnicity, national origin, sex, gender, gender identity, sexual orientation, protected veteran status, disability or any other legally protected status and will not be discriminated against. If you are an individual with a disability who requires reasonable accommodation to complete any part of our application process, including the use of this website, please contact us at: Email: [email protected] One of our staff members will work with you to provide alternate means to submit your application.
#J-18808-Ljbffr