Field Reimbursement Lead: Access & Payer Expert

Valeris; West Virginia; Hybrid; USD 85,000 - 125,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

HSA/FSA options

401(k) match

Paid Time Off

Holidays

EAP services

Life and AD&D coverage

Disability coverage

Career growth

Job summary

Valeris is seeking a Field Reimbursement Manager to help remove barriers to patient access by educating provider offices on billing, coding, and reimbursement for our client’s therapies. You will work across HUBs, payers, and office staff to optimize prior authorizations and appeals, ensuring compliant, effective patient access.

The role requires collaboration with Sales, Managed Markets, and Billing teams, and involves field and virtual education across designated states with up to 10% travel.

Qualifications

• Associate's degree or higher in a related field or equivalent market experience.
• 3+ years in Pharma/Healthcare industry; working with specialty products, Hubs, Payers, HCP or related area.
• Direct experience with specialty dermatology products.
• Knowledge of public and private payer policies including prior authorization processes.
• Demonstrated ability to conduct virtual and field-based reimbursement support and education.

Responsibilities

• Solve complex patient access issues by working across the Hub, provider offices and communicating with client field team.
• Partner with client’s Sales Team, Payer Teams, Marketing, HCPs, and their Specialty Pharmacies to create and drive strategic reimbursement support approaches.
• Educate HCP and Office Staff on Patient Support Programs, per program specific operating policies and patient journey.
• Lead HCP offices in onsite education of program business rules, payer coverage and J-codes where applicable.
• Guide healthcare providers through the prior authorization and appeals process.

Skills

Pharma/Healthcare experience

Payer policy knowledge

Stakeholder engagement

Education

Associate's degree or higher in a related field

Job description

Valeris is seeking a Field Reimbursement Manager to help remove barriers to patient access by educating provider offices on billing, coding, and reimbursement for our client’s therapies. You will work across HUBs, payers, and office staff to optimize prior authorizations and appeals, ensuring compliant, effective patient access.

The role requires collaboration with Sales, Managed Markets, and Billing teams, and involves field and virtual education across designated states with up to 10% travel.