Field Reimbursement Leader: Accelerate Patient Access

Valeris; Lake Michigan Beach (MI); Hybrid; USD 95,000 - 135,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

HSA/FSA options

401(k) with match

PTO and sick leave

Paid holidays

Job summary

Valeris is seeking a Field Reimbursement Manager to enhance patient access by resolving billing and coding issues and educating providers on reimbursement. You will collaborate with hub teams, payer groups and sales to expand therapy access and navigate prior authorizations across multiple sites of care.

The role requires strong stakeholder engagement, payer policy knowledge, and experience with education delivery. Travel up to 10% is expected in this national role.

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.
• Must have specific practice management, billing and/or coding experience for drugs, biologicals, or devices.
• Must have general payer policy knowledge including public and private payers, foundational knowledge of medical benefit verifications and prior authorization/pre-determination requirements and knowledge of reimbursement processes within various sites of care.

Responsibilities

• Solve complex patient access issues by coordinating across Hub, provider offices and client field team.
• Partner with Sales, Payer, Marketing, HCPs and Specialty Pharmacies to improve access to therapy.
• Educate HCP and Office Staff on Patient Support Programs and program policies.
• Lead onsite education of program business rules, payer coverage and J-codes where needed.
• Guide providers through prior authorization and appeals processes with required documentation.

Skills

Stakeholder engagement

Communication

Payer policy knowledge

Education/training delivery

Travel willingness

Education

Associate's degree or higher in related field

Job description

Valeris is seeking a Field Reimbursement Manager to enhance patient access by resolving billing and coding issues and educating providers on reimbursement. You will collaborate with hub teams, payer groups and sales to expand therapy access and navigate prior authorizations across multiple sites of care.

The role requires strong stakeholder engagement, payer policy knowledge, and experience with education delivery. Travel up to 10% is expected in this national role.