Field Reimbursement Leader: Patient Access Expert

Valeris

Kentucky

Remote

USD 90,000 - 120,000

Full time

7 days ago
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Benefits offered by this job

Medical coverage
Dental coverage
Vision coverage
HSA / FSA options
401(k) match
Paid time off
Holidays

Job summary

Valeris, a life sciences commercialization partner, seeks a Field Reimbursement Manager to remove barriers to patient access by educating HCP offices on billing, coding, and Prior Authorization across multiple states. This field-based role collaborates with sales, HUB, and managed markets to support reimbursement strategies.

You will travel up to 10% nationally, work with HUB and third-party vendors, and ensure compliant practices while guiding providers through claims processes and payer

Qualifications

  • Associate degree or higher or equivalent market experience.
  • 3+ years in pharma/healthcare with specialty products.
  • Experience with payer policies and reimbursement processes.
  • Experience with virtual and field-based reimbursement education.

Responsibilities

  • Solve complex patient access issues by working across the HUB, provider offices and communicating with client field team.
  • Lead reimbursement support strategies with Sales, Payer Teams, Marketing, HCPs, and Specialty Pharmacies to increase patient access.
  • Educate HCP and Office Staff on Patient Support Programs and payer rules.
  • On occasion, lead onsite education of program rules and payer coverage including J-codes and reimbursements.
  • Guide providers through prior authorization and appeals with required documentation and payer requirements.
  • Manage daily activities to ensure patient access across sites of care and support HUB services.
  • Review billing and coding to resolve reimbursement issues and educate to avoid hurdles.
  • Coordinate with patient support representatives on cases and claim issues.

Skills

Stakeholder engagement
Communication skills
Reimbursement support
Prior Authorization
Payer policy knowledge
HCP education

Education

Associate's degree or higher in related field
3+ years in Pharma/Healthcare

Job description

Valeris, a life sciences commercialization partner, seeks a Field Reimbursement Manager to remove barriers to patient access by educating HCP offices on billing, coding, and Prior Authorization across multiple states. This field-based role collaborates with sales, HUB, and managed markets to support reimbursement strategies.

You will travel up to 10% nationally, work with HUB and third-party vendors, and ensure compliant practices while guiding providers through claims processes and payer

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