Field Reimbursement Manager - Access & Prior Auth Expert

Valeris; Oregon; Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

HSA and FSA options

401(k) with match

Paid time off and holidays

Job summary

Valeris is seeking a Field Reimbursement Manager to help eliminate barriers for patients accessing medications. You will resolve patient access issues, educate healthcare provider offices on billing and coding, and collaborate with HUB and payer teams to improve patient outcomes.

Strong knowledge of reimbursement processes and prior authorizations is required. The role involves travel up to 10% and requires an associate degree or higher with 3+ years in pharma/healthcare.

Qualifications

• Strong stakeholder engagement and communication skills.
• Knowledge of public and private payer policies and reimbursement processes.
• Experience with Prior Authorizations, billing, coding and appeals processes.

Responsibilities

• Solve complex patient access issues across Hub, provider offices and client field team.
• Educate providers on patient support programs and payer requirements.
• Lead onsite education of program rules and payer coverage.
• Guide providers through prior authorization and appeals processes with required documentation.
• Coordinate with patient support services and HUB reimbursements.
• Monitor payer trends and communicate reimbursement concerns to internal teams.

Skills

Stakeholder engagement

Effective communication

Payer policy knowledge

Education

Associate's degree or higher in related field

Job description

Valeris is seeking a Field Reimbursement Manager to help eliminate barriers for patients accessing medications. You will resolve patient access issues, educate healthcare provider offices on billing and coding, and collaborate with HUB and payer teams to improve patient outcomes.

Strong knowledge of reimbursement processes and prior authorizations is required. The role involves travel up to 10% and requires an associate degree or higher with 3+ years in pharma/healthcare.