Field Reimbursement Strategist

Valeris; Illinois; Hybrid; USD 70,000 - 95,000; Full time

Benefits offered by this job

Medical, dental, vision

HSA and FSA

401(k) match

PTO & sick leave

Paid holidays

Telehealth access

Job summary

Valeris is seeking a Field Reimbursement Manager to join our team and help remove barriers to patient access to therapies. You will educate provider offices on billing, coding, prior authorizations, and reimbursement strategies across multiple sites of care.

This hybrid role supports hubs, payers, and patient assistance programs, traveling up to 10% nationwide and partnering with Sales, Managed Markets, and HCPs to optimize patient access and outcomes.

Qualifications

• Associate's degree or higher in a related field or equivalent market experience.
• 3+ years in Pharma/Healthcare with specialty products, hubs, payers, HCP or related area.
• Experience with Prior Authorizations, reimbursement billing, coding, and appeals process.
• Knowledge of commercial payer, Medicare and Medicaid structures and reimbursement processes.

Responsibilities

• Solve complex patient access issues by coordinating with HUB, provider offices and client field teams.
• Educate HCP offices on patient support programs and reimbursement policies.
• Lead onsite and virtual education sessions on program rules, payer coverage, and J-code reviews.
• Coordinate before-claims processes and assist with payer-specific requirements and outcomes.
• Manage daily activities to support patient access across sites of care as an extension of HUB services.
• Review billing and coding for products and help resolve reimbursement hurdles to improve access.

Skills

Payer policy knowledge

Prior Authorization

Reimbursement coding

Stakeholder engagement

Communication skills

Project management

Education

Associate's degree or higher in a related field

Job description

Valeris is seeking a Field Reimbursement Manager to join our team and help remove barriers to patient access to therapies. You will educate provider offices on billing, coding, prior authorizations, and reimbursement strategies across multiple sites of care.

This hybrid role supports hubs, payers, and patient assistance programs, traveling up to 10% nationwide and partnering with Sales, Managed Markets, and HCPs to optimize patient access and outcomes.