Remote Reimbursement & Access Manager

Valeris; United States; Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

Health Savings Account

401(k) Retirement Savings Plan with 5%

Paid Time Off

Nine holidays + two floating holidays

Job summary

Valeris, a life sciences commercialization partner, is seeking a field-facing access specialist in the United States. You will educate healthcare providers about patient support programs and reimbursement options, helping patients access medications and navigate payer requirements.

Work with field teams, ensure HIPAA-compliant handling of data, follow SOPs and BRDs, and stay current on national payer policies.

Responsibilities

• Educate HCPs on Patient Support Programs: Provide reactive, approved, tailored education to healthcare providers and their staff on available financial support programs for eligible patients
• Provide Reimbursement Expertise: Educate HCPs and their office support on the local payer landscape through virtual education engagements, including national and regional payer policies, prior authorization criteria including letter of medical necessity and appeals templates, quantity limits, stocking information, and appropriate access pathways and processes for payers and PBMs
• Address Access Barriers: Provide assistance to HCPs to compliantly troubleshoot claims at retail pharmacies for eligible patients who have used patient support financial assistance offerings
• Stay informed on national and regional payer policies: Maintain current knowledge of managed care, reimbursement trends, and relevant healthcare policies and regulations (e.g., Commercial, Medicare, and Medicaid).
• Work and compliantly with field team representatives to receive engagement requests and communicate outcome of interactions Role models ethics and integrity in the work that you do to support a culture of compliance and earn trust with external stakeholders
• Communicate access concerns and issues with appropriate internal stakeholders
• Operate in Compliance with HIPAA within program guidelines
• On time adherence to training deadlines for all corporate policies and procedures governing access to confidential data
• Ensures compliant use of approved materials, resources and talking points only
• Ensure all SOPs and BRDs are followed with consistency
• Conducts miscellaneous tasks or projects assigned

Job description

Valeris, a life sciences commercialization partner, is seeking a field-facing access specialist in the United States. You will educate healthcare providers about patient support programs and reimbursement options, helping patients access medications and navigate payer requirements.

Work with field teams, ensure HIPAA-compliant handling of data, follow SOPs and BRDs, and stay current on national payer policies.