Remote Field Reimbursement Manager

Remote Field Reimbursement ManagerValeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris revolutionizes the path from life sciences innovation to real-life impact to build a world in which every patient gets the care they need. Valeris works on behalf of life sciences companies to improve the patient experience so that patients can access and adhere to critical medications. Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Valeris provides commercialization solutions to more than 500 life sciences customers and has provided access and affordability support to millions of patients. The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana.As a Remote Field Reimbursement Manager you will help support patient access to critical therapies by resolving access challenges through virtual education of healthcare provider (HCP) and support staff at sites of care. The FRM will be HCP-facing and serve as the subject-matter expert on regional payer access, prior authorizations, appeals processes, and patient support financial assistance offerings. This role focuses on ensuring timely and effective patient access and is strictly non-promotional and does not involve sales or the provision of clinical care/medical advice.ResponsibilitiesEducate HCPs on Patient Support Programs: Provide reactive, approved, tailored education to healthcare providers and their staff on available financial support programs for eligible patientsProvide 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 PBMsAddress Access Barriers: Provide assistance to HCPs to compliantly troubleshoot claims at retail pharmacies for eligible patients who have used patient support financial assistance offeringsStay 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 interactionsCommunicate access concerns and issues with appropriate internal stakeholdersOperate in Compliance with HIPAA within program guidelinesOn time adherence to training deadlines for all corporate policies and procedures governing access to confidential dataEnsures compliant use of approved materials, resources and talking points onlyEnsure all SOPs and BRDs are followed with consistencyConducts miscellaneous tasks or projects assignedQualificationsBachelor's degree5+ experience in Case Management Reimbursement Experience; product launch experience is highly desired5+ in the Pharma/Healthcare industry; working with Hubs, Payers, HCP or related areaAdvanced understanding of the U.S. reimbursement landscape, including commercial and government payers, patient access support programs and prior authorization requirementsDemonstrated ability to conduct virtual access support and educationExcellent written and verbal communication skills, and presentation expertise to effectively educate diverse stakeholdersProven ability to seamlessly address and resolve access barriers to enable patient access and affordability to prescribed therapiesHighly competent in a multitude of IT capabilities to support the business needs including Veeva CRMA deep understanding of and strict adherence to all federal and state compliance guidelines and regulations, including HIPAATravel RequirementsInfrequent travel may be required for various national meetings, training programs and POAsValid driver's license required for travelWhile performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy. Although very minimal, flexibility to travel as needed is preferred. This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.Why Work for Valeris?Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costsAdditional health support, including telehealth and Employee Assistance Program (EAP) servicesCompany match on Health Savings Account contributionsFree Basic Life and AD&D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vestingPaid Time Off (PTO) and Sick Leave to support work-life balanceTeam members receive nine paid holidays plus two floating holidaysOpportunities for advancement in a company that supports personal and professional growthA challenging, stimulating work environment that encourages new ideasWork for a company that values diversity and makes deliberate efforts to create an inclusive workplaceA mission-driven, inclusive culture where your work makes a meaningful impactAny offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen in accordance with company standards.